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Ms. Arlene Simmons
1926 Governor Drive
Roanoke, VA 24019
(540) 562-0596

Current Inspector: Jensen Mellnick (540) 309-2051

Inspection Date: Jan. 29, 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.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Comments:
An unannounced monitoring inspection was conducted in the Family Day Home on January 29, 2019. There were 12 children in care during the inspection. Based on the ages of the children in care, 17 months to 5 years, the points totaled 24. The Provider and two assistants were present with the children. The Licensing Inspector observed the children during their lunch meal, free play and nap time. The children reported that they were learning about the letter M and were eager to recite words that begin with "M". Crafts that were completed by the children were observed in the child care area. The FDH was clean and orderly, a variety of age appropriate materials and toys were available to the children. A discussion was held with the Provider regarding ages and stages of child development. Allowing a child to do for himself the things he is capable of doing, such as feeding himself, promotes independence. Meal times provide opportunities for children to exercise initiative and develop independence in accordance with their ages. Eating utensils and finger foods assist young children in fine motor skill development which helps the child master eating tasks. Findings of the inspection were reviewed with the Provider at exit. If you have any questions, please call (540)309-2310 or e-mail elaine.moore@dss.virginia.gov Thank you for your assistance during the inspection. The inspection was conducted in the home from approximately 11:40AM to 2:45PM.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on a sample 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: Documentation of a physical examination was not available for review in one of 5 records; child #5 has been enrolled in the FDH over 30 days.

Plan of Correction: The Provider notified the child's parent at the time of the inspection and requested a copy of the child's physical examination, documentation will be retained in the child's record.

Standard #: 22VAC40-111-150-D-1
Description: Based on direct observations, the Provider failed to ensure when an assistant was left with the children that assistant held current certification in cardiopulmonary resuscitation (CPR). Evidence: Upon arrival to the home at approximately 11:40AM, the LI observed the children in care of the two assistants. As reported, the Provider had run an errand for supplies for the FDH. The Provider arrived back to the home within several minutes of the LI's arrival with the supplies. The CPR certification for Assistant 1 expired in 06/18. The Provider reported that training is scheduled to be completed in March, 2019.

Plan of Correction: A training has been scheduled for all three caregivers.

Standard #: 22VAC40-111-150-D-2
Description: Based on direct observations, the Provider failed to ensure an assistant left alone with the children had current certification in first aid. Evidence: 1. Upon arrival to the home at approximately 11:40AM, the LI observed the children in care of the two assistants. As reported, the Provider had run an errand for supplies for the FDH. The Provider arrived back to the home within several minutes of the LI's arrival with the supplies. 2. The assistant's first aid certification expired in 06/18. The Provider reported that training is scheduled to be completed in March, 2019.

Plan of Correction: A training has been scheduled for all three caregivers.

Standard #: 22VAC40-111-510-C
Description: Based on direct observations, the Provider failed to ensure children's cots at nap time were positioned on the floor so that at least 12 inches of space from each other was provided. Evidence: The LI observed the children sleeping on cots in the open child care area and in the enclosed adjoining area. The arrangement/placement of the cots was not at least 12 inches from each other. The children were sleeping on their cots, alternating head and feet position on the cot.

Plan of Correction: The caregivers will ensure the cots are placed so that at least 12 inches of space is provided from each cot.

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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