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Daniella Holmes
286 Hilltop Drive
Orange, VA 22960
(540) 229-9981

Current Inspector: Diann S. Reed (540) 280-0742

Inspection Date: Feb. 28, 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 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
A supplemental page was provided.

Comments:
Thank you for your time and assistance with the unannounced monitoring inspection conducted today, February 28, 2019. The on-site inspection was from 11:25 p.m. to 2:45 p.m. On this date, at the time of arrival, there were nine children in the care of two providers (21 points). There were a total of 11 children enrolled in the program. The exceptions to compliance were noted on the violation notice and the risk ratings were noted on the supplemental page. The records of nine children were reviewed. There was no medication being administered, which is the policy of the provider. The Letter of the Week was D,d and the children had enjoyed making a "D" art project. The records for the provider, an assistant and one household member were reviewed. Some items reviewed/observed included: required posted information, first aid kit, emergency supplies, documentation of evacuation and shelter-in-place drills, warm water temperature, temperature of the fridge and freezer, lunch, hand washing procedures, infant feeding, diaper changing procedures, choice time, a matching game, time with books, nap time and dismissal procedures. Please contact your licensing inspector, Diann Reed, if you have questions concerning this inspection, the licensing standards, and/or if I may be of assistance to you (540) 280-0742.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on the review of nine children's records and discussion with the provider, the record for one child did not contain documentation that the child had received a physical examination. Evidence: 1. The record of Child B did not contain a physical exam report. The first date of attendance for Child B was 01/02/2019.

Plan of Correction: The provider now understands that documentation that a child has had a physical examination must be obtained either prior to a child's attendance or within 30 days after the first day of attendance.

Standard #: 22VAC40-111-60-B
Description: Based on review of nine children's records and confirmation from the provider, the required enrollment information for five children was obtained after the children's first date of attendance. The parent's signed acknowledgement of the receipt of the required written provider information for four children was received after the children's first date of attendance. Evidence: 1. The required enrollment information for Child A was completed and signed by the parent on 02/11/2019, for Child B was 01/03/2019, for Child C was 01/09/2019, for Child E was 01/10/2019, and for Child H was 01/08/2019. The first date of attendance for all five children was 01/02/2019. 2. The parent of Child A signed the five required documents acknowledging that she had received the required provider information on 01/08/2019, 01/08/2019, 01/08/2019, 02/01/2019, and 02/11/2019. First date of attendance for Child A was 01/02/2019. 3. The parent of Child B signed the five required documents acknowledging that she had received the required provider information on 01/03/2019, 01/03/2019, 01/03/2019, 01/09/2019, and 02/01/2019. First date of attendance for Child B was 01/02/2019. 4. The parent of Child C signed the five required documents acknowledging that she had received the required provider information on 01/09/2019. First date of attendance for Child C was 01/02/2019. 5. The parent of Child E signed the five required documents acknowledging that she had received the required provider information on 01/06/2019, 01/07/2019, 01/07/2019, 01/09/2019, and 02/01/2019. First date of attendance for Child E was 01/02/2019.

Plan of Correction: The provider now understands that all enrollment information must be completed by the parent before a child can attend the center. She understands that all information she is to provide the parent must be signed off on by the parent before a child can attend the center.

Standard #: 22VAC40-111-90-A
Description: Based on the review of nine children's records and discussion with the provider, the records of three children did not contain documentation that the children had been adequately immunized for their age before attending the family day home. Evidence: 1. The record of Child C contained an immunization record dated 02/14/2019. The first date of attendance for Child C was 01/02/2019. 2. The record of Child E contained an immunization record dated 01/08/2019. The first date of attendance for Child D was 01/02/2019. 3. The record of Child F contained an immunization record dated 02/07/2019. The first date of attendance for Child F was 02/06/2019.

Plan of Correction: The provider now understands that documentation of a child's immunization record and a physician's signature stating the child is adequately immunized must be obtained before a child first date of attendance.

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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