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Mrs. Deborah Bell
1536 Andrew Road N.W.
Roanoke, VA 24017
(540) 904-3188

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: Jan. 17, 2017

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Emergencies
22VAC40-111 Nutrition

Licensing Inspector Anderson & Licensing Administrator Ferguson conducted an unannounced other inspection on Tuesday, January 17, 2017. Upon arrival at 9:25 AM, there were six (6) children in care under the direct care & supervision of two (2) caregivers. Children in care were ages 5 months through 4 years old totaling sixteen (16) points; adult to child ratios were in compliance. Children & staff records that were found out-of-compliance during the previous inspection were reviewed during today?s inspection. There were several repeat violations found with children & staff records. Provider continues to participate in the Child Care Food Program, does not provide transportation and does not administer prescribed nor over-the-counter medication. An exit interview including review of the Risk Assessment & areas of non-compliance was conducted with the Licensee on January 17, 2017. Inspection concluded at 11:10 AM

Standard #: 22VAC40-111-830-A
Description: Based on inspection & discussion with the Provider, the Licensee failed to practice monthly emergency evacuation drills. EVIDENCE: Emergency evacuation drills were not conducted for December 2016

Plan of Correction: Take care of record emergency

Standard #: 22VAC40-111-830-D
Description: Based on inspection, the Licensee failed to keep records of emergency evacuation & shelter-in-place drills for one year. EVIDENCE: Shelter-in-place drills for year 2015 & year 2016 were unavailable.

Plan of Correction: Take care of

Standard #: 22VAC40-111-920
Description: Based on inspection, the Licensee failed to provide a menu for the current one-week period. REPEAT VIOLATION EVIDENCE: Menu for the current week (1/16/2017-1/20/2017) was not available.

Plan of Correction: Take care of posted menu

Standard #: 22VAC40-111-960-E
Description: Based on inspection, the Licensee failed to label infant bottles with the date. EVIDENCE: There were two (2) infants in care receiving milk from a bottle. Bottles were not dated with the current date.

Plan of Correction: Take care of

Standard #: 22VAC40-111-70-B
Description: Based on record review, the Licensee failed to obtain the parent's written acknowledgement of the receipt of required information. REPEAT VIOLATION EVIDENCE: LI Anderson reviewed records that were found out-of-compliance during the previous inspection. Record for Child #2 did not include the parent's written acknowledgment of receipt of the policies for the administration of medication, operating information including the hours & days, schedule of fees & payment plans, check in/out procedures & required notifications.

Plan of Correction: Take care of

Standard #: 22VAC40-111-210-A
Description: Based on record review & discussion with the Provider, the Licensee failed to ensure caregivers obtain a minimum of 16 clock hours of annual training in areas relevant to their job responsibilities. REPEAT VIOLATION EVIDENCE: Staff Members #1 & #3 did not complete 16 hours of annual training for year 2015 & year 2016 hours of annual training.

Plan of Correction: Take care of. Look online for outside training

Standard #: 22VAC40-111-430-A
Description: Based on observations, the Licensee failed to ensure children under 2 years of age does not have access to stairs. EVIDENCE: Stairwell gate was not closed & securely fastened. There were 2 children under the age of 2 in care; having direct access to the stairwell. LI Anderson observed children playing in a room located directly beside the stairs.

Plan of Correction: Take care of today


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.