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Gedell Gresham
3350 Mattaponi Avenue
West point, VA 23181
(804) 843-4818

Current Inspector: Sharon Curlee (804) 662-9758

Inspection Date: March 7, 2018

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
22VAC40-80 THE LICENSE.
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced monitoring inspection was conducted today, March 7, 2018 to determine the provider's compliance with licensing standards. The inspector arrived at 11:45 am and concluded the inspection at 2:30 pm. The provider participated in the inspection. During the inspection, six children with a value of 16 points were in care with two caregivers. Children were napping at the time of the inspectors arrival. As children got up they looked at books. Later children were observed playing with the kitchen set. Children sat stuffed animals and a doll at the child size table where the put out cups and bowls for each. The provider had circle time with the children, singing songs and reviewing the ABC's. Caregivers interacted with the children in a positive manner. All areas of the family day home used for child care were inspected. The pool was locked and inaccessible to children in care. The outdoor play area was not inspected today due to weather. The provider had all required information posted to include the license, last inspection notice, emergency numbers, evacuation maps, menu, allergy information and attendance sheets. The family day home was equipped with age and stage appropriate materials and supplies. The first aid kit and non-medical emergency supplies were inspected and found complete. The inspector interacted with the children in care and the provider. Records reviewed for three caregivers, two household members and six children. one caregiver has current MAT certification. All caregivers and the provider have current CPR & First aid training. Currently there are no children with medications. The most recent evacuation drill was documented on 02/09/2018. The two required shelter-in-place drill for the 2017 year were completed on 04/06/2017 and 09/08/2017. A shelter-in-place drill for 2018 was documented on 01/04/2018. A lock down drill was documented on 01/04/2018. The provider does not provide transportation. The emergency preparedness plan was reviewed and updated 04/18/2017. The violations cited during the previous inspection on 05/25/2017 were checked for corrections. There were no repeat violations cited during today's inspection. If you have questions regarding this inspection, please contact the licensing inspector at 804-662-9758.

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on review of children's records, the provider did not obtain the parent's signed acknowledgment of the review of the child's emergency contact information annually. Evidence: 1. The most recent acknowledgment of review for the record of child #2 was dated 06/08/2016 exceeding the annual requirement. 2. The most recent acknowledgment of review for the record of child #3 was dated 12/06/2016 exceeding the annual requirement.

Plan of Correction: Per the provider: I will have parents review the information tonight at pick-up and sign the acknowledgment.

Standard #: 22VAC40-111-180-A
Description: Based on review of caregiver records, the provider did not obtain documentation of a negative tuberculosis screening for caregivers every two years from the date of the first screening. Evidence: The most recent tuberculosis screening for caregiver #2 was dated 02/25/2016, exceeding the two years to obtain an update.

Plan of Correction: Per the provider: I will have the caregiver update her tuberculosis scrrening this week.

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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