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Ms. Michelle Henderson
2912 Silvertail Court
Henrico, VA 23231
(804) 795-2690

Current Inspector: Ali Metzger (804) 662-9092

Inspection Date: March 11, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
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
22VAC40-80 THE LICENSE.

Comments:
An unannounced monitoring inspection was completed on March 11, 2019 from approximately 2:00p.m. to 3:30p.m. Eleven children were in attendance, ages seventeen months to four years old, for a total of twenty-four points. The children were observed interacting with the provider and an assistant, during nap time and arising from nap and preparing for snack. Children?s toys, learning materials, equipment, rest room, outside play area and the home?s first aid kit and emergency supplies were inspected. Five children?s records, three caregiver records, the emergency preparedness and response plan, fire drill and shelter in place logs, daily attendance and required postings were reviewed. Transportation is not provided. Medication is not currently being administered and there were no injury reports to review. The provider was available for interview, inspection and exit interview at which time inspection findings were reviewed and an Acknowledgement of Inspection form was signed and left with the licensee. There were three citations for violations of the Standards for Family Day Homes. See the violation notice on the Department's public web site for violations of the Standards.

Violations:
Standard #: 22VAC40-111-90-A
Description: Based on a review of children's records, the licensee failed to obtain documentation that the child has been adequately immunized before the child may attend the family day home for two of five children. Evidence: 1. Child #3's record, enrolled November 12, 2018, contained an immunization record dated December 7, 2018. Child#4's record, enrolled January 14, 2019, contained an immunization record dated January 15, 2019. Therefore neither were obtained before the child attended the family day home. 2. Caregiver #1 acknowledged the immunization records were not obtained by the required time frame.

Plan of Correction: The provider will not allow children to start without immunization records.

Standard #: 22VAC40-111-230-A
Description: Based on a review of caregiver records, the licensee failed to maintain documentation of each caregiver?s applicable first aid and CPR certifications for one of three caregivers. Evidence: 1. Caregiver #1?s record lacked documentation of completed CPR and first aid certifications. 2. Caregiver #1 stated these certifications have been completed but that the card is not in the record.

Plan of Correction: The provider will attempt to obtain a copy of the certification card from the trainer or retake the training as it will be due again soon.

Standard #: 22VAC40-111-570-A
Description: Based on observation, the licensee failed to ensure that a caregiver does not exceed 16 points when determining if an additional caregiver is needed. Evidence: 1. Upon entering the home, eleven children were observed in care while napping, with one caregiver for approximately thirty minutes before an additional caregiver arrived. 2. Caregiver #1 reported the children in care included one four year old child, two three year old children, six two year old children and two children sixteen to through twenty-three months of age, totaling twenty-four points. 3. Caregiver #1 indicated she thought ratios could be doubled when children were napping.

Plan of Correction: The provider will not allow the assistant to take a break away from the home or will call another assistant to the home if needed when the points total over 16.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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