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Adelaide Nyamedi
15039 Coronet Place
Waterford, VA 20197
(540) 822-9446

Current Inspector: Mark Davis (804) 629-7103

Inspection Date: March 26, 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
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
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

Technical Assistance:
Discussion was held on the topics of current enrollment, current staffing, and a review of changes to background checks with regards to expiration dates, new fingerprint checks to be done through Fieldprint of Virginia & Office of Background Investigations (OBI), new sworn disclosure statements, and to obtain CPS checks from other states as listed from the past five years. The roll out for the new fingerprint checks occurred on January 22, 2018. All finger print checks for existing employees and board officers/household members must be started for each according to the established time table and then completed by September 30, 2018. New employees will not be allowed to start until an ?Eligibility Letter? is on file. If you did not receive your Facility ID number, your Field Print code numbers or you have not establish a point of contact, then please contact the Office of Background Investigations (OBI) at 1 (804) 726-7884. This renewal inspection will also modify the Family Day Home (FDH) license in order to reflect the change of address.

Comments:
The following inspection took place between the hours of 10 am through 1:30 pm. Today, I met with the Provider on site at the Family Day Home (FDH) located in near the town of Waterford, Virginia. At the start of this unannounced renewal inspection there were a total of 5 children (13 points) with 1 caregiver. A total of 5 children?s files, 2 staff files, and 2 household member?s files were reviewed. The children were engaged in the following: movie time, puzzles, snack time, bathroom break, diapering, hand washing, nap time, and other organized activities. If you should have any future questions, please call. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on review, 1 of 5 children's files reviewed indicated that the Provider did not obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence - 1. On the date of inspection (03/26/2018), documentation of a physical examination was not available for review for Child #3. 2. The start date listed for Child #3 was 08/28/2017. 3. Child #3 was in care on the date of inspection.

Plan of Correction: The Parent of Child #3 shall be contacted, the documentation shall be obtained, and placed on file.

Standard #: 22VAC40-111-60-A
Description: Based on review and interview, 1 of 5 children who were in care today at the Family Day Home (FDH), did not have a child's record. Evidence - 1. On the date of inspection (03/26/2018), a completed, up-to-date child's record was unavailable for review for Child #5. 2. The Parent of Child #5 stated (during a phone interview conducted on the date of inspection) that immunization records were given to the FDH when the child started in October 2017. The Provider stated that the rest of the forms were given to the Parent of Child #5 last week to complete.

Plan of Correction: A complete and up-to-date record shall be on file at the FDH for all children including Child #5.

Standard #: 22VAC40-111-60-B
Description: Based on review and interview, 3 of 5 children's files reviewed indicated that not all of the required information/documentation was on file for each child. Evidence - 1. On the date of inspection (03/26/2018), the following information/documentation was not available for review: a. Completed information for two emergency contacts - Both Child #2, and Child #4 had only one emergency contact listed without the contact's address. b. Allergy & Action to be taken: The action to be taken for the listed allergy for Child #4 was not documented. Allergy & Action was not completed for Child #2. c. Start Dates - The start dates for Child #2, and Child #4 was not listed. The Provider stated (during an interview conducted on the date of inspection that both children started about two weeks ago. d. Authorization for emergency care was not completed for Child #2, and Child #4. e. The Provision for the FDH Emergency Preparedness and Response Plan form (EP&RP) for both Child #2, and Child #4 was not available for review.

Plan of Correction: All missing information/documentation shall be obtained and completed for all children. This information/documentation shall be placed on file.

Standard #: 22VAC40-111-140-B-3
Description: Based on review, 0 of 2 staff files reviewed indicated that a current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, was not available for review. Evidence - 1. On the date of inspection (03/26/2018), neither Staff #1 nor Staff #2 were currently certified in CPR. 2. The most current CPR certification on file expired on 8/15/2017 and was held by Staff #1.

Plan of Correction: A current CPR course shall be scheduled and certification shall be obtained.

Standard #: 22VAC40-111-140-B-4
Description: Based on review, 0 of 2 staff files reviewed indicated that a current certification in First Aid was not available for review. Evidence - 1. On the date of inspection (03/26/2018), neither Staff #1 nor Staff #2 were currently certified in First Aid. 2. The most current First Aid certification on file expired on 8/15/2017 and was held by Staff #1.

Plan of Correction: A current First Aid course shall be scheduled and certification shall be obtained.

Standard #: 22VAC40-111-200-A
Description: Based on review and interview, the Provider does not have the documentation of the orientation training on file for Staff #2. Evidence - 1. On the date of inspection (03/26/2018), documentation of the orientation training for Staff #2 was not available for review. 2. The Provider stated (during an interview conducted on the date of inspection) that this documentation has not yet been completed for Staff #2. 3. This same standard, for the same staff person, was cited previously during an inspection conducted on 09/08/2017.

Plan of Correction: Documentation of an orientation training for Staff #2 shall be completed and placed on file.

Standard #: 22VAC40-191-60-C-2
Description: Based on review and interview, 1 of 2 staff files reviewed indicated that the Family Day Home (FDH) does not have a central registry finding (CPS) within 30 days of employment. Evidence - 1. On the date of inspection (03/26/2018), an original CPS check for Staff #2 was not available for review. 2. Staff #1 stated (during an interview conducted on the date of inspection) that Staff #2's original request on the central registry was returned due to a financial issue. Staff #1 also stated that she has neglected to follow up on this background check. 3. During the previous inspection on 09/08/2017, Staff #1 had stated that the request was in the mail. The start date listed for Staff #2, based on the information on file, was 08/22/2017.

Plan of Correction: A request for a search of the central registry shall be submitted for Staff #2 within the next 10 days. Proof that this request was sent shall be sent to our Licensing Inspector (LI). Once the results have been returned, our LI shall be contacted in order to review this documentation. The documentation shall then be placed on file at the family day home. In the meantime, continued employment for Staff #2 shall be denied, until this documentation has been obtained and is on file at the FDH.

Standard #: 63.2-1809.1-A
Description: Based on review, 2 of 5 children's files reviewed indicated that a signed, acknowledged written notice of liability was not of file and completed for all children. Evidence - 1. On the date of inspection (03/26/2018), signed written notices of liability were not available for Child #2, and Child #4. 2. The form was observed "blank" in their file on the date of inspection.

Plan of Correction: This form shall be completed by the Parent of Child #2, and Child #4.

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. To find programs participating in Virginia Quality, click here.

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