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Jami Williams
12332 Osprey Lane
Culpeper, VA 22701
(540) 710-4867

Current Inspector: Maureen Gallagher-McLeod (540) 430-9259

Inspection Date: Aug. 6, 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 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:
We discussed the requirements for caregiver records. Also, we talked about annual training, annual review of the emergency plan, and annual updates for children's emergency contact information.

Thank you for your assistance during today's unannounced renewal inspection conducted from 11:20 AM to 3:10 PM. Today, there were twelve children, ages infancy through five years (thirty-one points), with three caregivers. I viewed daily routines, infant feedings, nutrition, menu, activities, diapering procedures, equipment, posted information, staffing, supervision, interactions with children, emergency procedures, emergency supplies and drill record, four records for caregivers/residents, caregiver training, caregiver qualifications, five records for children, indoor and outdoor areas. The children were provided individual attention for care and comfort. There was adequate age appropriate equipment available for the children present. The caregivers were seen providing frequent interactions with children. Issuance of the renewed license will be recommended. Let me know if you have any questions. 540/430-9259

Standard #: 22VAC40-111-120-B
Description: Based on a review of four records for caregivers/residents, and interviews with caregivers, there was required information missing from the record of caregiver 4. (Repeat violation.) Evidence: There was only one written reference in the file. The caregivers indicated that they obtained another reference after the last inspection and it could not be located.

Plan of Correction: The provider will obtain a second reference documented on the reference form and place it with the records of caregiver 4. The provider will make sure all required information is maintained in the files.


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.