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Ms. Quiana Jones
5925 Quaker Parkway
Lynchburg, VA 24502-1917
(434) 221-7493

Current Inspector: Victoria E Dawson (540) 309-2674

Inspection Date: Feb. 22, 2017

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 Child Abuse and Neglect
63.2 Facilities and Programs..

Comments:
Today's visit was a routine monitoring inspection. The inspection began at 10:20am and concluded at 2:10pm. There were ten children in care for a total of twenty-six points. Upon arrival at the FDH there was one assistant and an additional caregiver that was counting in points and did not have a record. During the inspection care of infants was observed, hand washing was observed, activities were observed, lunch was observed, nap time was observed, two caregiver records were reviewed, three out of twelve children's records were observed, emergency supplies were viewed, and some policies and procedures were reviewed. Thank you for your time, please call me at 309-2051.

Violations:
Standard #: 22VAC40-111-120-A
Description: Based on the inspector's observations, the licensee failed to maintain a record for a caregiver present at the family day home and counting in the points the morning of the inspection. Evidence: The inspector arrived to the family day home and entered the family day home once the licensee returned form a dentist appointment. Upon entering the home there were ten children in care, a total of twenty-six points, and two caregivers. Caregiver #3 did not have a record with required information to include: name, address, verification of age, job title, date of employment/volunteering, emergency contact, references, and education and training as required.

Plan of Correction: The licensee will complete a staff record for the staff member.

Standard #: 22VAC40-111-150-D-1
Description: Based on the inspector' s upon arrival to the family day home and record review for assistant records, the provider failed to ensure a caregiver with current CPR/First aid certification was present in the home when she was not present in the home. Evidence: The inspector arrived to the family day home and entered the family day home once the licensee returned form a dentist appointment. Upon entering the home there were ten children in care, a total of twenty-six points, and two caregivers. Caregiver #2 had expired CPR/FA as of 7/27/16 and caregiver #3 did not have a record.

Plan of Correction: The licensee stated caregivers are scheduled to complete CPR/FA training later this month. She will not leave staff alone with children until CPR/FA certifications are completed.

Standard #: 22VAC40-111-250-A
Description: Based on the inspector's observations, there are two cribs with cable cords directly next to and directly above two cribs. Evidence #1: The inspector observed a crib with a cable cord one foot on the wall where a crib was directly against the wall. Evidence #2: The inspector observed a crib with a cable cord running along the corner of a wall where the crib was located. Hanging items shall be out of reach of children under five years of age.

Plan of Correction: The cribs will be moved to ensure the cords can not be reached by the children. Efforts will be made to secure all cables.

Standard #: 22VAC40-111-430-B
Description: Based on the inspector's observations, the provider failed to ensure accordion expansion gates were not in use at stairs. Evidence: The inspector observed an accordion expansion gate in use at the foot of the stairs in the area used by children in care. Children in care during the inspection were as young as six months of age.

Plan of Correction: The provider will replace within two weeks of today's inspection.

Standard #: 22VAC40-111-680-B
Description: Based on the inspector's observations during a diaper change, the provider failed to wash an infants hands with liquid soap and running water after completing a diaper change. Evidence: The inspector observed a diaper change and the provider did not ensure the child's hands were washed after completing a diaper change. The child was of infant age and had the ability to hold her head up. The child was returned to floor to play in a group of children once the diaper change was completed.

Plan of Correction: The provider will ensure the children's hands are washed after each diaper change and will ensure all assistants do the same.

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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