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Ms. Arlene Simmons
1926 Governor Drive
Roanoke, VA 24019
(540) 562-0596

Current Inspector: Jensen Mellnick (540) 309-2051

Inspection Date: March 28, 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 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-80 THE LICENSE.
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced monitoring inspection was conducted in the Family Day Home on March 28, 2018. The LI arrived in the FDH at 3:15pm. There were 12 children present and in the care of three caregivers. The children's ages ranged from 7 months to four years. Based on the ages of the children, the points totaled 31. The children were observed during free play. A caregiver was observed in the designated gated area interacting with an infant and toddler. The other children played in the floor on mats with blocks and trucks. One child participated in an alphabet recognition activity on the computer. The children had dyed eggs earlier in the day, pictures were taken to share with their parents. Dismissal procedures were observed at the end of the program day. The FDH was clean, organized and supplied with age appropriate materials and toys for the children. A diapering procedure was observed during the inspection. A sample of five children's records was reviewed. Three caregivers' records and one household member's record was reviewed. All adults have verification of a completed national fingerprint check. Documentation of the practiced emergency drills was reviewed. There were no medications observed in the FDH. As stated in the medication policy, the Provider does not administer medications. Findings of the inspection were reviewed with the Provider at exit, the inspection concluded at approximately 5:45pm. If you have any questions, please contact this LI at (540)309-2310. Thank you.

Violations:
Standard #: 22VAC40-111-70-A
Description: Based on a sample review of children's records, the Provider failed to provide parents in writing the following information: amount of time per week that an adult assistant or substitute provider instead of the provider is scheduled to care for the child and the name of the adult assistant or substitute provider. Evidence: Four of five reviewed records were not complete with both assistants' names or the amount of time scheduled weekly to care for the child instead of the provider.

Plan of Correction: The provider will complete the name and schedule of each assistant and or substitute provider in each child's record. Each parent will be given a completed copy. Documentation will be maintained in each child's record, dated and initialed by the child's parent.

Standard #: 22VAC40-111-680-B
Description: Based on direct observations, the caregiver did not ensure proper hand washing procedures for children, using liquid soap and warm running water, were followed after toileting or diapering procedures. Evidence: The LI observed a caregiver use a moist wipe to clean a child's hands after a diapering procedure.

Plan of Correction: After all diapering procedures, caregivers will ensure children's hands are washed at a sink using liquid soap and running water. Hand washing procedures will be reviewed with all caregivers.

Standard #: 22VAC40-111-690-D
Description: Based on direct observations, a caregiver failed to clean and sanitize the diapering surface after each use. Evidence: 1. The LI observed caregiver #3 during a diapering procedure. 2. Upon completion of the diapering procedure and placing the child down in the floor to play, the caregiver left the area to wash her hands. The caregiver returned, picked up an infant child and sat in the floor with the child. 3. The caregiver did not clean and sanitize the diapering surface. Upon interview, the caregiver reported that she would have cleaned/sanitized the changing surface prior to changing another child. The LI reviewed the diapering procedures with the caregiver. The caregiver cleaned and sanitized the diapering surface upon notice.

Plan of Correction: All caregivers will clean and sanitize the diapering surface after each use and prior to washing her hands.

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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