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Ms. Jessica Richardson
102 Barbados Place
Stephens city, VA 22655
(540) 877-6954

Current Inspector: Beth Orebaugh (540) 847-9173

Inspection Date: March 5, 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
22VAC40-80 THE LICENSING PROCESS.
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 on March 5, 2019 between the hours of approximately 10:50 a.m. and 2:30 p.m. Eleven children were enrolled and eight children were in the care of two caregivers on this date; two residential children were also in care (25 points). Five children's records, three caregivers' records and one household member's record were reviewed and/or updated. No medications were on site/administered, as is the policy of this family day home. Facility documents, posted information and safety equipment (first aid kit, flashlight, radio and fire extinguisher) were observed/reviewed. Lunches were provided by the children's parents and snacks were provided by the program. Program observation was completed. Activities observed included: indoor play - toys; music; restroom, diapering and handwashing procedures; lunch; storytime; naptime and arrival of three children. Adult/child interactions, behavior guidance and daily routines/transitions were observed. The posted daily schedule and menu were consistent with the activities and snacks provided. Substantial compliance continues to be maintained; one exception to compliance was noted on the accompanying violation notice. Thank you for your time and assistance during today's inspection. Please contact me if you have questions concerning this inspection, the licensing standards and/or if I may be of assistance to you (540) 430-9262.

Violations:
Standard #: 22VAC40-111-180-A
Description: Based on review/update of three caregiver records and discussion with caregiver #1 on March 5, 2019, the program failed to obtain a current tuberculosis (TB) screening for one caregiver. Evidence: 1. Update of caregiver #3's record, on this date, determined that an updated TB exam/screening had not been obtained (date of original screening - 2/08/2017). 2. Caregiver #1 verified the date of the original TB screening.

Plan of Correction: An updated TB screening will be obtained.

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.

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