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Ms. Babita Rani
6731 Arbor Meadows Drive
Chester, VA 23831
(804) 768-9344

Current Inspector: Tara Barton (804) 662-9766

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
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
63.2 Child Abuse and Neglect
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.

Comments:
The licensing inspector conducted an unannounced monitoring inspection on 06/12/2018 from 10:11 a.m. to 1:15 p.m. The children were playing with toys, watching television, and infants were sleeping upon the inspector?s arrival. Today, there were five children, totaling 14 points, present with two caregivers. The caregivers were observed interacting with the children. Interviews were held with the caregivers throughout the inspection. Additionally, when appropriate the inspector interacted with children. The provider does not administer medication. The provider does not provide transportation. The provider does not have pets. Five children?s records, three caregiver/household member records and one household member's records were reviewed during the inspection. Last emergency drill: 05/29/2018 Last shelter-in-place drill: 05/29/2018 The violations from the previous inspections were checked for corrections. There was one repeat violation found during today?s inspection. Please complete the ?plan of correction? and ?date to be corrected? for each violation listed on the violation notice and return it to me within 5 business days from receipt. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only. If you have any questions about this inspection, please contact the licensing inspector, Kandra Brown, at (804) 662-9038.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on record review, the center did not ensure that one of five children?s records contained documentation of the child's physical examination prior to the child's attendance or within thirty days. Evidence: The record of child #5, enrolled 01/30/2018, had documentation of a physical examination dated by a physician on 04/09/2018.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-60-B
Description: Based on record review, the center did not ensure that five of five children's records contained all required information. Evidence: 1. Child #1's record did not contain the address and phone number of the parents? place of employment and completed documentation for the following: policies and procedures, emergency care authorization, and the medication policy. 2. Child #2's record did not contain the policy number of the child?s medical insurance, documentation of annual parent confirmation that the child?s record is up to date and written documentation of the parent?s annual review of the child?s emergency contact information. The last review and update was completed on 11/6/16. 3. Child #4's record did not contain the address and phone number of the parents? place of employment and completed documentation for the following: policies and procedures, emergency care authorization, and the medication policy. 4. Child #5's record did not contain completed documentation for the following: Information to parents, emergency care authorization, and the medication policy. 5. Child #3?s record did not contain written documentation of annual parent confirmation that the child?s record is up to date. The last review and update was completed on 8/31/16.

Plan of Correction: Will complete all records.

Standard #: 22VAC40-111-90-A
Description: Based on record review, the center did not ensure that one of five children?s records contained documentation that the child has been adequately immunized before the child's first day of attendance. Evidence: The record of child #5, enrolled 01/30/2018, had documentation of an immunization record dated by a physician on 04/09/2018.

Plan of Correction: We will get the immunization record upon enrollment from now on.

Standard #: 22VAC40-111-520-A
Description: Based on observation and an interview, the provider did not ensure that cribs were provided for children from birth through 12 months of age. Evidence: The provider had two cribs available for the two infants in care. The provider stated that child #1 sleeps in a crib regularly and child #5 (age: 6 months) does not sleep in a crib. The provider also stated that the parent of child #2 requested that their child not sleep in a crib. A provider must use a crib for a child less than 12 months of age.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-191-40-D-5-a
Description: Based on record review, the facility did not ensure that one of four household member's record contained documentation of a central registry check within 30 days of a person in the home becoming 14 years old. Evidence: Household member #4 turned 14 years old in September of 2017 and did not have a central registry check in the record.

Plan of Correction: Will complete/mail the form and send a copy to the inspector by Friday.

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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