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Ms Diana Insley
122 Glennwood Drive
Topping, VA 23169
(804) 776-1014

Current Inspector: Michele Patchett (757) 439-6816

Inspection Date: Nov. 30, 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
22VAC40-111 Nighttime Care
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Discussed physical plant and annual review of children records.

Comments:
Licensing inspector arrived at 11:30am and departed at 1:24 pm to conduct a licensing inspection and a Subsidy Health and Safety inspection. At the time of the tour there was 5 children in care and 3 children that are not enrolled ( 20 points) with 2 staff . Children were observed napping, watching tv and freely playing. The sample size consisted of five children records and three staff/household records. Areas of non-compliance was reviewed with the provider.

Violations:
Standard #: 22VAC40-111-830-A
Description: Based on record review, the licensee did not ensure emergency evacuation was practiced monthly. Evidence: On November 30, 2018, the provider did not have a evacuation drill in October.

Plan of Correction: A evacuation will be conducted today.

Standard #: 22VAC40-111-920
Description: Based on observation, provider did not ensure a menu for the current one-week period is posted. Evidence: During the inspection conducted on November 30, 2018, the menu was not posted. The provider confirmed the menu was not completed for the week.

Plan of Correction: The provider will post a new menu for the next week.

Standard #: 22VAC40-111-940-B
Description: Based on observation and staff interview, the licensee did not ensure there was operable themometer available to monitor the refrigerator. Evidence: On November 3, 2018, the thermometer in the refrigerator was not operable and temperature was showing 0 degrees.

Plan of Correction: The provider will buy a new thermometer.

Standard #: 22VAC40-111-180-A
Description: Based on record review, the provider did not ensure Tuberculosis Screening form (TB test) was completed every two years. Evidence: On November 30, 2018, staff #2/assistant most recent TB test was 07/13/2016. The TB test was more than 2 years old.

Plan of Correction: I will have the assistant to have TB in the next two weeks.

Standard #: 22VAC40-111-240-A
Description: Based on observation , the provider did not ensure areas and furnishing of the family day home , inside maintained in a clean, safe, and operable condition. Evidence: On November 30, 2018, the foot operated trash can had 2 to 3 inch crack on the lid.

Plan of Correction: Will replace this weekend.

Standard #: 22VAC40-111-570-A
Description: Based on observation and staff interview, the provider did not ensure additional caregiver was present when a caregiver exceed 16 points. Evidence : On November 30, 2018, the provider was present at approximatley 11:30am with 5 children enrolled and 3 household children from ages 1 to 4 years of age equaling 20 points. The provider stated her assistant will be back soon. Assistant arrived at approximatley11: 33am.

Plan of Correction: I will have the assistant break earlier.

Standard #: 22VAC40-111-690-D
Description: Based on observation, the provider did not ensure the diapering surface was non - absorbent. Evidence: On Novembers 30, 2018, there was a inch tear on the diaper surface on the right side.

Plan of Correction: The diapering surface will be replaced.

Standard #: 63.2-1720.1-B-2
Description: Based on 2 of 2 records reviewed and interview with provider, provider did not ensure an Office of Background Investigation fingerprinting determination was completed by October 1, 2018. Evidence: During a inspection on November 30, 2018, Provider #1 and staff #2 did not have a fingerprint determination letter .

Plan of Correction: The provider provided the document with appointment schedule for December 8, 2018 . Staff #2 will send the appointment appointment information with in 10 days. .

Standard #: 63.2-1721.1-B-2
Description: Based on observation , the provider did not ensure an Office of Background Investigation fingerprinting determination letter results were obtained for household member before October 1, 2018. Evidence: On November 30, 2018, Household member #1 did not have fingerprinting determination letter.

Plan of Correction: The provider stated the household member will send e-mail with appointment information.

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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