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Muriel Rhodes
2519 Quail Oak Drive
Ruther glen, VA 22546
(804) 994-3668

Current Inspector: Heather Dapper (804) 662-7014

Inspection Date: Dec. 19, 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

Technical Assistance:
N/A

Comments:
An unannounced monitoring inspection was conducted on Thursday, December 19, 2019 to determine compliance with licensing standards. The inspector arrived at 12:50 PM and concluded the inspection at 1:52 PM. Today, there were three children in attendance, totaling 9 points with two caregivers. During the inspection, children were napping. Children?s equipment, learning materials, indoor space, restroom, first aid kit and the nonmedical emergency supplies were inspected. The provider stated transportation is not provided at this time. The provider stated that medication is not administered at this time. Three children?s records, two caregiver records, fire drill, lockdown drill and shelter in place drill logs and all required postings were reviewed.

The provider was available for the inspection and was present at the exit interview at which time inspection findings were reviewed and an Acknowledgement of Inspection form was signed and left with the licensee. Violations were cited and are documented on the violation notice.

Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 10 calendar days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word ?corrected? is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s); 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.


If you have any questions about this inspection, please contact the licensing inspector, Heather Dapper, at (804) 662-7014.

Violations:
Standard #: 22VAC40-111-140-B-3
Description: Based on a record review and interview, the provider did not ensure that one caregiver had current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

Evidence:
1. The record for caregiver #1 contained documentation of most recent CPR certification with an expiration date of 10/2019.
2. Caregiver #1 stated that the CPR certification had expired and had not been renewed as of 12/19/19.

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

Standard #: 22VAC40-111-180-A
Description: Based on observation and interview, the provider did not ensure that each caregiver and adult household member had a current Report of Tuberculosis Screening (TB), every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

Evidence:
1. The record for caregiver #1 (date of last TB screening 10/18/2017) did not have documentation of updated TB screening results as of 12/19/2019.
2. The record for caregiver #2 (date of last TB screening 08/02/2017) did not have documentation of updated TB screening results as of 12/19/2019.
3. The provider confirmed that the updated TB screening was not in the records and that both caregivers needed updated TB screenings.

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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