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Ms. Maria Clark
1519 Moorman Avenue, NW
Roanoke, VA 24017
(540) 343-7810

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Feb. 13, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
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 Emergencies
22VAC40-111 Nutrition
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Licensure and Registration Procedures

Comments:
An unannounced monitoring inspection was completed on 02/13/2019. Present during the inspection were 4 children, ages 3 months-3 years, totaling 11 points, in the care of 1 provider. The inspector reviewed 4 children's records and one provider record during today's inspection. The provider stated that medication is not administered. The children were observed in the following activities: watching a children's television show, participating in a Valentine's Day art project, in music and movement, in free choice play and during lunch. The inspector reviewed the updated emergency preparedness plans and the emergency supplies during the inspection. The licensing inspector discussed the following with the provider: nutrition, safe sleep, the additions to the subsidy requirements, and the requirements for hiring an assistant provider. The inspector arrived at 10:00 a.m. and departed at 12:20 p.m. If you have any questions, please contact Becky Forestier at 540-309-2835.

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on record review, the provider failed to ensure that the record for each child shall contain all elements required by the standards. Evidence: 1. The record for Child #1 did not contain proof of the child's age and identity as required by 22VAC40-111-80. 2. The record for Child #2 did not contain the following information: policy number of the child's medical insurance (a medical insurance provider was listed, however, no policy number was provided) and the name, address and telephone number of two designated person to contact in case of an emergency if the parent cannot be reached (the address for contact #2 was incomplete). 3. The record for Child #3 did not contain the name, address and telephone number of two designated person to contact in case of an emergency if the parent cannot be reached (the address for contact #2 was incomplete). 4. The record for Child #4 did not contain the following information: the policy number of the child's medical insurance (a medical insurance provider was listed) and proof of the child's age and identity as required by 22VAC40-111-80.

Plan of Correction: The provider will get the missing information from the parents.

Standard #: 22VAC40-111-320-B
Description: Based on observations and discussion, the provider failed to ensure that child-resistant protective covers shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: There were two unused uncovered electrical outlets in the room where diaper changing table and the crib is located.

Plan of Correction: The outlets will be covered.

Standard #: 22VAC40-111-690-D
Description: Based on observations and discussion, the provider failed to ensure that the diapering surface shall be nonabsorbent and washable. Evidence: There were 2 cuts/tears in the diapering surface that exposed the absorbent part of the diaper changing pad.

Plan of Correction: A new pad will be purchased.

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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