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Ms. Quiana Jones
5925 Quaker Parkway
Lynchburg, VA 24502-1917
(434) 221-7493

Current Inspector: Victoria E Dawson (540) 309-2674

Inspection Date: Sept. 7, 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
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:
During the inspection the inspector reviewed the outside play area in the fenced backyard. The provider asked for consultation regarding the possibility of new playground equipment being installed. The provider will measure the equipment size in relation to the available space per recommendations made by the inspector.

Comments:
An unannounced monitoring inspection was done today September 7, 2016 beginning at 9:30 AM and ending at 1:30 PM. There were eleven children present with two providers when the inspector arrived. Another assistant arrived later in the morning as well as one child left. The children were observed during their learning time reviewing letters, counting singing and exercising. They also had story time as a book was read to them and then they also looked at books on their own. Lunch was observed as well as nap. The outside area was reviewed and there were no mediations. The inspector reviewed the household and staff files. A sample of the children's files were reviewed as well. The inspector and provider discussed the violations and corrective action during the visit. If you have any additional questions please contact the inspector at 540-309-2835.

Violations:
Standard #: 22VAC40-111-920
Description: Based on observation the provider did not date the posted menu for the one week period. Evidence: 1. During the inspection the inspector viewed the posted menu and it did not have any date on it.

Plan of Correction: The provider corrected this the day of the inspection and will continue to post a date on it.

Standard #: 22VAC40-111-320-G
Description: Based on observation the provider had not had the chimney inspected annually. Evidence: 1. During the inspection the inspector asked the provider for the annual chimney inspection and she indicated an inspection had not been done over the past year time period. It is noted that the fire place associated with the chimney is not used at any time per discussion with the provider.

Plan of Correction: The provider will contact a chimney inspector and keep the documentation in her file. This will be done annually in the future.

Standard #: 22VAC40-111-570-A
Description: Based on observation the provider did not ensure that she did not exceed 16 points by using the following point system to determine if an additional caregiver is needed: Evidence: 1. During the inspection, upon arrival the inspector observed 11 children in care with the provider and assistant # 1. Points at this time were at 35. This total was over the allowed 32 points for two caregivers. Child # 10 left care at approximately 11:30 AM and another assistant arrived shortly prior to this time. Points were in compliance when child # 10 left for the day.

Plan of Correction: The provider worked on her schedule and number of children in care. She will reduce the number of infants in care and two children leave prior to others coming in the afternoon. She has begun to use a dry erase board to calculate points according to the ages of which children are in attendance each day.

Standard #: 22VAC40-111-680-B
Description: Based on observation the provider did not ensure that children's hands were washed prior to eating. Evidence: 1. During the inspection the inspector observed two of the toddlers were given a small snack during story time and their hands were not washed prior to eating.

Plan of Correction: The provider will remind her assistants to always wash the children's hands prior to eating snacks/meals.

Standard #: 22VAC40-191-40-D-1-c
Description: Based on review and discussion the provider did not obtain the repeat background checks in a timely manner. Evidence: 1. During the inspection the inspector reviewed the files of assistant's # 1-3. The review indicated the child protective service and the criminal history check for assistant # 1 had expired 10/31/15 and 10/2/15. The provider had verification that the forms had been sent on 6/28/12 and both were returned on 7/16/16 and 7/2/16 for corrections. They had not been resent as of the day of the inspection.

Plan of Correction: The provider had verification that the forms had been sent on 6/28/12 and both were returned on 7/16/16 and 7/2/16 for corrections. She had not returned them as she was waiting for the inspector to review and verify the corrections needed. They will be sent back right away.

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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