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Ms. Trisha Shanholtz
120 Refuge Church Road
Stephens city, VA 22655
(540) 327-3603

Current Inspector: Beth Orebaugh (540) 847-9173

Inspection Date: March 20, 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
22VAC40-80 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 Licensure and Registration Procedures
63.2 Facilities and Programs

Comments:
An unannounced monitoring inspection was conducted on March 20, 2019, between the hours of approximately 10:45 a.m. and 2:00 p.m. Thirteen (13) children were enrolled and eight children were in the care of the provider and one assistant (18 points). The provider's record, three assistants' records and five children's records were reviewed and/or updated. The areas of the home used by the children in care, the outdoor play area and the pool area were toured, available records/documents and caregiver training (first aid/cardiopulmonary resuscitation) were reviewed and safety equipment was inspected/observed (first aid kits, radio, flashlight and fire extinguishers). Posted information (daily schedule, menu, emergency telephone numbers and emergency evacuation plan and diagram) and storage of cleaning supplies/hazardous substances were reviewed/observed. Program observation was completed. Activities provided on this date included: trip to Dairy Queen for ice cream; transportation procedures; diapering/restroom/handwashing procedures; lunch and naptime. Adult/child interactions, behavior guidance and daily routines/transitions were also observed. The caregivers were observed to be patient and met the individual needs of the children in care. The daily schedule and menu were consistent with the activities and meal provided. The children knew and followed the daily routine and transitions well. No violations of licensing standards were cited during this inspection. Thank you for your time and assistance. 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.

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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