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Carol Godfrey
1835 Silver Star Lane
Culpeper, VA 22701
(540) 522-4588

Current Inspector: Kelly Adriazola (804) 840-8245

Inspection Date: April 29, 2020

Complaint Related: No

Areas Reviewed:
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs
22VAC40-665 Subsidy Program Vendor Requirements for Family Day Homes
22VAC40-665 General qualifications
22VAC40-665 Building or home maintenance.
22VAC40-665 Supervision and ratio requirements
22VAC40-665 Programs
22VAC40-665 Special Care Provisions & Emergencies
22VAC40-665 Special Services

Comments:
This annual subsidy inspection was conducted by the inspector using an alternate remote protocol necessary due to a state of emergency declared by the Governor of Virginia in response to the COVID-19 pandemic.

Preliminary data was obtained from the vendor on 04/28/20.

An annual subsidy inspection was initiated on 04/29/20, at which time the vendor was contacted by telephone to initiate the inspection, and concluded on 04/30/20. The inspector emailed the vendor a list of items required to complete the inspection.
The vendor reported there were 3 children in care and 0 children living in the home under the age of 12 present with the vendor. The inspector reviewed 3 children?s records and 1 adult/household member record submitted by the vendor and health and safety regulations.

Information gathered during the inspection determined areas of non-compliance with applicable regulations or law, and violations were documented on the violation notice issued to the vendor.

Violations:
Standard #: 22VAC40-665-170-B
Description: Based on record review and interview, the vendor failed to provide all required information for one out of three children's records.

Evidence:

1. The vendor did not provide a written authorization for emergency medical care and sick child policy signed by a parent for child 3.
2. The vendor stated she thought she had the paperwork but when she was asked to provide it within 24 hours she did not provide the information or respond to the request.

Plan of Correction: The licensing inspector (LI) provided information to the vendor on how to obtain the documents for the parent to sign. The vendor will have the parent sign the documents and forward the signed documents for the LI to review and the vendor will then file the documents. In the future any new children's parents will be required to complete the documents upon registration.

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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