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Jennifer Rivera Rodriguez
175 Queen Victoria Street
Culpeper, VA 22701
(540) 229-7684

Current Inspector: Chrystal King (804) 297-4469

Inspection Date: Aug. 17, 2015

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
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
We discussed the requirements for the capacity of children in care at any one time, indoor safety, caregiver and children's records. The risk assessments for violations were provided. We talked about your use of reminder system for updating records during the coming year. As a reminder, two shelter-in-place drills are needed for this year.

Thank you for your assistance during today's unannounced monitoring inspection conducted from 11:25 AM to 3:35 PM. Today, there fourteen children (forty-four points) with four caregivers. As discussed, there were two more children than allowed according to the Code of Virginia definition of a family day home, your licensed capacity, and the zoning approval. It is important that you maintain compliance with the requirement of a maximum of twelve children at any one time. In the future, please refer to your licensing standard booklet or contact our office if you think there are exceptions to the licensing standards. Today, I viewed staffing, supervision, interactions with children, the care of the children, five records for children, three caregiver records, lunch/snack, diapering procedures, daily routines, capacity, emergency supplies and drill records, indoor and outdoor areas. The caregivers were observed providing attentive care and supervision. A variety of toys and age appropriate equipment have been available for the infants, toddlers and preschool age children. Let me know if you have any questions. 540/430-9259

Standard #: 22VAC40-111-40-A
Description: Based on observation of the children in care, and an interview with the provider, there were more than the maximum licensed capacity of children in care. Evidence: Upon arrival at 11:25 AM the provider was asked about the number of children in care and was told twelve children. There were only twelve names written for the daily attendance record. The number of children were counted and there were fourteen children, infancy through three years of age, with four caregivers.

Plan of Correction: The provider will inform the parent of two drop-in children that they may not attend if there will be twelve regular children in attendance. The provider will make sure that the total number of children in care at any one time does not exceed the capacity allowed by licensing and zoning requirements. If the provider thinks that there will be an exception to the licensing standards, the provider will review the standards and/or contact the licensing inspector to discuss plans for the day care.

Standard #: 22VAC40-111-60-B
Description: Based on a review of five records for children, and an interview with the provider, there was required information missing from the record of child 2 and 5. Evidence: The verification of child 2's age and identity was not written in the record. A second emergency contact name, address and phone number were not written in the record of child 5. Also, the one emergency contact did not include the address.

Plan of Correction: The provider indicated that a birth letter was viewed for child 2 and this was immediately documented for the file. The provider added the address for the one emergency contact provided. Also, the provider immediately sent a text message requesting information for a second emergency contact to be added to the file.

Standard #: 22VAC40-111-230-A
Description: Based on a review of three records for caregivers, and an interview with the provider, there was not a written record with required information for caregiver 3. Evidence: The provider indicated this was the first date caregiver 3 was assisting with the children. There was not written information regarding education, applicable experience, date of hire, and emergency contact.

Plan of Correction: The provider will use a model form to obtain the required written information for caregiver 3. In the future, the provider will plan for the written information needed when a new caregiver begins work with the children.

Standard #: 22VAC40-111-320-B
Description: Based on observation of the child care areas accessible to children, and an interview with the provider, an electric outlet on a wall did not have a protective cover. Evidence: There was only one protective cap in an outlet near the entrance to the crib room. The outlet cover was found on the sink counter.

Plan of Correction: The provider placed a protective cap in the outlet. The provider will remind everyone to replace outlet covers after use of outlets such as for vacuuming. The caregivers will check outlets daily to make sure they are not accessible to infants and older children.

Standard #: 22VAC40-191-40-D-1-b
Description: Based on a review of three records for caregivers, and an interview with the provider, there was not a sworn statement or affirmation obtained prior to caregiver 3 beginning work with children this date. Evidence: There was not a file established for caregiver 3. The provider indicated that the caregiver, related to a resident of the home, was asked to assistant because one of the regular assistants could not work this date.

Plan of Correction: The provider immediately had caregiver 3 complete a sworn statement. In the future, the provider will make sure all new caregivers complete e sworn statement or affidavit prior to working with the children. If there are last minute arrangements made for new help, the provider will review the record needs for caregivers to make sure all required information is obtained.


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.