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Ms. Cynthia Holmes
26070 Old Office Road
Culpeper, VA 22701
(540) 854-8939

Current Inspector: Michelle W. Argenbright (540) 848-4123

Inspection Date: June 29, 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
63.2 General Provisions.
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 physical examination reports. The risk assessment for a violation was provided. We talked about your written plan and notice to parents to meet the requirements for the notice from the Division of Licensing. Background checks are due before three years from the date of the last record. You were encouraged to review the requirements as a subsidy vendor.

Thank you for your assistance during today's unannounced monitoring inspection conducted from 12:05 PM to 3:45 PM. Today, there were ten children in care, ages infancy to fourteen years (seventeen points), and one resident child with two caregivers. I viewed daily routines, activities, nap, staffing, supervision, interactions with children, nutrition/menu, posted information, diapering procedures, equipment, five records for children, three caregivers/resident records, caregiver training, emergency supplies and drill records, attendance records, indoor and outdoor areas. The play equipment under the trees has not been in use during day care hours. We talked about the opportunities for outdoor play. Today, the children enjoyed a variety of toys. Some of the children played with puzzles at the table. Let me know if you need any assistance. 540-430-9259

Standard #: 22VAC40-111-100-A
Description: Based on a review of five records for children, and an interview with the provider, the physical examination for child 5 was obtained late and not within the first thirty days of attendance. Evidence: Child 5 started attending on March 21, 2017 and only the immunization report was obtained prior to this date. The physical examination report was signed by the health care provider on June 6, 2017.

Plan of Correction: The provider will speak to parents of children who are new and make sure the physical exam reports are provided within the first thirty days of attendance. The paperwork provided by parents when children enroll will be viewed to determine what is needed from the parents on 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.