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Jennifer Rivera Rodriguez
175 Queen Victoria Street
Culpeper, VA 22701
(540) 229-7684

Current Inspector: Chrystal King (804) 297-4469

Inspection Date: Oct. 4, 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
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
We discussed the requirements for emergency supplies, immunization records, age/identity law, emergency drills, sunscreen, and indoor safety. The risk assessments for violations were provided. We talked about the storage of medication belonging to children which only the parents administer. You were told about availability of M.A.T. courses in the area if you seek renewal of the certificaiton. Otherwise, you need to keep the written notice to parents updated according to your medication policy.

Comments:
Thank you for your assistance during the unannounced monitoring inspection conducted from 11:40 AM to 3:42 PM. Today, there were eleven children in care, ages infancy through four years, (twenty-eight points) with two caregivers. I viewed daily routines, snack, infant feeding, staffing, supervision, capacity, interactions with children, activities, diapering procedures, training for three caregivers, four records for children, emergency supplies and drill records, injury record, pet record, indoor and outdoor areas. The children were provided access to a variety of toys and equipment. The caregivers were observed responding to individual needs for comfort, guidance and care. Let me know if you have any questions, 540-430-9259.

Violations:
Standard #: 22VAC40-111-750-A
Description: Based on a review of sunscreen for two children, and an interview with the provider, the requirements for sunscreen use was not met. Evidence: There was not written parent authorizations for the application of the sunscreen along with notations of any known adverse reactions from sunscreen products. The Neutrogena Baby Sunscreen tube and the Honest Mineral Sunscreen were not labeled with the names of child 1S and 2S.

Plan of Correction: The provider immediately wrote the names of the children on each sunscreen product. The provider prepared model forms for the authorization of sunscreen use, and a place to write known adverse reactions. The provider will obtain written permission of the sunscreen use from parents during pick-up today.

Standard #: 22VAC40-111-770
Description: Based on a review of the emergency supplies, and an interview with the provider, the portable battery-operated weather band radio was not operable. Evidence: The dial of the Eton portable radio was in the "on" position and the radio was not working.

Plan of Correction: The provider ordered a new battery-operated weather band radio for delivery on Thursday. Also, the provider will re-charge the Eton battery and attempt to use it tonight. The provider will check the radio and flashlight batteries one time monthly.

Standard #: 22VAC40-111-830-A
Description: Based on a review of the documented emergency practice drills, and an interview with the provider, there was not a monthly evacuation practice conducted in July 2016. Evidence: The space for writing the drill information was blank for July. The most recent drills in August and September were written on the drill log.

Plan of Correction: The provider will make sure that evacuation practices are conducted during each month, including months when the child care operation is closed for a period of time.

Standard #: 22VAC40-111-80-A
Description: Based on a review of four records for children, and an interview with the provider, there was not verification of child 3's identity and age within the first seven days of enrollment. Evidence: Child 3 began attending on July 25, 2016. The provider indicated that she repeatedly requested documentation as required for proof of identity and has not seen the allowed documents and has not phoned the appropriate law enforcement agency.

Plan of Correction: The provider immediately made another request for the document needed to verify the age and identity of child 3. If the requested documents are not provided in a week, the provider will follow the requirements of the law and report this to local law enforcement.

Standard #: 22VAC40-111-90-A
Description: Based on a review of four records, and an interview with the provider, the immunization record was not obtained before child 3 began attending as required. Evidence: Child 3 began receiving care on July 25, 2016 and there was only a physical examination record dated July 22, 2016 in the file.

Plan of Correction: The provider immediately made a phone call and sent a text message to make additional requests for a copy of the immunization record. The provider will tell parents that children are not allowed to begin attending without a copy of the immunization record.

Standard #: 22VAC40-111-90-C
Description: Based on a review of four records for children, and an interview with the provider, the updated immunization for child 4 was not obtained by six months as required for children under age two. Evidence: The last updated immunization report was completed on March 3, 2016.

Plan of Correction: The provider sent a test message requesting the updated immunization record during the last week of September. The provider received a text message from the parent saying that the updated immunization record will be brought during pick-up today. In the future, the provider will determine the need to request updated immunization records early in the month so the reports are obtained on time.

Standard #: 22VAC40-111-320-B
Description: Based on observation of the indoor areas used for child care, and an interview with the provider, there were seven electric outlets without child-resistant protective covers. Evidence: The top outlet in the television area was uncovered. The provider indicated that she thought children pull the caps out. There were two outlets uncovered at the back wall, one uncovered at the wall by the interior stairs, one uncovered near the entrance to the crib room and one uncovered above the large bucket chair table.

Plan of Correction: The provider immediately replaced all outlets with protective covers. The caps will be replaced immediately each time a caregiver uses an outlet, such as when cleaning the floors. The caregivers will check the outlets each morning and make sure they have protective covers.

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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