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Ms. Rachel Massey
11400 Chester Road
Chester, VA 23831
(804) 496-9068

Current Inspector: Tara Barton (804) 662-9766

Inspection Date: Sept. 17, 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
22VAC40-111 Nighttime Care
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.
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Comments:
The licensing inspector conducted an unannounced renewal inspection on 09/17/2019 from 11:10am to 2:10pm. The children were observed coloring, playing outside and eating lunch. Today, there were 10 children, totaling 21 points, present with two caregivers. The caregivers were observed interacting with the children and cleaning. Interviews were held with the caregivers throughout the inspection. Additionally, when appropriate the inspector interacted with children.

The provider does administer medication.
The provider does not provide transportation.
The provider does have a pet.

Five children?s records, three caregiver records, and two household member records were reviewed during the inspection.

Last emergency drill: 09/06/2019
Last shelter-in-place drill: 09/06/2019

The violations from the previous inspections were checked for corrections. There was one repeat violation found during today?s inspection.

If you have any questions about this inspection, please contact the licensing inspector, Kandra Brown, at (804) 662-9038.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider did not ensure that one of five children's records contained documentation of a physical record within 30 days after the first day of attendance.
Evidence:
The record of child #4 (start date: 5/20/19) contained documentation of a physical examination dated 8/28/19.

Plan of Correction: In the future I will make sure I get physicals before enrollment.

Standard #: 22VAC40-111-90-A
Description: Based on record review, the provider did not ensure that one of five children's records contained documentation of immunizations before the child's attendance.
Evidence:
The record of child #4 (start date: 5/20/19) had documentation of immunizations dated 8/28/19.

Plan of Correction: In the future I will make sure I get immunizations before enrollment.

Standard #: 22VAC40-111-240-A
Description: Based on observation, the provider did not ensure that areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe, and operable condition.
Evidence:
The inspector observed the following:
1. A protruding nail sticking out about an inch from a broken loose piece of wood.
2. Heavy rusted equipment with peeling paint located on the provider's deck within the reach of children in care.
3. Charred crumbling siding located on the deck within the reach of children.
4. A dead possum located in the provider's backyard. Four children were observed playing near the possum and poking it with a stick.

Plan of Correction: I will remove and repair most items on the deck by 9/22/19. I will repair the siding by the end of the month. I will remove the possum today.

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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