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Mrs. Renee Hardy
700 Club House Road
Fredericksburg, VA 22406
(540) 899-3926

Current Inspector: Stephanie Reed (540) 272-6558

Inspection Date: May 15, 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
54.1-3408 Provider must be MAT certified to administer prescription medication.

Comments:
An unannounced monitoring inspection was conducted beginning at 11:30 a.m. and ending at 3:00 p.m. with the provider. There were four children in care ages 10 months, 13 months, 2 years, 2 years for a total of 12 points. A fifth child arrived during the inspection, age 2 years, for a total of 15 points. Children were observed during outside time. After outside time, children washed hands and prepared for lunch. Lunch was spaghetti with meat sauce, cantaloupe and milk. After lunch, children prepared for rest time. Four children's records, one caregiver record and one household member record were reviewed. Emergency drills were reviewed. One medication was reviewed. If you have any questions regarding today's inspection, please contact Stephanie Reed at (540) 272-6558 or S.Reed@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-700-B
Description: Based on review of medication and documentation, the provider failed to ensure that medication authorizations were renewed after 10 working days. Evidence: A proair inhaler was on site for Child #6 and included written permission from the parent that was not dated. The documentation was accompanied by an Asthma Action Plan dated by the doctor on 7/9/2018.

Plan of Correction: A new authorization will be completed this evening. A long term medication authorization will be obtained as soon as possible.

Standard #: 22VAC40-111-830-A
Description: Based on review of documentation, the provider failed to ensure that emergency evacuation drills were practiced monthly. Evidence: There is no fire drill documented for February 2019.

Plan of Correction: A shelter in place drill was practiced in February. In the future, fire drills will be practiced monthly.

Standard #: 22VAC40-111-920
Description: Based on review of the weekly menu, it did not meet requirements. Evidence: The weekly menu was not dated. It did not list the meal served for lunch today. The weekly menu listed chicken wings, apples, kale, brown rice and milk but spaghetti with meat sauce, cantaloupe and milk were served.

Plan of Correction: The weekly menu will dated and updated as needed.

Standard #: 22VAC40-111-340-C
Description: Based on observation, the bathroom was not equipped with paper towels. Evidence: No paper towels were observed in the bathroom. Children were observed leaving the bathroom with wet hands and sitting at the table.

Plan of Correction: Children were given paper towels at the table once they sat down.

Standard #: 22VAC40-111-550
Description: Based on observation, a play pen was not used to according to requirements and not be occupied by more than one child. Evidence: A 12 month old and a 10 month old were observed in a playpen together.

Plan of Correction: Only one child will be placed in the play pen at any one 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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