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Mrs. Veronica Williamson
3137 Misty Hollow Court
Chesapeake, VA 23323
(757) 558-8951

Current Inspector: Heather Harrell (757) 334-4329

Inspection Date: Sept. 15, 2015 and Oct. 5, 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
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-80 SANCTIONS.
22VAC40-80 HEARINGS PROCEDURES.
63.2 General Provisions.
63.2 Child Abuse and Neglect
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:
Today we discussed Standard 22VAC40-111-(6)-210 Annual training for care givers and the requirement that a minimum of 16 hours of applicable training be obtained each year. Please ensure that your 16 hours of training is completed and documentation is available for review by the end of your licensure period (11/29/2015). Today we discussed Standard 22VAC40-111-(11)-830-C which explains what information must be included in the documentation which is maintained of emergency drills to include Evacuation and Shelter - in - Place drills. Please ensure that your completed Application for Renewal and all required attachments are submitted to be received prior to the expiration date of your current license (11/29/15).

Comments:
An unannounced monitoring inspection was conducted from 11:00 a.m. to 1:00 p.m. At the time of entrance the following adult to child ratios were observed: 4 children, ages 1 to 4 years old, for a total of 11 points with the provider. The records sample size consisted of 4 children?s records and 3 provider / household member records records. An assistant provider is not utilized at this time. Children were observed playing with games and toys, coloring with crayons, eating lunch which consisted of chicken, broccoli, applesauce, corn bread and milk, dancing to music and resting quietly on cots and in a crib. Medication administration was not observed. The licensee states that there are currently no children in care who require medication, there have been no accidents or injuries incurred by children in care that resulted in the need for first aid or medical care and that children are no transported in a vehicle while in care. Repeat violations were found and are identified within this report. Areas of non-compliance are identified on the violation notice. Thank you for your time during today's inspection. Please do not hesitate to contact me if I may be of assistance. The licensee provided verbal responses to the violations during the inspection, which were entered on to the violation notice by the Licensing inspector.

Violations:
Standard #: 22VAC40-111-800-B
Description: Based on a review of the written emergency preparedness plan, the licensee did not review the emergency plan at least annually and document in writing each review and/or update of the emergency plan. Evidence: The written emergency plan contained a date of review and update of 11/25/12. There was no available documentation that the plan had been reviewed or updated since then.

Plan of Correction: The licensee reviewed and documented the review date during today's inspection and states that she will ensure that she reviews and documents such review of the emergency plan at least annually.

Standard #: 22VAC40-111-140-B-3
Description: Based on a review of records and interview, the licensee did not have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department. Evidence: The most recent documentation of cardiopulmonary resuscitation training required updated training by 9/2015. When asked if more recent training had been obtained, the provider stated that she has scheduled the training but has not yet completed it.

Plan of Correction: The licensee states that she has scheduled the training for the upcoming weekend and will ensure that retraining is done in a timely manner so that it is updated prior to expiration.

Standard #: 22VAC40-111-140-B-4
Description: Based on a review of records and interview, the licensee did not have current first aid training from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department Evidence: The most recent documentation of first aid training required updated training by 9/2015. When asked if more recent training had been obtained, the provider stated that she has scheduled the training but has not yet completed it.

Plan of Correction: The licensee states that she has scheduled the training for the upcoming weekend and will ensure that retraining is done in a timely manner so that it is updated prior to expiration.

Standard #: 22VAC40-111-240-A
Description: Based on the available documentation, the licensee has not ensured that furnishings inside of the home are maintained in a safe condition. Evidence: The manufacturer's label on one of the two cribs present in the family day home indicated that the crib was manufactured in May 2011. Since it was manufactured prior to June 28, 2011 additional documentation demonstrating that it is in compliance with 16 C.F.R. part 1219 or C.F.R. Part 1220 of the mandatory Consumer Product Safety Commission's federal crib standards. When asked for documentation of compliance, the licensee was unable to provide it.

Plan of Correction: The licensee states that the crib is no longer in use since one of the two crib babies in care recently began transitioning to a cot. The licensee removed the crib during the inspection and states that she will only use the second crib, which was manufactured after June 28, 2011.

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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