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Ms. Janice Roberts
52 Deborah Drive
Lynchburg, VA 24501
(434) 237-1658

Current Inspector: Kelly Ann Campbell (540) 309-2494

Inspection Date: Dec. 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
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Technical Assistance:
The Provider requested information for training resources. Information was provided regarding web sites and resources from the public library. The Provider reported that she will complete the balance of required training hours by the end of the year.

Comments:
An unannounced renewal inspection was conducted in the Family Day Home on December 6, 2018. The Provider and 4 children were present. The ages of the children ranged from 9 months to 4 years. Based on their ages, the points totaled 10. The children were observed during free play, the lunch meal, and nap time. The Provider was attentive to the children's needs. Age appropriate toys were available to the children. Reportedly, there are 7 children currently enrolled. The Provider reported that medications are not administered as stated in the written medication policy. The Provider's record was reviewed. Documentation of the practiced emergency drills, the emergency contact person, and the revised emergency preparedness plan were also reviewed. A sample of 4 children's records was reviewed. One of the four children arrived to the home after lunch and the parent reported that the child had eaten prior to arrival. The Provider served lunch to three children, the foods served were listed on the posted menu. Findings were reviewed with the Provider at the exit. The inspection was conducted from approximately 11:30AM to 2:30PM. If you have any questions or need additional information, please contact this LI at (540)309-2310. Thank you.

Violations:
Standard #: 22VAC40-111-110-B
Description: Based on reviewed documentation the Provider failed to obtain a signed copy of the physical examination and immunizations record which were signed by a licensed physician, the physician's designee, or an official of a local health department. Evidence: The record of child 4. contained a printed copy of the child's current medical information, the documents were not signed by the physician or his designee.

Plan of Correction: The parent was notified at the time of the inspection and will contact the child's physician to request a signed copy for record retention.

Standard #: 22VAC40-111-70-A
Description: Based on a sample review of children's records, the Provider failed to provide in writing to the parents the following information as required by the Standards: general daily schedule that is appropriate for the age of the enrolling child and policies for termination of care. Evidence: A sample of 4 children's records was reviewed. The Provider had not completed the information on the model form that addresses policies for termination of care and the daily schedule in each of the 4 records.

Plan of Correction: The Provider will complete the information on the model form and will provide a copy to each parent. Each parent will be requested to review, initial and date.

Standard #: 22VAC40-111-140-B-3
Description: Based on interview and reviewed documentation, the Provider's CPR certification was not current. Evidence: Documentation of the CPR certification expired August, 2018.

Plan of Correction: The Provider will update the certification by completing a CPR course.

Standard #: 22VAC40-111-140-B-4
Description: Based on interview and reviewed documentation, the Provider's first aid certification has expired. Evidence: Documentation of the first aid certification expired in August, 2018.

Plan of Correction: The Provider will schedule and attend a first aid training to update the certification.

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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