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Ms. Shonna Lawrence
509 Otey Street
Bedford, VA 24523
(540) 586-3184

Current Inspector: Victoria E Dawson (540) 309-2674

Inspection Date: April 18, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced focused (non-mandated) monitoring inspection was completed as a part of the requirement during the conditional license period. There were a total of 10 children present and one resident child with the provider and an assistant supervising. The point total was 20. There were three resident children present with parents also present. Nine children's records were reviewed. All caregiver and household member's records were reviewed at the initial inspection and had not changed. The inspector arrived at the provider's home at 9:15 am and departed at 12:45 pm. There was discussion with the provider about the following: flammable items close to a heater (not in use during the inspection but for future use), child #3 needing documentation of a physical examination by 4/19 (30 days after attendance), child #8 needing updated immunization record at 4-6 years, child #4 having conditional enrollment for immunizations to be updated by June 2019, removal of the wood burning stove, provider training being available to family day homes (evening or weekend training), evening and overnight requirements for care of children (sleeping, personal care, routine, etc), noting substitutions for the menu.

Violations:
Standard #: 22VAC40-111-830-A
Description: Based on record review and interview, the provider failed to ensure that emergency evacuation drills (fire drills) were practiced monthly during all shifts that children are in care. Evidence: 1. There was one fire drill observed documented for March 2019 during the evening time (one child in care). 2. The provider stated that she currently operates and has children in care on two shifts, sometimes three shifts. 3. According to the provider and the documentation, there was no fire drill completed for all shifts children were in care for March 2019.

Plan of Correction: The provider will practice and document fire drills for each shift children are in care.

Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider failed to ensure that documentation of a physical examination for each child was obtained within 30 days after attendance. Evidence: 1. There was no physical examination in the record for child #2. Child #2 was enrolled 1/28/19 and was present during the inspection.

Plan of Correction: The provider texted the parent during the inspection. The parent responded that she would bring the physical today at pick up of the child.

Standard #: 22VAC40-111-60-B
Description: Based on record review, the provider failed to ensure that all required information was complete for each child's record. Evidence: 1. The records for children #2 and #4 were missing documentation of the children's medical insurance policy number. 2. The records for children #5, #6, and #7 were missing documentation of a name, address, and phone number for a second required emergency contact for the children. 3. The record for child #9 was missing the school and grade level of the school that the child attends. The child is six years old and according to the provider does attend public school.

Plan of Correction: The provider texted all parents during the inspection to have them document the required information at pick up today.

Standard #: 22VAC40-111-240-A
Description: Based on observation, the provider failed to ensure that all areas and furnishings of the family day home, inside and outside, were maintained in a safe condition. Evidence: 1. There was a metal enclosure (part of the duct system for the home) with a metal stripping on the top of it that was approximately three feet high in the bathroom area beside the changing table. The edge of the metal stripping had bent outwards and created a sharp point on the edge of this.

Plan of Correction: The provider secured it temporarily during the inspection with duct tape. The provider will have someone secure it permanently so it does not create a hazard if the duct tape is removed.

Standard #: 22VAC40-111-540-A
Description: Based on observation and interview, the provider failed to ensure that the safety strap was used and securely fastened when a high chair was used by a child. Evidence: 1. A 14 month old child was observed in a regular size high chair for approximately 15 minutes in the kitchen. The child had finished eating and was "squirming" around in the chair. The inspector asked the caregiver who was present in the kitchen if the safety strap was fastened. The caregiver checked and the child was sitting on the safety strap; the safety strap was not fastened.

Plan of Correction: The caregiver fastened the safety strap after the inspector asked about the belt being fastened in the high chair.

Standard #: 22VAC40-111-570-A
Description: Based on observation and interview, the provider failed to ensure that each caregiver did not exceed 16 points using the point system for determining the need for an additional caregiver for supervision. Evidence: 1. At arrival of the inspector the provider was present with nine children ages 14 months through seven years. The point total at that time was 16. 2. A 2 year old child was observed to arrive at 9:48 am which increased the point total to 18. The provider was the only caregiver present supervising the children. 3. There were two adult household members present at the home during this time period.

Plan of Correction: The assistant arrived at 10:00 am and this was corrected at that time.

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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