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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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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: Feb. 11, 2020

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 Nutrition
63.2 Licensure and Registration Procedures

An unannounced monitoring inspection was conducted on 02/11/2020. There were 6 children, ages 11 months-4 years, totaling 14 points and one provider 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. The children were observed in the following activities: watching an educational video, in free choice play, diapering and during lunch. The inspector reviewed the emergency supplies during the inspection. The inspector discussed hiring an assistant with the provider and reminded the provider of upcoming updates to children?s records. The inspector arrived for the inspection at 10:00 a.m. and departed at 12:30 p.m. If you have any questions, please contact Becky Forestier at 540-309-2835.

Standard #: 22VAC40-111-920
Description: Based on observations and discussion, the provided failed to ensure that when meals or snacks are provided by the family day home the menu for the current one-week period shall be dated, posted or placed in an area accessible to parents,list any substituted food, and be kept on file one week at the family day home.

Evidence: The menu for the current week of 02/10/2020-02/14/2020 was not posted upon arrival; the current weekly menu was posted during the inspection. The menu items listed for lunch on 02/11/2020 were not served, substitute items were served and were not noted on the weekly menu.

Plan of Correction: The menu will be posted and changed in advance.

Standard #: 22VAC40-111-690-A
Description: Based on observations and discussion, the provider failed to ensure that a child shall not be left unattended on a changing table during diapering.

Evidence: Child #3 was observed being left unattended on 5 different occasions during diapering. The safety strap was secured and the provided walked to the bathroom on 5 occasions to wash hands and to dispose of various trash items.

Plan of Correction: The trash can will be moved closer to the changing table.

Standard #: 63.2-1720.1-A
Description: Based on record review and discussion, the provider failed to ensure that all applicants shall undergo a background check in accordance with the Background Check Regulations prior to employment and every five years thereafter.

Evidence: The most recent search of the central registry in the record for Provider #1 was dated 02/10/2015; there was not a 2020 follow-up search of the central registry available for review during the 02/11/2020 inspection.

Plan of Correction: The provider will get that sent off by Friday.

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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