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Ms. Rachel Massey
11400 Chester Road
Chester, VA 23831
(804) 496-9068

Current Inspector: Tara Barton (804) 662-9766

Inspection Date: March 18, 2019

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

Comments:
The licensing inspector conducted an unannounced monitoring inspection on 03/18/2019 from 9:25am to 11:17am. The children were observed playing with toys and puzzles. Today, there were 5 children, totaling 13 points, present with three caregivers. The caregivers were observed interacting with the children and cleaning. Interviews were held with the caregivers throughout the inspection. Additionally, when appropriate the inspector interacted with children. The provider does administer medication. The provider does not provide transportation. The provider does have a pet. Five children?s records, three caregiver records, and two household member records were reviewed during the inspection. Last emergency drill: 03/12/2019 Last shelter-in-place drill: 03/12/2019 The violations from the previous inspections were checked for corrections. There were no repeat violations found during today?s inspection. If you have any questions about this inspection, please contact the licensing inspector, Kandra Brown, at (804) 662-9038.

Violations:
Standard #: 22VAC40-111-90-A
Description: Based on review, the provider did not ensure that one of five children's records contained documentation that the child has been adequately immunized before the child attends the family day home. Evidence: The record of child #4 (start date: 8/16/17) contained documentation of immunizations dated 10/2/2018.

Plan of Correction: In the future I will get and maintain documentation upon enrollment.

Standard #: 22VAC40-111-250-A
Description: Based on observation, the provider did not ensure that hanging items including, but not limited to, window blind or curtain cords, appliance cords, and ropes were out of reach of children under five years of age. Evidence: There were two ropes about 7 feet long hanging from a small tree in the backyard within the reach of children, presenting an entanglement hazard.

Plan of Correction: I will remove ropes by 3/18/19.

Standard #: 22VAC40-111-320-B
Description: Based on observation, the provider did not ensure that child-resistant protective covers larger than 1-1/4 inches in diameter were installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: There was one uncovered outlet in the bathroom that the children use, within the reach of children. There were two uncovered outlets in the kitchen, out of the reach of children.

Plan of Correction: I will cover plugs by 3/18/19.

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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