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Ms. Leanne Kreps
4478 Donnelley Drive
Bridgewater, VA 22812
(540) 828-0186

Current Inspector: Chrystal King (804) 297-4469

Inspection Date: Oct. 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
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
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.

Technical Assistance:
We discussed the requirements for cribs and TB statements. The risk assessments for violations were provided. We discussed annual training and documentation options.

Comments:
Thank you for your assistance during today's unannounced monitoring inspection conducted from 9:30 AM to 12:35 PM. Today, there were eleven children in care, infancy through age four (twenty-nine points) with two caregivers. I viewed program activities, staffing, supervision, interactions with children, equipment, posted information, substitute provider record, emergency supplies and drill records, four records for caregivers/residents, caregiver training, annual review of the emergency plan, four records for children, menu, snacks/lunch, daily routines, pet records, and indoor areas. Due to the inclement weather, I was not able to view all outdoor play areas of the yard. The children enjoyed a variety of age appropriate play equipment, group discussions and activities. The caregivers were observed providing positive guidance and appropriate support for children's learning and understanding. The caregivers communicated with each other to work as a team and provide the needed supervision and care for the children. Let me know if you need any assistance. 540/430-9259

Violations:
Standard #: 22VAC40-111-180-A
Description: Based on a review of four records for caregivers/residents, and an interview with the provider, the updated tuberculosis screenings and statements for caregivers 1 and 2 were obtained late (Repeat Violation). Evidence: The TB statements for caregivers 1 and 2 that were dated August 25, 2014 were not updated until September 2, 2016.

Plan of Correction: The provider will use a reminder system so that arrangements for TB screenings are made well in advance of the due dates and the statements are obtained no later than two years from the last statements in the records.

Standard #: 22VAC40-111-240-A
Description: Based on observation of the cribs used for sleeping children, a review of the manufacture date and any associated documentation, and an interview with the provider, a crib that did not meet the federal standard 16CFR1219 was in use for an infant. Evidence: There was an infant, age fourteen months, observed in a Delta full-size crib in the top floor family room that the caregiver was removing from the crib after a morning nap. While searching for the label with the manufacture date, the provider found the written date as July 2009. The provider indicated that there were no supporting documents that the crib meets the federal requirements that went into effect June 28, 2011.

Plan of Correction: The provider will contact the Delta crib company and obtain written certification that the crib meets the federal requirements if this crib does meet the federal standards. Otherwise, the crib will no longer be used for sleep by children. In the future, when a used crib is given to the provider, the provider will check the manufacture date and will not accept a crib manufactured before June 28, 2011 without first obtaining written verification that it meets the federal requirement for cribs from the manufacturer or crib company. The written verification about crib standard compliance will be kept with the child care files and readily available.

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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