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Ms. Tanya Reynolds
1060 Palm Avenue NW
Roanoke, VA 24017
(540) 795-5175

Current Inspector: Jensen Mellnick (540) 309-2051

Inspection Date: June 18, 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 Emergencies
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Licensure and Registration Procedures

Comments:
An unannounced monitoring inspection was made on 6/18/19. There were six children present with a substitute provider present. The point total was 16. Six children's records and parts of the provider's record and the substitute provider's records were reviewed. Two inspectors arrived at the provider's home at 2:00 pm and departed at 4:00 pm. The inspection was completed on 6/19/19 and was sent to the provider via email on that date. The children were observed during rest time and during free play activities.

Violations:
Standard #: 22VAC40-111-730-D
Description: Based on observation, the provider failed to ensure that medication, except for those prescriptions designated otherwise by a written physician's order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There were two bottles of medication observed on top of the refrigerator in the kitchen. One was a metabolism booster and the other was a migraine relief (acetomenaphine/aspirin/caffeine). The medications were not locked and visible. They were out of the reach of the children at approximately six feet high.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-770
Description: Based on interview, the provider failed to ensure that there was a battery operated weather band radio at the family day home. Evidence: 1. The caregiver was asked about the location of the battery operated radio. The caregiver could not locate a radio.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-790
Description: Based on observation, the provider failed to ensure that there was a posted telephone number for the responsible person for emergency back-up care as required in 22 VAC 40-111-800 A 3. Evidence: 1. There was no name and number of an emergency back-up caregiver observed posted.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-120-A
Description: Based on interview, the provider failed to ensure that there was a record maintained for each caregiver. Evidence: 1. The record for caregiver #2, the substitute provider, could not be located. A caregiver record contains the following information for the caregiver: name, address, verification of age, job title, date of employment, name, address, and telephone number of a person to contact in the event of an emergency, documentation of the education and training as required by 22 VAC 40-111-230 (orientation training).

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-50-A
Description: Based on observation, the provider failed to ensure that there was a written record of children in attendance for each day. Evidence: 1. The caregiver was asked for the written attendance. There was no attendance completed for the date of the inspection. The last written attendance was completed on June 12.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-60-B
Description: Based on record review, the provider failed to ensure that all children's records contained documentation of all required information. Evidence: 1. The record for child #1 was missing the following required information: the name, address, and phone number for one of two emergency contacts for the child, any school or program that the child is concurrently attending, if any, persons authorized to pick up the child or who are not allowed to pick up the child. 2.The record for child #2 was missing the following required information: the name, address, and phone number for one of two emergency contacts for the child, any school or program that the child is concurrently attending, if any, and previous child care, if any. 3. The record for child #3 was missing the following required information: written agreement with the parent as required by 22VAC40-111-(2)-70-A-5, the address for one of two required emergency contacts, provisions for emergency response as required as a part of the written agreements outline in Standard 22VAC40-111-(2)-70. 4. The record for child #4 was missing the following required information: all required information for the child's file (name, address, mother and father's information - name, address, phone number, work place and phone number, the name, address, and phone number of two people other than the parent to contact in the event of an emergency, the child's health insurance name and policy number, previous child care, proof of identity, first date of attendance for the child) including all required written agreements as per Standard 22VAC40-111-(2)-70 ("Liability Insurance Declaration", "Provisions for Emergency Preparedness", "Decision to Administer Medication") and policies/procedures of the provider's home care ("Information for Parents"). 5. The record for child #5 was missing the following required information: written agreement with the parent as required by 22VAC40-111-(2)-70-A-5, any school or program that the child concurrently attends, if any. 6. The record for child #6 was missing the following required information: written agreement with the parent as required by 22VAC40-111-(2)-70-A-5, the name, address, and phone number for one of two emergency contacts for the child.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-140-D
Description: Based on interview, the provider failed to ensure that the substitute provider recorded and signed the time of arrival and departure each day the substitute works. Evidence: 1. The substitute provider/caregiver working on the date of the inspection was asked if a time sheet was completed. The substitute provider stated that there was not a sign in or time sheet completed for the date of the inspection where the substitute provider had signed in the time of arrival.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-330-A
Description: Based on observation and interview, the provider failed to ensure that a land line telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home's hours of operation. An operable land line telephone is one that does not require electricity to operate. Cordless or cell phones may be used in addition to the land line telephone. Evidence: 1. There were cordless phones observed. The caregiver was asked if there was a phone with a cord available and the caregiver stated that there were only cordless phones in the home.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-680-A
Description: Based on observation and interview, the provider failed to ensure that caregivers washed their hands as required. Evidence: 1. A caregiver was observed changing the diaper of a child. The caregiver was not observed washing her hands after this diaper change. 2. The caregiver was asked about the lack of hand washing after the diaper change and verified that her hands were not washed after the diaper change.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-80-120-E-2
Description: Based on observation and interview, the provider failed to ensure that the findings of the most recent inspection of the facility were posted. Evidence: 1. The findings from the most recent inspection were not observed posted. This would be the "Violation Notice" report or "Acknowledgement of Inspection" form. Neither were observed. 2. The caregiver was asked about the last inspection results and produced the "Violation Notice" from the June 2018 inspection that was located on the provider's work desk.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 63.2-1720.1-B-2
Description: Based on interview, the provider failed to ensure that there was a fingerprint completed as required by the Code of VA. Evidence: 1. The fingerprint background check records could not be located for the provider (#1) and the substitute provider (#2).

Plan of Correction: Not available online. Contact Inspector for more information.

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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