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Ms. Maria Clark
1519 Moorman Avenue, NW
Roanoke, VA 24017
(540) 343-7810

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Aug. 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
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Licensure and Registration Procedures

Comments:
An unannounced renewal inspection was completed on 08/15/2019. There were 9 children, ages 5 months-9 years, totaling 21 points and 1 caregiver present during the inspection. The inspector reviewed 5 children's records, one provider record and one pet record during the inspection. The provider stated that medication is not administered. Children were observed in the following activities: during nap time, watching a movie, having a snack and in free choice play. The inspector reviewed the updated emergency preparedness plans, emergency supplies and parent policies during the inspection. The inspector discussed the following with the staff: subsidy requirements, the renewal process, annual training, behavior management, and safe sleep. The inspector arrived for the inspection at 1:00 p.m. and departed at 3:30 p.m. If you have any questions, please contact Becky Forestier at 540-309-2835.

Violations:
Standard #: 22VAC40-111-750-A
Description: Based on observations and discussion, the provider failed to ensure that when topical skin products such as diaper ointments are used the requirements stated in the standards are met. Evidence: A diaper ointment was observed unlabeled during the 08/15/2019 inspection. The provider verified that the ointment belonged to Child #5.

Plan of Correction: The ointment was labeled during the inspection.

Standard #: 22VAC40-111-750-B
Description: Based on observation and discussion, the provider failed to ensure that topical skin products shall be inaccessible to children. Evidence: A tube of diaper ointment was observed in an open storage cube underneath of the changing table. The storage cube was pulled out and the ointment was accessible to children.

Plan of Correction: The ointment will be placed in a cabinet.

Standard #: 22VAC40-111-60-B
Description: Based on record review and discussion, the provider failed to ensure that each child's record shall contain all of the elements as required by the standards. Evidence: 1. The record for Child #1 did not contain the following information: name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached (the address for the second designated person was incomplete) and immunization records for the child as required by 22VAC40-111-90. 2. The record for Child #2 did not contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached (the address for the second designated person was incomplete). 3. The record for Child #3 did not contain the following information: name and policy number of the child's medical insurance, the names and addresses of the previously attended child day care and results of the health examination for the child as required by 22VAC40-111-100. 4. The record for Child #5 did not contain the name, address and telephone number of each parent's place of employment (there was no telephone number listed for the father's place of employment; an employer was provided.

Plan of Correction: Will get the missing information from parents.

Standard #: 22VAC40-111-570-A
Description: Based on observations and record review, the provider failed to ensure that a caregiver does not to exceed 16 points using the point system required by the standards. Evidence: There were a total of 9 children in care during the 08/15/2019 inspection. Record review to determine the date of birth for each child in attendance determined the total points for children in care totaled 21 points. The provider was the only caregiver for the children.

Plan of Correction: The provider will have children leaving next week and will consider an assistant.

Standard #: 22VAC40-111-680-B
Description: Based on observations, the provider failed to ensure that children's hands are washed with liquid soap and warm running water before eating. Evidence: Child #6 was observed receiving a snack and beginning to eat the snack right away. Child #6 did not wash their hands with liquid soap and warm running water before eating.

Plan of Correction: The children will wash hands before and after eating.

Standard #: 22VAC40-80-120-E-2
Description: Based on observation, the provider failed to ensure that the findings of the most recent inspection of the facility shall be posted. Evidence: The findings from the 02/13/2019 were not posted. The posted findings were dated 09/04/2018.

Plan of Correction: Today's inspection will be posted.

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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