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Gedell Gresham
3350 Mattaponi Avenue
West point, VA 23181
(804) 843-4818

Current Inspector: Sharon Curlee (804) 662-9758

Inspection Date: Oct. 22, 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 Emergencies
22VAC40-111 Nutrition
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced renewal inspection was conducted today, October 22, 2015 to determine the provider's compliance with licensing standards. The inspector arrived at 9:30 am and concluded the inspection at 11:45 am. There were seven family day home children in care today totaling 18 points with two care givers. Upon the inspector's arrival, children were playing games on a tablet, pushing large trucks around the playroom and playing in the playhouse. Later the children sat with the provider and sang the songs "wheels on the bus" and The alphabet song. The provider and children also practiced counting their numbers after singing three little monkeys bouncing on the bed. Later children watched a video while lunch was being prepared. The inspector interacted with the children in care and the provider. The outdoor play area was inspected. Children do not use the deck area or the wooden playhouse with slide. The provider is working with Parent Child Development Corporation and has accepted a grant. New outdoor equipment and classroom materials have been ordered and will be installed at the family day home in the near term. The provider is completing her CDA and has completed multiple training courses. The pool was locked and inaccessible to children in care. The provider does not provide transportation. The license, emergency numbers, evacuation plan, attendance sheet and menu were posted. The family day home's first aid kit and emergency supplies were inspected and found complete. The smoke detector and extinguisher were check and in operable condition. The most current evacuation drill was conducted on 09/10/2015. The two shelter-in-place drills were documented on 03/17/2015 and 10/02/2015. There were no medications on site. The provider has current MAT certification. Today's lunch consisted of chicken nuggets, green beans, fruit cup, bread and milk. The emergency preparedness plan was reviewed on 11/11/2014. Seven children's records and the records of the provider and two assistants/household members were reviewed. The violations from the previous inspection were checked for corrections. There were no repeat violations cited during today's inspection. The Department has received a complete renewal application. If you have questions regarding this inspection, please contact the licensing inspector at 804-662-9758

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on review of children's records, the provider did not obtain all required information for each child's record. Evidence: 1. The record of child #1 is missing the policy number of the child's medical insurance policy. 2. The record of child #2 is missing the address of one emergency contact person. 3. The record of child #3 is missing the address of one emergency contact person. 4. The record of child #4 is missing the name, address and phone number for one emergency contact. 5. The record of child #4 is missing the policy number of the child's insurance policy.

Plan of Correction: Per the provider: I will ask the parents to complete all the missing information for each child's record.

Standard #: 22VAC40-111-70-A
Description: Based on review of children's records, the provider did not obtain documentation that the parent had been provided with policies for the administration of medications. Evidence: The record of child #4 did not have documentation that the parent had received the family day home's policies for administrating medications.

Plan of Correction: Per the provider: I will give the parent a copy of the medication policy and have them sign a copy for the record.

Standard #: 22VAC40-111-210-A
Description: Based on review of caregiver's records, the provider did not ensure caregivers obtained 16 hours of annual training in areas relevant to their job responsibilities. Evidence: 1. Assistant caregiver #1 had documentation for eleven hours of training for the 2014 year when 16 was required. 2. Assistant caregiver #2 had documentation for eleven hours of training for the 2014 year when 16 was required.

Plan of Correction: Per the provider: I will have both assistants complete additional training.

Standard #: 22VAC40-111-250-A
Description: Based on observations, the provider did not ensure hanging items including, but not limited to, window blind or curtain cords, appliance cords, and ropes shall be out of reach of children under five years of age. Evidence: The cord of a mini blind hanging on the rear door in the main playroom of the family day home was observed hanging down within reach of children in care. Children under the age of five years of age were in attendance.

Plan of Correction: Per the provider: I will cut or tie the the mini blind cord up in a way that it is out of reach of the kids.

Standard #: 22VAC40-111-280
Description: Based on observation, the provider did not ensure potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates were stored away from food in areas inaccessible to children. Evidence: A large container of floor wax was observed in the floor of the laundry closet in the kitchen. The door of the laundry closet was open. Children have access to the kitchen area.

Plan of Correction: The provider removed the floor cleaner from the floor and placed it on a high shelf behind closed doors inaccessible to children in care.

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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