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Ms. Michelle Henderson
2912 Silvertail Court
Henrico, VA 23231
(804) 795-2690

Current Inspector: Ali Metzger (804) 662-9092

Inspection Date: Aug. 13, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced renewal inspection was completed on August 13, 2018 from approximately 9:40a.m. to 12:45p.m. Ten children were in care, ages two to five years old, with two caregivers, for a total of nineteen points. The children were observed interacting with the caregiver and an assistant, during toileting, hand washing and free play. Children?s toys, learning materials, equipment, bathroom, indoor areas, outside play area and the home?s first aid kit and emergency supplies were inspected. Five children?s records, three staff records, emergency preparedness plan, fire drill and shelter in place logs, daily attendance, injury reports, medication authorizations and logs, medication administration and daily health observation certifications and required postings were reviewed. Transportation is not currently provided. The licensee was available for interview, inspection and present at the exit interview at which time inspection findings were reviewed and an Acknowledgement of Inspection form was signed and left with the licensee. There were five citations for violations of the Standards for Family Day Homes. See the violation notice on the Department's public web site for violations of the Standards.

Violations:
Standard #: 22VAC40-111-800-B
Description: Based on a review of the emergency preparedness plan, the licensee failed to review the plan at least annually and update the plan as needed. Evidence: 1. The last recorded update of the emergency preparedness plan was observed and dated July 2013. 2. Caregiver #1 stated the plan has been updated annually but acknowledged the dates have not been documented in writing.

Plan of Correction: Licensee will complete the most recent annual update and document the previous updates.

Standard #: 22VAC40-111-90-C
Description: Based on a review of children?s records, the licensee failed to obtain documentation of a child?s additional immunizations once every six months for children under two years of age for one of five children. Evidence: 1. Child #4 (date of birth: May 10, 2016) was enrolled on September 5, 2017. 2. Child #4?s record contained immunization documentation dated August 16, 2017 but lacked any other additional immunization documentation. 3. Caregiver #1 acknowledged this documentation was not obtained.

Plan of Correction: Licensee will obtain updated immunization documentation from parent.

Standard #: 22VAC40-111-230-A
Description: Based on a review of caregiver records, the licensee failed to maintain documentation of each caregiver?s applicable first aid and CPR certifications, and annual training for one of three caregivers. Evidence: 1. Caregiver #1?s record lacked documentation of completed CPR and first aid certifications as well as all completed sixteen hours of annual training. 2. Caregiver #1 stated these certifications have been completed but that the card is not in the record.

Plan of Correction: Licensee will obtain a copy of the missing CPR/First Aid card.

Standard #: 22VAC40-111-320-B
Description: Based on observation of the home, the licensee failed to ensure that child-resistant protective covers are installed on unused electrical outlets accessible to children under five years of age. Evidence: 1. One electrical outlet and one power strip, accessible to children, were observed with no cover on the sockets. 2. Caregiver #1 acknowledged the covers were missing.

Plan of Correction: Licensee removed power strip from use and placed a protective cover on the remaining uncovered socket. Corrected on site.

Standard #: 22VAC40-111-350-E
Description: Based on observation of the home, licensee failed to ensure that hot water taps available to children are maintained within a range of 105 to 120 degrees Fahrenheit. Evidence: 1. Water from the hot water tap in the bathroom accessible to and used by the children was measured at 124 degrees Fahrenheit. 2. Caregiver #1 acknowledged the water exceeded the acceptable range.

Plan of Correction: Licensee adjusted the temperature on the hot water tank. Corrected on site.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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