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Ms. Tamara Gilchrist
10715 Locust Court
Fredericksburg, VA 22407
(540) 841-9738

Current Inspector: Cathy E. Aylor (540) 222-6352

Inspection Date: Oct. 23, 2017

Complaint Related: No

Areas Reviewed:
VENDHOM-000 INTRODUCTION.
VENDHOM-000 Administration
VENDHOM-000 Caregiver Qualifications and Training
VENDHOM-000 Physical Plant
VENDHOM-000 Caregivers and Supervision
VENDHOM-000 Programs
VENDHOM-000 Special Care Provisions & Emergencies
VENDHOM-000 Special Services

Technical Assistance:
Staff under the age of 18 must be under the sight and sound supervision of an adult staff member. VA Pre-service training can be counted as annual training one time. Please notify your inspector of termination/suspension of services for more than 24 hours as a result of an emergency. Please notify your inspector ?preferably in writing ? of any serious injuries sustained at the facility. Serious injuries are defined as an injury sustained while in day care that resulted in the child getting outside medical treatment. Please label all substitute containers containing hazardous substances with the contents (for example, bleach and water in a spray bottle).

Comments:
An unannounced subsidy health and safety inspection (SHSI) was conducted with the provider. A licensing inspection was also conducted on this date (see separate report for details). There are currently no assistants working at the FDH. The provider has documentation of the mandatory VA Pre-service Training and is currently certified in first aid and CPR . There is one child with diagnosed food allergies currently enrolled ? please review the applicable standards regarding food allergies. The emergency preparedness plan was reviewed for reunification plans, home containment procedures, and lockdown procedures. Reminder: evacuation drills are required monthly, shelter in place drills are required twice a year, and a lockdown drill is required once a year. Lockdown drills are to isolate children from a security threat; shelter in place drills are to protect children from a natural or manmade threat. If you have any questions regarding this inspection, please contact me at tara.barton@dss.virginia.gov. If you have specific questions regarding the subsidy program, visit our website at http://www.dss.virginia.gov/family/cc/assistance_providers.cgi. Time of today?s inspection: 2:30 p.m. to 3:30 p.m.

Violations:
Standard #: VENDHOM-000-006-B
Description: Based on provider interview, the provider failed to have a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food which the child is allergic to and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: Child 6 did not have documentation of a written allergy action plan for a diagnosed food allergy.

Plan of Correction: Provider will request the information from the parent.

Standard #: VENDHOM-000-029-A
Description: Based on provider interview, the provider failed to update the emergency preparedness plan to include reunification for evacuation, shelter in place and procedures for lockdown. Evidence: there were no written procedures to reunite children with a parent or authorized person designated by the parent, no procedures to accommodate infants, toddlers, and children with special needs to ensure their safety during evacuation or relocation, and no procedures for lockdown to isolate children from a security threat.

Plan of Correction: Provider will write procedures to update the emergency preparedness plan.

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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