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Ms. Leanne Kreps
4478 Donnelley Drive
Bridgewater, VA 22812
(540) 828-0186

Current Inspector: Chrystal King (804) 297-4469

Inspection Date: March 1, 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
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
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:
We discussed the requirements for caregiver records. The risk assessment for violations were provided. We talked about the use of reminder systems for record and training due dates.

Comments:
Thank you for your assistance during today's unannounced monitoring inspection conducted from 10:20 AM to 3:20 PM. Today, there were nine children in care, ages infancy through six years, with three caregivers (22 points). I viewed daily routines, lunch/snacks, staffing, supervision, interactions with children, equipment, posted information, emergency supplies and drill records, injury reports, pet records, chimney inspection report, attendance records, four records for children, eight caregiver's records, caregiver training, caregiver's qualifications, diapering procedures, indoor and outdoor areas. No medication has been administered for children. There was adequate supplies and equipment for the care of infants. A variety of developmentally appropriate toys and materials were accessible for children. The children enjoyed outdoor play activities during today's mild weather. The playground equipment and sand box in the fenced yard has not been in use with children. The children were observed receiving close supervision, as well as positive, nurturing interactions with caregivers. Let me know if you need any assistance. 540/430-9259

Violations:
Standard #: 22VAC40-111-120-B
Description: Based on a review of eight records for caregivers, and an interview with the provider, there was required information missing from the records of caregiver 2, 3 and 4. Evidence: The substitute provider time sheet had documentation of hours by caregiver 3 on February 10 and 24, 2016. Also, the substitute time sheet had information for the hours of caregiver 4 on January 20, January 27, February 2 and February 10, 2016. However, the records for caregivers 3 and 4 lacked a listing of the previous programmatic experience to show a minimum of 516 hours as required for a substitute provider. The caregiver indicated she was aware of the type of experiences each caregiver had while caring for groups of children and it was not written. Only one reference check was documented for caregiver 4. The last annual training for emergency preparedness and response was written in the record of caregiver 2 as January 5, 2015. The provider indicated that caregiver 2 participated in a training with one of the new caregivers and it was not documented.

Plan of Correction: The provider will have each caregiver add written information about previous programmatic experience, including hours, to the records. In the future, the provider will make sure both education and experience are documented for the records of substitute providers. The provider will obtain and add documentation for a second reference for caregiver 4. The provider will make sure all caregivers have at least two references. The provider will determine the date of the most recent training in the emergency preparedness and response plan for caregiver 2 and add this to the training record.

Standard #: 22VAC40-111-180-A
Description: Based on a review of eight records for caregivers, and an interview with the provider, the updated tuberculosis screening and statement for caregiver 2 was not obtained by two years from the date of the last statement. Evidence: The TB statement dated December 5, 2013 was not updated until December 9, 2015.

Plan of Correction: The provider will use a reminder system for tracking the dates of records so that arrangements are made in advance of due dates when updated information is needed. TB statements will be obtained by two years from the date of the most recent statement.

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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