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Ms. Tammy Palmer
745 Union Valley Road
Riner, VA 24149
(540) 391-2509

Current Inspector: Angela Farmer (276) 608-2283

Inspection Date: June 12, 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
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:
Background check requirments were reviewed.

The inspector conducted an unannounced mandated inspection from 10:30 a.m. until 12:30. There were 5 children in care for a total of 12 points with one provider. Infants and children were observed napping, playing with dolls, watching a movie, washing hands , and eating lunch. The provider reports no medications are administered as she is not MAT trained. The infant was observed being held while given a bottle and having a diaper change. Areas of non-compliance are identified on the violation notice. Please contact your inspector at 276-698-9981 with any questions.

Standard #: 22VAC40-111-350-E
Description: Based on observation and measurement, hot water in the bathroom was above the required range. Evidence: 1. The inspector measured the temperature and it was 128 degrees.

Plan of Correction: Provider will get the water temp. adjusted to the required range.

Standard #: 22VAC40-111-500-C
Description: The inspector observed outdoor play equipment that did not meet the standard. Evidence: 1. The inspector observed a rock under each swing.

Plan of Correction: The provider will get the rocks up.

Standard #: 22VAC40-111-500-D
Description: Based on observation and measurement, the provider had equipment that did not meet the requirements. Evidence: 1. The inspector observed "S" hooks that were opened more than the thickness of a penny on the swings and teeter totter.

Plan of Correction: The provider will have the "s" hooks replaced.


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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