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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: Nov. 9, 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
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Comments:
The inspector completed an unannounced inspection from 11:10 a.m. until 1:50. There were 7 children in care for a total of 21 points. Children were observed napping, being fed, eating lunch, having a diaper change, playing toys, watching a video, and being read to. Five children's records were reviewed and four household record were reviewed. There was a repeat violation. Please contact your inspector at 276-698-9981 for any questions.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: 1. The inspector reviewed five children's records. One of five records (#2) did not contain a physical examination and the the child had been enrolled longer than 30 days.

Plan of Correction: The provider will get the paperwork form the parents.

Standard #: 22VAC40-111-90-A
Description: Based on record review, the provider did not obtain documentation that the child had been adequately immunized before a child started attending the family day home. Evidence: 1. The inspector reviewed five children's records. One of five records (#2) did not a copy of immunizations in the record. The child was enrolled 7/1/2018.

Plan of Correction: The provider will ask the parents again for the paperwork.

Standard #: 22VAC40-111-170-A
Description: Based on record review, the provider did not obtain from each caregiver a current report of tuberculosis screening. Evidence: 1. The inspector reviewed four caregivers records. One of four records did not contain a Tb screening.

Plan of Correction: Provider will get a copy of the TB screening from the college where her daughter is in nursing school.

Standard #: 22VAC40-111-180-A
Description: Based on record review, the provider failed to obtain for each caregiver and adult household member a current report of TB screening form every 2 years from the date of the first screening. Evidence: 1. The inspector reviewed four household members records. Three of four records did not contain repeat TB test within 2 years of the first screening. Record #1, #2, and #3 has screenings completed on 9/23/16.

Plan of Correction: The provider stated appointments would be made.

Standard #: 22VAC40-111-320-G
Description: Based on record review and interview, documentation of the inspection and cleaning of a wood burning stove was last completed 9/27/2018.

Plan of Correction: The provider will get the fireplace inspected.

Standard #: 22VAC40-111-330-A
Description: Based on interview, the provider does not have a working landline. Evidence: 1. The provider stated they do not have a working landline.

Plan of Correction: The provider will discuss options about a land line.

Standard #: 22VAC40-111-520-C
Description: Based on observation, the provider did not meet the U.S. Consumer product safety Commission standards. Evidence: 1. The inspector observed a crib and it had the manufacture date of May 2011. Cribs must be manufactured after July 1 2011.

Plan of Correction: Provider will get rid of the crib and get a new one.

Standard #: 22VAC40-111-570-A
Description: The provider failed to ensure that a caregiver did not exceed 16 points. Evidence: 1. The inspector observed that at1:10 p.m. the assistant left the house leaving one caregiver with 21 points.

Plan of Correction: The caregiver's assistant was called and will be home within the hour. The provider's emergency contact lived next door in case of an emergency.

Standard #: 22VAC40-111-690-D
Description: Based on observation, the diapering surface has a tear in it. Evidence: 1. The inspector observed a tear in the diapering surface.

Plan of Correction: The provider will buy a new diapering pad.

Standard #: 22VAC40-191-40-D-4-a
Description: Based on record review, the provider did not have criminal history record check for persons living in the home. Evidence: 1. The inspector reviewed four household record member records. Two of four did not have fingerprint checks in the file.

Plan of Correction: The provider stated that she and spouse had gotten their fingerprints completed the same day but only hers was returned. Other household member will get their fingerprints completed.

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. To find programs participating in Virginia Quality, click here.

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