Ms. Janice Roberts
52 Deborah Drive
Lynchburg, VA 24501
Current Inspector: Kelly Ann Campbell (540) 309-2494
Inspection Date: March 23, 2016
Complaint Related: No
- Areas Reviewed:
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-80 THE LICENSE.
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies
An unannounced monitoring inspection was completed on 3/23/16. There were five children in care from three months to two years with the provider supervising. The point total was 16. One child left at approximately 11:45 am and returned at approximately 1:40 pm. The point total during that time was 12. Four newly enrolled children's records were reviewed and eight other children's records were reviewed for updates and correction of previous violations only. The provider's record was reviewed for correction of previous violation. Annual training was reviewed at the last inspection and completed in November 2015 as verified by the inspector through personal attendance at the training which completed the number of required hours for the provider's training. The inspector arrived at the provider's home at 11:15 am and departed at 4:00 pm. The inspector returned to the provider's home at 7:00 pm to observe evening care for one child in care and to exit the inspection. The inspector arrived at the provider's home at 7:00 pm and departed at 9:00 pm. The children were observed during outside time (walk in the neighborhood), during lunch, and during nap. Infant activities of diapering and feeding were observed.
Standard #: 22VAC40-111-960-E Description: Based on observation, the provider failed to ensure that bottles were dated. Evidence: 1. There was a bottle of breast milk observed in a bag that was labeled with the infant's full name. The bottle or the bag was not labeled with the date. Plan of Correction: The provider will use masking tape on the bottles and write the date on the name label.
Standard #: 22VAC40-111-980-A Description: Based on record review and interview with the provider, the provider failed to ensure that general written permission shall be obtained from the parent of each child for the provider to take the child off the premises of the family day home. The general written permission shall be on a form that lists regularly scheduled trips (e.g., library, store, playground) and the driver, if the child is to be transported. Evidence: 1. The provider stated that the child receiving care in the evening (child #5) is picked up from the child's day care/school by the provider in her vehicle. The provider also stated that the child is taken to different places such as the provider's own adult childrens' homes and church. There was no written permission from the parent of child #5 for any of these trips or to be transported in the provider's vehicle. 2. There was no destination of the routine trip on the written permission form for child #10. Plan of Correction: The provider had the parent of child #5 sign an authorization at pick up today. The provider will review all field trip forms for all children to ensure that they are complete.
Standard #: 22VAC40-111-990-B Description: Based on observation and interview with the provider, the provider failed to ensure that the required information was in the vehicle used to transport the children. Evidence: 1. The following required equipment was not in the provider's vehicle used to transport a child daily: the name, address, and telephone number of the family day home; a copy of the parent's written permission to transport the child; a copy of each child's emergency contact information as required in 22 VAC 40-111-60 B 2; emergency supplies as required in 22 VAC 40-111-760 (first aid kit complete with ice pack). Plan of Correction: The provider corrected this during the inspection. The provider put all information in the first aid kit which will be taken in the vehicle on each trip. The provider will take the child's file with her when transporting the child. The provider will make sure all of the items are in the trunk of the vehicle when transporting a child.
Standard #: 22VAC40-111-50-A Description: Based on observation, the provider failed to ensure that there was an accurate written record of attendance for the date of the inspection. Evidence: 1. Child #1 left the family day home at approximately 11:45 am. The child was not marked off the attendance as of 1:40 pm when the child returned to the family day home. Plan of Correction: This was corrected when the child arrived back at the family day home. In the future, the provider will take the sign in book with her wherever location the children are and make sure that the times are written in when children arrive and leave.
Standard #: 22VAC40-111-60-B Description: REPEAT VIOLATION Based on record review, the provider failed to ensure that three of four newly enrolled children's records contained complete documentation of information as required by the Standards. Six of eight other children's records reviewed for correction of previous violations and annual updates did not have complete/corrected information as required by the Standards. Evidence: 1. The records of children #1,2,3,4,7,8 did not have documentation of the review of the child's emergency information as required by 22 VAC 40-111-780-B. Each child's record is required to be reviewed by the parent at least annually and documentation made of the date with the parent's signature for verification. Child #1's record was last reviewed 2/4/15. Children #2 and #3 records were last reviewed 3/4/15. Children #4 and #8 records were last reviewed 3/10/15. Child #7's record was last reviewed 3/9/15. 2. The emergency contact address for child #6 was not complete. There was a street name only but no house number. There was no medical insurance policy number for child #6. The original medical insurance number was marked out. 3. There was no current school or grade level documented for children #5,7 who are five years old and child #8 who is eight years old (the last documentation of a grade level for child #8 was pre-K). 4. There was no documentation of allergies or chronic physical problems, if any, documented in the record of child #11. Plan of Correction: The provider will go through all of the records and make sure there is information in all blanks.
Standard #: 22VAC40-111-70-A Description: Based on record review, the provider failed to ensure four of five children's records contained the required documents to be provided to each parent in writing before the child's first day of attendance. Evidence: 1. The record of child #2 (from last inspection) was missing the required information on the form "Information for Parents" (policies and procedures of the family day home) and the required information found on the form "Policy for Administration of Medication." The two forms were not in the child's file. 2. The "Information for Parents" form for child #10 was missing the following required information: the telephone number where a message can be left for a caregiver, general daily schedule that is appropriate for the age of the enrolling child. 3. The "Information for Parents" form for child #11 was missing the following required information: the telephone number where a message can be left for a caregiver, general daily schedule that is appropriate for the age of the enrolling child. Child #11 did not have the second page which is the signature page of the same form in the child's record. There was no signature of the parent of child #11 for the "Policy for Administration of Medication." 4. The "Information for Parents form for child #12 was missing the following required information: the telephone number where a message can be left for a caregiver, general daily schedule for the age of the enrolling child. This form was signed by the parent on 3/14/16 and child #12 first date of attendance was 2/2/16. The information required to be given to parents is required to be given before the child's first day of attendance. The form "Policy for Administration of Medication" was not signed by the parent of child #12. Plan of Correction: The provider will go through every single folder and make sure all forms are complete and signed by the parent for every child.
Standard #: 22VAC40-111-400-A Description: Based on measurement of the temperature of the basement area used for nap and for children's activities, the temperature was not maintained at a temperature over 65 degrees. Evidence: 1. The temperature was measured with a digintal thermometer during nap time to be 63 degrees. Plan of Correction: The provider will make sure the vents are open and turn up the heat if needed in the future.
Standard #: 22VAC40-111-600-A Description: Based on observation, the provider failed to ensure that an infant in care was provided with opportunities to: interact with caregivers and other children in the home in order to stimulate language development, or receive individual attention from caregivers including, but not limited to, holding, cuddling, talking, and reading. Evidence: 1. During the inspection the interactions of the provider and one infant, three months old, were observed. Interactions were observed for a period of approximately three hours prior to nap time. The only interaction that was observed with the infant during this time was for approximately 15 minutes during two different feedings when the provider was feeding the infant. During these feedings the provider was holding the infant but talking with the inspector so no interaction was being made with the infant. The provider was also talking with the inspector during the time when the infant was being diapered. There were no interactions to provide language development or receive individual attention such as talking to, reading, cuddling, etc. The infant was observed to be crying during most all of the inspection. The only time when the infant was not crying was immediately after the diaper change (but started crying within five minutes when put into the play pen), during feedings (approximately 15 minutes during two different feedings), and while asleep for approximately 15 minutes (infant was placed in the crib crying and went to sleep for a brief period of approximately 15 mintues and woke up crying). Plan of Correction: The provider will provide more toys for the infants to grab and talk to and sing to the infants.
Standard #: 22VAC40-111-600-B Description: REPEAT VIOLATION Based on observation, the provider failed to ensure that infants and toddlers did not spend more than 30 minutes of consecutive time during waking hours, with the exception of mealtimes, confined in a crib, play pen, high chair or other confining piece of equipment. The intervening time period between confinements shall be at least one hour. Evidence: 1. At the arrival of the inspector (11:15 am) a three month old infant was observed in a swing. The infant was taken out of the swing at approximately 11:30 am and placed into another confining piece of equipment (stroller). The infant was taken out of the stroller at approximately 12:30 and, after a diaper change, placed in a play pen which is a confining piece of equipment. The infant was taken out of the play pen at approximately 1:00 pm. The infant was in a confining piece of equipment for one hour and 45 minutes without and time in between confinements. The infant was awake during the entire time of confinement. Plan of Correction: This was corrected during the inspection when the provider took the infant out of the play pen and asked the inspector if she could put the child in the swing. The inspector reminded the provider of this standard that only allows infants in confining equipment for 30 minutes and that a swing is a confining piece of equipment. The inspector suggested some tummy time for the infant if this is something the infant was allowed to do. The provider placed the infant on their tummy on a blanket in the floor. In the future, the provider will put the infants on the floor more to ensure they are not in confining equipment more than 30 minutes at a time and out for at least an hour and a half.
Standard #: 22VAC40-111-680-A Description: Based on observation, the provider failed to ensure that hand washing was practiced as required. Evidence: 1.The provider was observed feeding a three month old infant a bottle at approximately 1:30 pm while downstairs. The provider did not wash her hands prior to feeding the infant. The provider was observed cleaning up after lunch (sweeping floor, etc), helping three other children with various activities to prepare for nap, and placing the cots out for the children to nap. The provider fed the infant again at a later time (approximately 2:15 pm) and did not wash her hands prior to feeding this time. Plan of Correction: The provider will make sure her hands are washed before any feeding or help with feeding.
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