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Ms. Sharon Gregory
21467 Twin Hill Lane
Carrollton, VA 23314
(757) 357-5189

Current Inspector: Anita Drewry (757) 404-5261

Inspection Date: May 17, 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.

Comments:
An unannounced monitoring inspection was conducted from 11:25am to 12:30pm. At the time of inspectors arrival there were 7 children, ages 7mos to 5 years, for a total of 31 points, in care with the provider and one assistant provider. The records sample size consisted of 4 children's records and 3 provider / substitute/ household member records. Children were observed playing indoors, and transitioning between activities. The provider stated that no medication is administered to children while in care and there have been no injuries since the last inspection. Areas of noncompliance are identified in the violation notice and were discussed with the provider during the meeting at the conclusion of this inspection. Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return it to me within 10 calendar days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word "corrected" is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s).

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on record review it was determined that the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: The record for child #4 (enrolled 1/4/16) did not contain documentation of a physical.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-60-B
Description: Based on observation it was determined that the provider did not ensure that each child's record contained all of the required components. Evidence: 1. The record for child#1(enrolled 5/26/15) did not contain the name, phone number, and address of the two required emergency contacts. 2. The record for child #2(enrolled 6/19/15) did not contain the name, phone number, and address of one of the two required emergency contacts. 3. The record for child#3(enrolled 1/4/16) did not contain the name, phone number, and address of the two required emergency contacts, the child's medical insurance policy number, and a list of individuals authorized to pick-up the child.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-90-C
Description: Based on record review it was determined that the provider did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The record of child #2(DOB: 2/25/14) did not contain updated immunization documentation. 2. The record of child #3(DOB: 3/31/14) did not contain updated immunization documentation.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-180-A
Description: Based on record review it was determined that the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 22 VAC 40-111-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: The record for the assistant did not contain an updated Tuberculosis screening form. The last Tuberculosis screening was dated 2/19/14.

Plan of Correction: Not available online. Contact Inspector for more information.

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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