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Ms. Tamara Gilchrist
10715 Locust Court
Fredericksburg, VA 22407
(540) 841-9738

Current Inspector: Cathy E. Aylor (540) 222-6352

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
22VAC40-111 Transportation
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Consultation provided on varying the time of day when conducting escape drills. Make sure all emergency numbers are clearly posted ( 911, Regional Poison control and Emergency Back-Up Person). Remember that the most recent findings from the last inspection must be posted so that it can be clearly seen. Please review all medication standards and until you have completed MAT you cannot accept medication into your home unless its non prescription topicals such as sunscreens etc. Consultation provided on components for lunch to include two vegetables or a vegetable and fruit.

Comments:
An unannounced renewal study was conducted today with the assistant and then the provider returned from an errand to complete the inspection. Five children were all napping at the beginning of the inspection for a total of 12 points. One child had medication on site. Six children's files were reviewed as well as two household member's files. The provider was up-to-date with the monthly escape drill and shelter in place drills. Please submit your renewal application by 5/8/19. Arrival time: 12:30 pm Departure time: 2: 20 pm

Violations:
Standard #: 22VAC40-111-980-A
Description: Based on interviews, it was determined that the provider routinely picks up or drops off the day care children at school but the provider has not obtained authorization to transport from each parent.

Plan of Correction: I will get the form signed and keep a copy in my vehicle.

Standard #: 22VAC40-111-220-A
Description: Based on interviews and an inspection of medication for one child, it was determined that the provider has prescription medication on site for one child but has not completed the Medication Administration Training (MAT) as required prior to receipts or administration of medications. Evidence: The provider has an Epipen Jr., on site for child A. The provider and her assistant do not have MAT.

Plan of Correction: I will return the medication until i get MAT.

Standard #: 22VAC40-111-500-C
Description: Based on observation, it was determined that outdoors play equipment is placed over a hard surface. Evidence: Underneath the swing set used by day care children are several bare ground spots where the grass has been worn away.

Plan of Correction: I will cover the bare ground spot with rubber mats.

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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