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Ms. Tanya Reynolds
1060 Palm Avenue NW
Roanoke, VA 24017
(540) 795-5175

Current Inspector: Jensen Mellnick (540) 309-2051

Inspection Date: Oct. 20, 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
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-80 SANCTIONS.
22VAC40-80 HEARINGS PROCEDURES.
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:
Clarification was provided to the Provider regarding form SP-167 for Providers to request VSP Criminal History Record. Form SP-230 is to be submitted for household members, Assistants, and/or substitutes.

Comments:
An unannounced Renewal inspection was conducted in the Family Day Home on October 20, 2017. Upon arrival to the home at approximately 2:15pm, no children were in care. Three children arrived later in the afternoon for evening care. The children were a sibling group, all school age. A sample of records was reviewed. Areas of the home, the first floor which is used for child care were observed. The Provider prepared the dinner meal for the children. The Provider was previously contacted by phone regarding the incomplete renewal application that was received in the Licensing Office. As reported, the complete application was mailed approximately 5 days ago. The inspection was conducted from 2:15 to 5:45pm. Findings of the inspection were reviewed with the Provider. If you have any questions, please contact this LI at (540)309-2310. Thank you.

Violations:
Standard #: 22VAC40-111-60-B
Description: The Provider failed to ensure information as required by the Standards was complete in each child's record . Evidence: The LI reviewed a sample of 6 children's records. The following information was not complete: child 4.: name and address of each custodial parent's place of employment; telephone number of the child's physician children 1. & 5.: first date of attendance

Plan of Correction: The Provider will review the records with each child's parent. Information will be complete in each child's record.

Standard #: 22VAC40-111-70-B
Description: Based on reviewed documentation, the Provider failed to obtain the parent's written acknowledgement of the receipt of information in this section to include: medication policies; policies for termination of care Evidence: A sample of 6 records was reviewed, 2 of 6 records were incomplete. Child 2, policies for termination of care; child 1, policies for medication administration

Plan of Correction: The Provider will provide information to each parent and will keep a signed acknowledgment form in each child's record.

Standard #: 22VAC40-111-210-A
Description: Based on available documentation for review, the Provider failed to complete a minimum of 16 hours of training annually. Evidence: The Provider's documentation to support completion of annual training hours was not available for review at the time of the inspection.

Plan of Correction: The Provider will document and organize annual training hours.

Standard #: 22VAC40-191-40-D-1-c
Description: Based on reviewed documentation, the Provider failed to ensure background checks were updated before three years since the dates of the most recent central registry finding and the most recent criminal history record check report. Evidence: The LI conducted a review of the record for caregiver 1., the background checks were not current within the last 3 years. Documentation of the criminal history record check was dated 10/06/14; the search of the central registry finding was last verified on 11/22/13.

Plan of Correction: The Provider will mail the background checks to the responsible agencies within ten days. The LI will be notified at the time the background checks are verified.

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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