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Ms. Arlene Simmons
1926 Governor Drive
Roanoke, VA 24019
(540) 562-0596

Current Inspector: Jensen Mellnick (540) 309-2051

Inspection Date: Feb. 15, 2017

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Physical Health of Caregivers and Household Members
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

Technical Assistance:
Questions were asked regarding the national background checks and fingerprinting. Information will be provided by a broadcast once all procedures are in place. If the current criminal record checks are within 45 days of expiring, submit the completed requests and fees to the appropriate agency for processing so that the criminal record check is current.

An unannounced monitoring inspection was conducted in the home on February 15, 2017. The LI observed 11 children in care, based on the ages of the children the points totaled 27. The Provider and an Assistant were present. As reported, 12 children are currently enrolled in the Family Day Home. A sample of 3 children's records was reviewed. Documentation of the practiced emergency drills was reviewed. The children were observed for a short period of the scheduled nap time. After nap time, the children were observed during snack time, free play in a variety of stations which included blocks, action figures and farm animals. Several children were observed using tablets with pre-loaded educational games. The LI also observed care -giving procedures which included: hand-washing, infant bottle feeding and diapering procedures. At the end of the day, parents and children were observed at dismissal. A discussion was held with the Provider regarding Standards 680.A (staff hand-washing) Hand-washing with soap and water is required after any contact with a body fluid and 690.B. (sanitizing procedures). Clarification was given regarding the two-minute time frame required when sanitizing a surface. When using a bleach/water solution to sanitize the diapering surface, the solution is to be sprayed on the surface and allowed to air dry. If the surface is not dry after 2 minutes, a clean paper towel may be used to wipe the surface. The inspection was conducted from approximately 2:45 to 5:40 PM. If you have any questions, please call (540)309-2310 or e-mail Thank you.

Standard #: 22VAC40-111-560-D
Description: Based on direct observations, the caregivers failed to ensure infants were protected from older children. Evidence: 1. The LI observed 4 children, ages ranged from 4 months to 20 months, in the gated crib area. A caregiver placed a young infant on their back on a blanket in the floor. Another infant was also observed seated on the floor playing with toys that were placed in front of the infant by a caregiver. 2. Two mobile toddlers were also actively playing in this area. One toddler was observed taking a toy walker from the area of one of the infants' and pushed the walker on the floor in the area of the two infants; the other toddler was observed walking around the space playing with a small ball and other toys. This toddler was observed tripping, falling down into the gate. The same child also fell into a large free-standing toy, hitting the side of his head on the toy. The floor space was limited due to infant cribs, high chairs, an adult-sized chair and other toys and equipment. Infant seats and equipment were observed stored in the two cribs. A caregiver was observed within sight or sound of the children.

Plan of Correction: The Provider will rotate the play areas for the mobile toddlers out of the gated space when the infants are provided floor time.


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.