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Ms. Babita Rani
6731 Arbor Meadows Drive
Chester, VA 23831
(804) 768-9344

Current Inspector: Tara Barton (804) 662-9766

Inspection Date: Feb. 29, 2016

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
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced renewal inspection was conducted today by the licensing inspector. Caregiver and children's records were reviewed. The kitchen cabinets and drawers have child safety locks and medications were inaccessible in the drawers. Six children were in care with the licensee and two assistants for a total of 16 points. Several children went home during the inspection and 3 afterschool children arrived. All required information was posted and a whole house walk thru was done. Two children were asleep, two infants and two preschool children were playing on the floor. The was no medication on site for children in care and transportation is not provided. evacuation drill 2/22/16 shelter in place drill 2/22/16 menu today: breakfast -cornflakes, apple, milk am snack -animal crackers, banana, milk lunch - pizza with extra cheese, olives,tomatoes and green beans, apples, milk afternoon snack -saltines and orange pm/dinner bread, ham & cheese, banana, corn, milk Reminders: There must be enough nonabsorbent mats/cots for the preschoolers so all can nap at the same time. When infants begin sleeping in the cribs in the room adjacent to the kitchen, they must be checked at least every 15 minutes and a baby monitor will help maintain continuous supervision. As we discussed, there can be no soft items in the cribs, no bumper pads and sheets should be snug. Please review standards regarding cribs, mats and napping. Please note the importance of infants health when resting in a crib rather than solely in an infant rocker seat. Please contact me if you have any questions or need assistance. approximate time on site: 2:30 pm - 4:50 pm

Violations:
Standard #: 22VAC40-111-960-E
Description: Based on observation, the licensee did not ensure infant bottles were labeled with the children's name and date. Evidence: Baby bottles were not labeled with the child's name and date it was brought to the family day home.

Plan of Correction: We will put stickers on the bottles with the baby's name and the date the bottle was brought in.

Standard #: 22VAC40-111-60-B
Description: Based on review of children's records, the licensee did not ensure emergency contact information was on file.
Evidence: Children #1 -5 did not have the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.
Children #6,7,8 are missing the address for the mom's place of employment.

Plan of Correction: The parents were contacted today and asked to provide the information.

Standard #: 22VAC40-111-90-C
Description: Based on review of children's records, the licensee did not ensure updates of immunizations once every six months for children under the age of two years. Evidence: Child #1 and #5 have documentation of immunizations that are more than 6 months old. Both children are under 2 yrs of age.

Plan of Correction: The parents were contacted today and asked to provide the information.

Standard #: 22VAC40-111-510-E
Description: Based on observation, the licensee did not ensure children 2 yrs and above have rest mats/cots that can be cleaned and sanitized.
Evidence: Two preschool children were resting on a quilt on the floor which cannot be cleaned and sanitized.

Plan of Correction: The parents were contacted today and asked to provide the information.

Standard #: 22VAC40-111-520-A
Description: Based on observation, the licensee did not ensure cribs are provided for children birth -12 months of age.
Evidence: There are currently two infant children under 12 months of age in care. There are two cribs in the home; however ,both are filled with stuffed animals, dolls, etc. and are not being used by the infants. The infants are sleeping in infant rocker seats instead of the cribs.

Plan of Correction: I will take all the items out of the cribs and begin putting babies in the cribs.

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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