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Ms. Crystal Payne
9724 Louisa Road
Gordonsville, VA 22942
(540) 832-5364

Current Inspector: Beth Orebaugh (540) 847-9173

Inspection Date: Nov. 6, 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
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

An unannounced monitoring inspection was conducted on November 6, 2018 between the hours of approximately 10:50 a.m. and 1:45 p.m. Ten children were enrolled and four children were in the care of two caregivers on this date (11 points). Five children's records, two caregivers' records and two household members' records were reviewed and/or updated. No medications were administered, as is the policy of this family day home. Facility documents (attendance form, rabies immunization record, fireplace inspection and emergency evacuation and shelter-in-place drill record), posted information (evacuation diagram, menu, emergency telephone numbers, daily schedule, license and licensing inspection documentation) and safety equipment (first aid kit, flashlight, radio and fire extinguisher) were observed/reviewed. Program observation was completed. Activities observed on this date included: indoor play - toys and playdoh; television (Boz the Bear); lunch; naptime; and infant care. Adult/child interactions, behavior guidance and daily routines/transitions were also observed. On this date, lunch included: chicken nuggets, peas, peaches, goldfish crackers and milk. Substantial compliance with the licensing standards was maintained. One violation cited during the licensing inspection conducted on April 30, 2018 was reviewed for compliance; no repeat violations were cited. One current exception to compliance was noted on the violation notice. Please contact me if you have questions concerning this inspection, the licensing standards and/or if I may be of assistance to you (540) 430-9262.

Standard #: 22VAC40-111-690-D
Description: Based on observation and discussion with one caregiver on November 6, 2018, the diapering surface was not cleaned and sanitized after each use. Evidence: 1. Observation of diapering procedures, on this date, determined that the diapering surface was not cleaned and sanitized between each diaper change. 2. Caregiver #1 confirmed that the diapering surface was not cleaned and sanitized between each diaper change, on this date.

Plan of Correction: In the future, the diapering surface will be cleaned and sanitized after each diaper change.


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.