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Ms. Crystal Payne
9724 Louisa Road
Gordonsville, VA 22942
(540) 832-5364

Current Inspector: Beth Orebaugh (540) 847-9173

Inspection Date: April 29, 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
22VAC40-80 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.

Comments:
An unannounced monitoring inspection was conducted on April 29, 2019 between the hours of approximately 10:30 a.m. and 3:00 p.m. Fourteen (14) children were enrolled and seven children were in the care of two caregivers, on this date (18 points). Five children's records, two caregivers' records and two household members' records were reviewed and/or updated. No medications were on site/administered, as is the policy of this family day home. Facility documents (attendance record, emergency evacuation, shelter-in-place drills and fireplace inspection report), posted information (daily schedule, license, inspection documentation, emergency plan/diagram, emergency telephone numbers and menu) and safety equipment (first aid kit, flashlight, fire extinguisher and radio) were observed/reviewed. Refrigerator and freezer temperatures were checked. The lunch served on this date included chicken nuggets, green beans, peaches, crackers and milk. Program observation was completed. Activities observed included: indoor play (toys); diapering, restroom and handwashing procedures; lunch; infant care and naptime. Adult/child interactions, behavior guidance and daily routines/transitions were observed. The posted daily schedule and menu were consistent with the activities and meal provided. Previously cited violations were reviewed for compliance; no repeat violations were cited. Exceptions to compliance were noted on the accompanying violation notice. 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.

Violations:
Standard #: 22VAC40-111-80-D
Description: Based on review and/or update of five children's records and discussion with caregivers on April 29, 2019, the program failed to notify the local law-enforcement agency when a parent did not provide verification of one child's age/identity within 7 business days of the child's first day of attendance. Evidence: 1. Review of child A's record, on this date, determined that verification of age/identity was not on file (initial date of attendance - 4/01/2019). Local law enforcement was not notified after 7 business days. 2. Caregiver #1 confirmed that local law enforcement was not notified. The caregiver stated that she believed the only acceptable form of identification was a birth certificate.

Plan of Correction: The parent has been waiting for the child's birth certificate. The birth certificate or another form of identification (hospital certificate or proof of birth letter) will be requested from the parent. Local law-enforcement will be contacted if the information is not provided.

Standard #: 22VAC40-111-90-A
Description: Based on review/update of five children's records and discussion with caregivers on April 29, 2019, the program failed to obtain documentation that one child was adequately immunized before the child attended the family day home. Evidence: 1. Review of child B's record, on this date, determined that documentation of adequate immunizations (immunization record) was not obtained prior to attendance (date of initial attendance - 6/16/2018 and date of the immunization record - 7/11/2018). 2. Caregiver #1 confirmed the dates of attendance and the immunization record.

Plan of Correction: In the future, immunization records will be obtained prior to a child's initial date of attendance.

Standard #: 22VAC40-111-90-C
Description: Based on review/update of five children's records and discussion with caregivers on April 29, 2019, the program failed to obtain documentation of additional immunizations every six months for one child under the age of two years. Evidence: 1. Review of child B's record, on this date, determined that an immunization update was not obtained every six months (date of initial immunization record - 7/11/2018 and date of immunization update - 4/29/2019). 2. Caregiver #1 immediately obtained an updated immunization record for child B.

Plan of Correction: Caregiver #1 verified the dates of the immunization records. In the future, immunization updates will be obtained every six months for children under the age of two years.

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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