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Mrs April Caudle
5629 Cove Road
Roanoke, VA 24019
(540) 397-2274

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: Nov. 20, 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
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

An unannounced renewal inspection was done today November 20, 2015 beginning at 10: 00 AM and ending at 2:00 PM. There were four children in care with the provider and assistant. Points were in compliance. The children were observed during part of their circle time. They also worked on a craft, played outside and practiced for their Thanksgiving program. Lunch and nap were also observed. Children, household and assistants files were reviewed. There are no medications given at the home and the provider continues with the USDA program. The provider and inspector discussed the violations and the corrective action. If you have any further questions, please call the inspector at 540-309-2835.

Standard #: 22VAC40-111-90-C
Description: Based on observation the provider did not obtain the immunization updates for children under the age of two. Evidence: 1, During the inspection the LI reviewed four children's files and child # 4 did not have updated immunization verification. The child is age 23 months and the last updated verification is dated 1/8/15.

Plan of Correction: The provider will ask the parent to obtain the needed immunization verification.

Standard #: 22VAC40-111-170-B
Description: Based on observation the provider did not have all the required information for the TB test of an assistant. Evidence: 1. During the inspection the LI reviewed the files of assistant # 1 and the TB test is current however it is not signed by a physican or designee of the physician's office.

Plan of Correction: The provider will have the assistant obtain the needed information for the TB test.

Standard #: 22VAC40-111-240-A
Description: Based on observation the provider did not maintain the household area in a safe manner. Evidence: 1. During the inspection the LI observed the tile in the kitchen around the drain is loose and could potentially be a trip hazard.

Plan of Correction: The provider will repair the tile.

Standard #: 22VAC40-191-40-D-5-a
Description: Based on observation the provider did not obtain the required background checks for all household members. Evidence: 1. During the inspection the LI reviewed the files of household members and household members # 3 & 4 turned age fourteen since the last inspection. The provider has not sent for the child protective service checks.

Plan of Correction: The provider indicated she will send off the forms for the household members.


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.