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Ms. Dianna McIlwee
267 Boxley Lane
Orange, VA 22960
(540) 672-9264

Current Inspector: Diann S. Reed (540) 280-0742

Inspection Date: Dec. 8, 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 Emergencies
22VAC40-111 Nutrition
63.2 General Provisions.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
A supplemental page was provided.

Thank you for your time and assistance with the unannounced monitoring inspection conducted today, December 8, 2016. The on-site inspection was held from 11:15 a.m. to 2:30 p.m. On this date, there were four children in the care of the provider (12 points). There were a total of four children enrolled in the program. There were four children's records reviewed, along with the records for the provider and one household member. The provider and two children were interviewed. There were no medications being administered at the time of the visit, as is the policy of the provider. The exception to compliance was noted on the violation notice and the risk rating for the violation was noted on the supplemental page. Lunch was observed to meet USDA guidelines and consisted of cheese pizza, grapes, pears, and milk. All interactions between the children and the providers were age appropriate and positive. The Letter of the Week, I,i and this week they were working on Christmas activities. Some items reviewed during the visit included: emergency supplies, first aid kit, required posted information, menu, documentation of evacuation and shelter-in-place drills. Lunch, choice time, hand washing and bathroom procedures, infant feeding and care, diaper changing procedures, story time, and nap were observed during the visit. Please contact me if you have questions concerning this inspection, the licensing standards, and/or if I may be of assistance to you (540) 280-0742.

Standard #: 22VAC40-111-180-A
Description: Based on record review and verification from the provider, she failed to obtain an updated tuberculosis (TB) screening within two years from the date of the last screening. Evidence: 1. The date of the provider's last TB screening was 10/28/2014 and she did not obtain an updated one until 12/07/2016. 2. The provider verified that she was late in getting her TB screening.

Plan of Correction: In the future, I will pay closer attention to the date the screening needs to be done.


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.