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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: Oct. 16, 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 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.

Comments:
The licensing inspector conducted an unannounced monitoring inspection on 10/16/2018 from 9:34am to 1:28pm. The children were playing with toys, watching television, and most of the children were sleeping upon the inspector?s arrival. Today, there were five children, totaling 16 points, present with two caregivers. 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 record was reviewed during the inspection. Last emergency drill: 09/18/2018 Last shelter-in-place drill: 09/18/2018 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 at (804) 662-9038.

Violations:
Standard #: 22VAC40-111-320-B
Description: Based on observation, the provider did not ensure that child-resistant protective covers were installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: There were two uncovered surge protector outlets located on the floor within the reach of children. There was an uncovered outlet located next to a crib within the reach of children.

Plan of Correction: Corrected 10-18-2018

Standard #: 22VAC40-111-600-B
Description: Based on observation, the provider did not ensure that infants and toddlers spend no more than 30 minutes of consecutive time during waking hours, in a confining piece of equipment. The intervening time period between confinements shall be at least one hour. Evidence: The inspector observed two children in an infant/toddler rocking chair for longer that 30 minutes while awake, on two separate occasions.

Plan of Correction: Will make sure children are playing on the floor more.

Standard #: 22VAC40-111-680-A
Description: Based on observation and an interview, the caregiver did not wash their hands with liquid soap and warm running water after diapering. Evidence: The inspector observed the provider diapering four children consecutively without washing hands with liquid soap and warm running water. The provider informed the inspector that they used a wipe to clean their hands.

Plan of Correction: Will make sure to wash hands with every child.

Standard #: 22VAC40-111-680-B
Description: Based on observation, the caregiver did not ensure that children's hands were washed with liquid soap and warm running water after diapering and before eating. Evidence: The inspector observed the caregiver diaper four children and did not wash their hands after diapering. The caregiver did not wash the children's hands before eating.

Plan of Correction: Will make sure to wash children's hands after diapering and before eating.

Standard #: 22VAC40-111-690-D
Description: Based on observations and an interview, the provider did not ensure that the diapering surface was cleaned and sanitized after each use. Evidence: The inspector observed the provider diaper four children consecutively without cleaning and sanitizing the diapering surface after each diaper change. The provider informed the inspector that the diapering surface is sanitized each morning.

Plan of Correction: Corrected 10-18-18

Standard #: 22VAC40-191-40-D-5-a
Description: Based on record review, the provider did not ensure to obtain documentation of a central registry check for all household members age 14 years or older. Evidence: The record of household member #4 did not contain documentation of a central registry check.

Plan of Correction: Corrected during the inspection.

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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