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Mrs. Barbara Staples
9 Briar Hill Drive
Fieldale, VA 24089
(276) 629-6035

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Sept. 20, 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.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure

Technical Assistance:
The Sworn Statement form was revised in May, 2017 to include the identification of residency outside of Virginia in the past 5 years.

Comments:
An unannounced inspection was conducted in the Family Day Home on September 20, 2018. Upon arrival in the FDH at approximately 12:40PM, the LI observed the Provider and a household member present. There were two children in care. After school, a child was transported to the FDH by the school bus for afternoon care. The ages of the children ranged from 2 to 6 years, the points totaled five. Reportedly, five children are currently enrolled. The children were observed during nap, free play, hand washing, afternoon snack and dismissal. The LI reviewed five children's records. Also reviewed were records of the caregivers and a household member, documentation of practiced emergency drills, posted emergency numbers, and the first aid kit. As reported, the FDH does not administer medications. The findings were reviewed at exit at appromiately 3:30pm. If you have any questions, please call (540)309-2310. Thank you.

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on documentation reviewed in children's records, the Provider failed to obtain the parent's signed acknowledgment of an annual review to ensure information is correct. One of five records had not been updated at least annually. Evidence: Documentation signed by the parent was not available for review for child 2 to verify that an annual review of the emergency contact information was conducted to ensure the information is correct.

Plan of Correction: The Provider will review the information with the child's parent and will request that the parent complete an updated registration form for the child.

Standard #: 22VAC40-111-100-A
Description: Based on a review of children's records, the Provider failed to obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: One of five records reviewed did not contain documentation of a completed physical examination. Documentation of a physical examination for child #1 was not available for review, the child has been enrolled in the Family Day Home over 90 days.

Plan of Correction: The Provider will inform the responsible person and will request a copy of the current physical, the document will be filed in the child's record.

Standard #: 22VAC40-111-60-B
Description: Based on review of a sample of 5 children's records, the Provider failed to obtain a copy of documentation to verify legal custody of an enrolled child. Evidence: Documentation was not available for review to verify custody of child 1 whom was enrolled by someone other than the biological parent.

Plan of Correction: The Provider will request documentation from the child's guardian. Documentation will be maintained in the child's record.

Standard #: 22VAC40-111-180-A
Description: Based on reviewed documentation, the Provider did not obtain documentation of a current report of tuberculosis screening, every two years from the date of the first screening, in one of four reviewed records. Evidence: The available documentation of the TB screening for Assistant 2 was not current, the screening was dated 02/29/2016.

Plan of Correction: The Provider will obtain documentation of a current TB screening from Assistant 2.

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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