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Mrs April Caudle
5629 Cove Road
Roanoke, VA 24019
(540) 397-2274

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: May 22, 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
22VAC40-111 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:
The schedule for current individuals is based on the results date from your last completed name based criminal history. Fingerprint Background Checks must be completed for all current staff and household members according to the following schedule: July ? December 2016 completed by June 1, 2018 January ? June 2017 completed by July 1, 2018 July ? December 2017 completed by August 1, 2018 January 2018 completed by September 1, 2018 Establish a separate file for each staff and household member

Comments:
The Licensing Inspector for the Family Day Home of April Caudle, conducted an unannounced Monitor Inspection on May 22, 2018. There were six (6) children present under the direct care and guidance of three (3) caregivers. Children present were of various ages from 14 months - 5 years old; adult-to-child ratios were met. Children & Staff/Household records were reviewed. Provider continues to participate in the USDA Child Care Food Program, does not provide transportation and does not administer medication. An exit interview including review of the Risk Assessment & areas of non compliance found during today?s inspection were reviewed with the Provider on May 22, 2018. Inspection concluded at 1:40 PM.

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on record review, the Licensee failed to have required information in each child record. EVIDENCE: Licensing Inspector reviewed five (5) children records. Record for Child #1 did not include the date of enrollment (1st day of attendance), documentation of the child's proof of birth/identity & emergency medical authorization signed by the child's parent. Record for child #5 did not include the complete address of two designated persons to contact in case of an emergency if the parent cannot be reached and the policy number of the child's medical insurance.

Plan of Correction: Will request documentation/information/signatures from the parent's of each child.

Standard #: 22VAC40-111-320-G
Description: Based on inspection & discussion with the Provider, the Licensee failed to have fireplace and associated chimneys inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. EVIDENCE: Fireplace and associated chimney locate on the ground floor has not been inspected annually. Most recent inspection completed on 10/30/2014.

Plan of Correction: Provider will have fireplace and chimney inspected.

Standard #: 22VAC40-111-350-E
Description: Based on inspection, the Provider failed to maintain hot water temperature in faucets used by the children in care at or below 120 degrees F. EVIDENCE: The hot water temperature in bathroom sink used by the children in care registered 135 degrees F.

Plan of Correction: Provider will reduce hot water temperature.

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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