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Belinda Lewis
1692 South Coolwell Road
Madison heights, VA 24572
(434) 929-1160

Current Inspector: Victoria E Dawson (540) 309-2674

Inspection Date: Aug. 20, 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
22VAC40-111 Transportation
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Comments:
An unannounced renewal inspection was completed on 8/20/2018. The inspector arrived at 10 A.M. and departed at 12:30 P.M. Three children were in care at seven points with the licensee and the assistant . Two caregiver records and one household member's record were reviewed. Three children's records were reviewed. A physical plant walk-through was done. Policies and procedures were reviewed. Discussion: two year license, documentation of time off for the assistant, and house hold children.

Violations:
Standard #: 22VAC40-111-180-A
Description: Based on review of three records, the provider failed to ensure that all TB screening were completed every two years. Evidence: 1. The provider's TB was completed 1/7/2016 and the most recent was competed 6/5/2018. The household member's TB screening was completed 11/4/2015 and the most recent was completed on 6/10/2018. The assistant's TB screening was completed on 2/12/2018 and the most recent TB was completed on 6/15/2018.

Plan of Correction: In the future all TB screenings will be conducted within the 2 year time frame and will be monitored.

Standard #: 22VAC40-111-530-B
Description: Based on observation, the provider failed to ensure that the crib in use had a tight-fitting bottom cover. Evidence: 1. The crib in use had a loose fitted crib sheet. Observed an infant sleeping in the crib.

Plan of Correction: The provider will purchase a smaller crib sheet instead of a regular size one.

Standard #: 22VAC40-111-590-A
Description: Based on observation, the provider failed to ensure that infants were placed on their backs when sleeping. Evidence: 1. An infant under the age of 12 months was placed on their belly for nap time. The infant was patted on their back until asleep by the provider. The child was in sight and sound supervision with the provider during the nap time.

Plan of Correction: The provider will place the infant on their back from now on.

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.

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