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Angela Branch
4012 Clipper Bay Drive
Chester, VA 23831
(804) 318-6893

Current Inspector: Kelly Adriazola (804) 662-9760

Inspection Date: March 3, 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.
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
none

Comments:
The licensing inspector conducted an unannounced monitoring inspection on Thursday, March 3, 2016 from 9:50 am to 11:10am. The children were observed playing with toys and listening to music. Today, there were nine children, totaling 25 points, present with two caregivers. Lunch consisted of: fish sticks, string beans, fruit cocktail and milk Three children?s records, two caregivers? records and one household record were reviewed during the inspection. Last emergency drill: 2/23/2016 Last shelter-in-place drill: 12/28/2015 The violations from the previous inspections were checked for corrections. There were no repeat violations found during today?s inspection. If you have any questions about this inspection, please contact the licensing inspector, Roshon Casey, at (804) 662-9760.

Violations:
Standard #: 22VAC40-111-730-D
Description: Based on observation on 3/3/2016, the provider did not ensure that medications were kept in a locked place. EVIDENCE: Nonprescription medication was observed in a cabinet in the kitchen. The cabinet is out of the reach of children. Medication, except for those prescriptions designated otherwise by a written physician's order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children.

Plan of Correction: Will get a lock box and put in a locked cabinet.

Standard #: 22VAC40-111-920
Description: Based on observation on 3/3/2016, the provider did not ensure that a menu for the week was posted or given to parents. EVIDENCE: The provider provides the children enrolled meals and snacks. A menu for the week was not posted. When meals or snacks are provided by the family day home the menu for the current one-week period shall be given to parents or posted or placed in an area accessible to parents.

Plan of Correction: Will post the menu before lunch.

Standard #: 22VAC40-111-60-A
Description: Based on a review of children's records on 03/03/2016, the provider did not ensure that one of the nine children in care had a record at the family day home. EVIDENCE: Child #3, who was in care on 03/03/2013 did not have a record at the family day home. The provider shall maintain an up-to-date record at the family day home for each enrolled child.

Plan of Correction: Will remind parent to bring forms today, 3/3/2016.

Standard #: 22VAC40-111-60-B
Description: Based on a review of children's records on 03/03/2016, the provider did not ensure that one of the two records reviewed contained the name, address and phone number for two emergency contacts. EVIDENCE: The record of Child# 2 did not contain documentation of the name, address and phone number for two emergency contacts. A child's record shall contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

Plan of Correction: Will have parent complete at pick up.

Standard #: 22VAC40-111-150-D-1
Description: Based on a review of caregiver records on 03/03/2016, the provider did not ensure that an assistant that is left alone with the children has a current certification in cardiopulmonary resuscitation (CPR). EVIDENCE: Caregiver #2 does not have a current CPR certifications. Caregiver #2 was alone for approximately 15 minutes with nine children in care on 03/03/2016. An assistant 18 years of age or older who is left alone with children in care shall have a current certification in cardiopulmonary resuscitation (CPR).

Plan of Correction: Won't leave assistant alone until get certifications.

Standard #: 22VAC40-111-150-D-2
Description: Based on a review of caregiver records on 03/03/2016, the provider did not ensure that an assistant that is left alone with the children has a current certification in first aid. EVIDENCE: Caregiver #2 does not have a current first aid certification. Caregiver #2 was alone for approximately 15 minutes with nine children in care on 03/03/2016. An assistant 18 years of age or older who is left alone with children in care shall have a current certification in first aid.

Plan of Correction: Won't leave assistant alone until get certifications.

Standard #: 22VAC40-111-520-A
Description: Based on observation and caregiver interview on 03/03/2016, the provider did not ensure that a crib was provided for infants under 12 months of age. EVIDENCE: Child #1 is nine months old and Child #4 is six months old. There wasn't a crib available for the child to sleep in. According to Caregiver #1, Child #3 rests in a mesh side baby rocker that was provided by the child's parent. Cribs shall be provided for children from birth through 12 months of age.

Plan of Correction: Had ordered a crib, but had to return because of missing parts. Will order again.

Standard #: 22VAC40-111-570-A
Description: Based on observation on 03/03/2016, the provider did not ensure that a caregiver did not exceed 16 points. EVIDENCE: At the inspector's arrival there were seven children in care totaling 19 points with one caregiver,Caregiver #2. Caregiver #2 stated that Caregiver #1 was out of the home and would return in a few minutes. After ten minutes Caregiver #1 returned to the home. Caregiver #1 stated that when they left the home that morning Caregiver #2 was within the required points.

Plan of Correction: Will make sure not to leave Caregiver #2 over points.

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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