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Ms. Elizabeth's Daycare, LLC
4577 Davis Highway
Louisa, VA 23093
(540) 967-9834

Current Inspector: Beth Orebaugh (540) 847-9173

Inspection Date: Nov. 28, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Comments:
An unannounced monitoring inspection was conducted on November 28, 2018, between the hours of approximately 10:30 a.m. and 3:45 p.m. Fifty-five (55) children were enrolled and forty-two (42) children were in the care of eleven (11) staff members during the on site inspection. One additional staff member was present and assisted, as needed. Five children's records and seven staff records were reviewed and/or updated. One child's medications, three children's topical ointments, accompanying authorization forms and one child's medication administration form were reviewed. Safety equipment (first aid kits, flashlights and radios), posted information (license, licensing inspection documentation, emergency evacuation diagram/plan, emergency telephone numbers, and classroom schedules) and available documents (emergency evacuation drill & shelter-in-place records, attendance logs, infant daily records, injury report forms, insurance verification and one local agency report) were observed/reviewed. The daily schedules accurately reflected the activities provided. Lunches and snacks were provided by the children's parents. Activities observed on this date included: indoor play/art - making holiday wreaths, coloring and stories; infant care; diapering, restroom and handwashing procedures; lunch; naptime and pick-up/departure of children. Staff/child interactions were observed to be positive, supportive and age appropriate. The facility was observed to be clean and supplied with a variety of age/stage appropriate learning and play materials/toys. Substantial compliance with the licensing standards continues to be maintained; one exception to standards compliance was noted on the accompanying violation notice. Thank you for your time and assistance during this monitoring inspection. Please contact me if you have questions regarding this inspection, the licensing standards and/or if I may be of assistance to you (540) 430-9262.

Violations:
Standard #: 22VAC40-185-500-B
Description: Based on observation of diapering procedures and discussion with staff on November 28, 2018, the program staff failed to ensure the immediate safety of a child during diapering. Evidence: 1. Observation of diapering procedures, on this date, determined that staff member #2 stepped away from a child on the changing table to dispose of a soiled diaper. 2. Staff #2 confirmed that although she had strapped the child onto the changing table, she stepped away from the changing table to dispose of a soiled diaper.

Plan of Correction: The staff member (a three/four year-year-old teacher) is not normally in that classroom. Staff members will be reminded to follow the posted diapering procedures.

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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