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Jennifer Rivera Rodriguez
175 Queen Victoria Street
Culpeper, VA 22701
(540) 229-7684

Current Inspector: Chrystal King (804) 297-4469

Inspection Date: March 27, 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 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
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 children's immunization and physical examination reports. The risk assessment for a violation was provided. Also, we talked about maintenance needs and plans for the wood fence and gate. Also, we discussed the upcoming need for updating caregiver/resident records.

Comments:
Thank you for your assistance during today's unannounced renewal inspection conducted from 12:20 PM to 5:30 PM. Today, there were twelve children, ages infancy through four years (30 points) with two to three caregivers. I viewed staffing, supervision, interactions with children, activities, daily routines, nutrition/feeding, diapering procedures, equipment, emergency planning, caregiver training, six records for caregivers/residents, four children's records, two immunization records for children, pet records, emergency supplies and drill records, indoor and outdoor areas. The children had access to a variety of age appropriate toys and equipment. The provider has given initial written information to parents regarding the care agreements and has maintained regular communication regarding the care of children. The recommendation for issuance of the license will be done after the needed updated background checks have been received and viewed. Let me know if you need any assistance. 540/430-9259.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on a review of four records for children, and an interview with the provider, the physical examination record for child 1 was not obtained within thirty days of the first date of attendance. Evidence: The first date of attendance was documented as October 26, 2016. There was only an immunization report from 2016 and a report from January 17, 2017 for instructions regarding treatment for an illness. The physical examination report was not in the file.

Plan of Correction: The provider immediately sent a text message to a parent and requested the physical examination report. The provider will obtain the required information for the record. In the future, if a physical examination report is not provided at the time of initial enrollment, the provider will use a system to track the need for the record within thirty days and make sure the parent understands the deadline and provides the report.

Standard #: 22VAC40-111-90-C
Description: Based on a review of four records for children, an additional two immunization records for children and an interview with the provider, the updated immunization for child 4 was not obtained by six months as required for children under age two. Evidence: The immunization report completed on February 5, 2016 was not updated until February 1, 2017. Child 4 will not become two years old until July 2017.

Plan of Correction: The provider will use a reminder system for tracking updated immunization report needs so that the needed information is requested and obtained by parents of children under age two no later than six months from the date of the last reports.

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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