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Jami Williams
12332 Osprey Lane
Culpeper, VA 22701
(540) 710-4867

Current Inspector: Maureen Gallagher-McLeod (540) 430-9259

Inspection Date: Aug. 12, 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 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.

Technical Assistance:
We discussed the requirements for reviews of emergency contact information. The risk assessment for a violation was provided. We talked about the requirements for caregiver records and updating emergency plans. Also, we talked about outside time, shade offering option, and use of sunscreen.

Comments:
Thank you for your assistance during today's unannounced renewal inspection conducted from 12:33 PM to 4:10 PM. Today, there were eleven children, ages infancy through five years (25 points), with three caregivers. I viewed daily routines, staffing, supervision, interactions with children, equipment, posted information, menu, nutrition, snack, five records for children, diapering procedures, emergency planning, emergency supplies and drill records, five records for caregivers/residents, caregiver training, indoor and outdoor areas. The children have been provided outside activities, weather permitting. This summer, the back fence was moved and the grass covered play area is smaller. We talked about an option for providing shade. A variety of age appropriate toys and materials have been available for the children. The caregivers were observed providing nurturing interactions with individual children.

Issuance of a renewed license will be recommended. Let me know if you have any questions. 540-430-9259

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on a review of five records for children, and an interview with caregivers, the provider did not arrange an annual review of a parent's emergency contact information to ensure the information is correct, and obtain the parent's signed acknowledgement. Evidence: The information for child 1 was signed by a parent at the time of initial registration for beginning care on July 30, 2018. The place on the form for the annual review signature was blank. The caregivers indicated that an annual review of the information was not conducted.

Plan of Correction: The provider immediately sent a text message to the parent of child 1 and requested that she take time to review the information during today's pick-up time. A caregiver will make sure the parent signs the acknowledgement of the annual review this date. The provider will make sure the need for annual reviews are tracked and arranged by every twelve months.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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