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Ms. Arlene Simmons
1926 Governor Drive
Roanoke, VA 24019
(540) 562-0596

Current Inspector: Jensen Mellnick (540) 309-2051

Inspection Date: July 22, 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 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.
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced monitoring inspection was conducted in the Family Day Home on July 22, 2016. Upon arrival by the LI, ten children and two caregivers were present. Based on the ages of the children in care, the point total was 24. An additional caregiver arrived before noon. As reported by the Provider, 12 children are currently enrolled. A sample of 3 records was reviewed, two children's and one caregiver. The Provider reported that medications are not administered by the Family Day Home. The LI observed the children in the child care area, the children were grouped in the two areas, 4 (infant/toddlers) 6 (preschool). The older children were observed during the lunch meal. The Provider reported that the toddlers had eater lunch prior to the LI's arrival. The children napped/rested after lunch. Upon inspection, the Family Day Home was clean and orderly. The child care areas were furnished with age and stage appropriate equipment, supplies, and toys. A discussion was held with the Provider regarding the following Standards: (22VAC 40-111-380.Space) The home shall provide each child with adequate space to allow free movement and active play indoors and out. The floor space in the infant/toddler area was limited due to (3) high chairs, a rocking chair, an infant crib, infant seats/equipment and other materials/toys. The LI observed children tripping over toys and the caregiver had to step over toys to get to the diapering table.; (690.D.3. diapering surface cleaned and sanitized after each use. The manufacturer's directions on the sanitizing agent shall be followed when using on the diapering surface. A bleach/water solution may be dried with a clean paper towel after two minutes if the surface is wet; (580.C.5.) Opportunities for children to exercise initiative and develop independence in accordance with their ages. A caregiver was observed feeding lunch to two preschool-age children (2 to 3 years old). The caregiver used spoons to feed the children their lunch of pizza rolls and broccoli. Findings of the inspection were reviewed at the exit. The acknowledgment form was signed and left for posting in the FDH. The on-site inspection was conducted from approximately 11:15am to 2:30pm. If you have any questions, please call (540)309-2310 or e-mail elaine.moore@dss.virginia.gov Thank you.

Violations:
Standard #: 22VAC40-111-120-B
Description: Based on a sample review of Assistant's records, the Provider failed to maintain a complete record for a caregiver. Evidence: The LI reviewed the record of caregiver #1. The following information was not complete: verification of age; date of employment or volunteering; name, address, and telephone number of a person to be notified in an emergency.

Plan of Correction: Upon notice at the time of inspection, the Provider requested that the Assistant complete information on the form.

Standard #: 22VAC40-111-200-C
Description: Based on reviewed documentation, the Provider failed to maintain verification of an assistant's orientation which was signed and dated. Evidence: The LI reviewed the record of caregiver #1, the document in the record was blank on the top of the form and contained no signatures and date to verify that orientation was completed.

Plan of Correction: The Provider will ensure complete documentation is maintained in the record. The date and signatures will verify completed orientation to address job responsibilities.

Standard #: 22VAC40-111-530-F
Description: Based on direct observations, the caregiver failed to ensure that no soft bedding of any kind was used under or around infants. Evidence: The LI observed a young infant asleep on their back in a crib. A blanket was covering the infant and was observed to the infant's chin, close to the mouth. Upon notice, the Provider raised the crib mattress and tucked the blanket under the mattress.

Plan of Correction: All caregivers will ensure when a blanket is used in cribs that the blanket is tucked around the crib mattress, reaching only as far as the infant's chest.

Standard #: 22VAC40-111-680-A
Description: Based on direct observations by the LI, a caregiver failed to wash their hands with liquid soap and warm running water prior to feeding a bottle to an infant. Evidence: The LI observed caregiver #1 seated in a chair in the infant/toddler area. One of the caregivers gave an infant and bottle to Caregiver #1 to feed the child. Before feeding the infant, the caregiver did not wash her hands with soap/water, previously she was observed using a germicidal lotion on her hands.

Plan of Correction: Hand washing procedures will be reviewed with the caregiver and followed.

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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