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Mrs April Caudle
5629 Cove Road
Roanoke, VA 24019
(540) 397-2274

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: Jan. 16, 2019

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.
22VAC40-80 SANCTIONS.
22VAC40-80 HEARINGS PROCEDURES.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Technical Assistance:
A discussion was held between the Provider and Licensing Inspector, information was requested regarding the annual inspection of wood burning stoves, fireplaces and associated chimneys. Documentation of the current inspection was reviewed by the LI. If the fireplace is made inoperable through permanently sealing it, the fireplace does not need to be inspected.

Comments:
An unannounced Renewal inspection was conducted in the Family Day Home on January 16, 2019. Upon arrival in the FDH at 11:00AM, the LI observed 5 children in the care of the Provider and her Assistant. Based on the children's ages, 21 months to 5 years-old, the points totaled 10. As reported, 7 children are currently enrolled and attending. At the time of the inspection, the children were observed during free play and the lunch meal. The children appeared to have enjoyed their lunch meal prepared by the Provider. The children napped after lunch. Each caregiver was observed interacting with the children. A sample of 6 children's records was reviewed. Records/information for three caregivers' and 4 household members was also reviewed. Documentation of the practiced emergency drills was observed. Topical ointments/creams were observed in the FDH. A discussion was held with the Provider regarding the storage of topical creams to ensure they are not accessible to children in care. The Provider reported that medications are not administered as defined in the written medication policies. A discussion was held with the Provider regarding the posted emergency numbers. As reported, the Provider will post a new copy of the numbers on the message board so that the information is clear and legible. The Provider reported that she has applied as a Subsidy Vendor and is waiting on approval. The LI reviewed several subsidy requirements with the Provider, the Provider reported that she has reviewed the information on line. Findings of the inspection were reviewed at exit. The inspection concluded at approximately 2:30PM. If you have any questions, please call this LI (540)309-2310 or e-mail: elaine.moore@dss.virginia.gov Thank you for your assistance during the inspection.

Violations:
Standard #: 22VAC40-111-750-D
Description: Based on direct observations by the Licensing Inspector, the Provider failed to ensure the following requirements were met when topical skin products such as sunscreen, diaper ointment and lotions are used: 750.D. The product shall not be used beyond the expiration date of the product. Evidence: 1. The LI observed multiple topical ointments and lotion on a shelf above the diaper changing table. One of the Products had an expiration date of 11/2013. 2. Upon notice, the Provider discarded the lotion in the trash can.

Plan of Correction: The Provider will check all topical skin products on-going to ensure dates are current.

Standard #: 22VAC40-111-120-B
Description: Based on documentation reviewed in the records of the assistant and the substitute provider, the Provider failed to ensure the following information was maintained in the record of caregiver #1: address; verification of age (id); date of employment or volunteering; name, address and telephone number of a person to be notified in an emergency. Evidence: Information as required by this standard was not available for review for caregiver #1.

Plan of Correction: The Provider will have information completed by the caregiver.

Standard #: 22VAC40-111-30-F
Description: The Provider shall be responsible for the home's day-to-day operation; 30.H. The Provider failed to meet the requirements specified in 22VAC 40-80, General Procedures and Information for Licensure. Evidence: Based on direct observations and Provider interview, the findings of the most recent inspection of the facility (05/22/2018) was not posted in the FDH.

Plan of Correction: The Provider will ensure the current inspection report is posted on the board with the license at the entrance of the child care area.

Standard #: 22VAC40-111-60-B
Description: Based on a sample review of children's records, the Provider failed to ensure the following required information was maintained in each child's record: the child's first date of attendance; documentation of the child's proof of birth/identity; written authorization by the parent for emergency medical treatment, information on allergies and actions to take in an emergency; identify any chronic physical problems and developmental information and any special accommodations needed. Evidence: Information was not complete in one of 6 reviewed records, the record of child #6 lacked complete documentation.

Plan of Correction: The Provider will request the parent to review and complete the information and sign the form.

Standard #: 22VAC40-111-350-E
Description: Based on inspection, the Provider failed to ensure hot water at taps available to children was maintained within a range of 105 to 120 degrees F. Evidence: The LI tested the water temperature at the sink in the kitchen area with a thermometer; the hot water temperature measured130 degrees F. after running several seconds.

Plan of Correction: The Provider will lower the temperature setting on the water heater or will research and add a device to the sink to control water flow/temperature.

Standard #: 22VAC40-111-680-A
Description: Based on direct observations, a Caregiver failed to wash her hands with liquid soap and warm running water after contact with any body fluids (A.5). Evidence: The LI observed caregiver #1 use tissues to wipe runny noses of two children; the caregiver did not wash her hands immediately after assisting either child.

Plan of Correction: All caregivers will review hand washing requirements and will follow hand washing procedures.

Standard #: 22VAC40-191-40-D-5-a
Description: Based on interview, the Provider failed to obtain a child protective services central registry check within 30 days of a 14-year old beginning to reside in the home or a person in the home becoming 14 years old. Evidence: As reported by the Provider, a request for a CPS search of the central registry has not been submitted for household member #2. Documentation of the background check was not available for review, the individual will be 15 years old in 02/2019.

Plan of Correction: The Provider will submit the completed form to request a CPS central registry check, documentation will be maintained in the FDH.

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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