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Ms. Sarah Sheets
787 Fincastle Turnpike
Tazewell, VA 24651
(276) 970-4705

Current Inspector: Shirl M. Spencer (276) 608-3758

Inspection Date: April 10, 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
22VAC40-191 Background Checks for Child Welfare Agencies

The licensing inspector conducted an unannounced renewal inspection from 9:45am - 12:30pm. There were six children in care (one residential) for a total of twenty two points with two caregivers. The children were observed playing with the available toys, watching cartoons and during lunch. Two caregiver's records, one household member's record and eight children's records were reviewed. Violations from the previous inspection were also reviewed and two were repeated. Areas of non-compliance are identified on the violation notice. The outside play equipment is currently not being used by the children in care and will not be used until additional mulch is added at the base of the slide and under the swings and the peeling paint is removed from the wooden structure. If you have any questions, please contact your licensing inspector at (276) 608-3758. Thank you for your cooperation.

Standard #: 22VAC40-111-60-A
Description: Based on record reviews, the provider failed to obtain all required information for the children's records. Evidence: 1. The inspector reviewed eight children's records. Three of eight records reviewed (children's records #6, #7 and #8) did not contain names or policy numbers for their medical insurance, did not contain two emergency contacts, did not list who could pick up the child and did not address any allergies or chronic health problems.

Plan of Correction: The parents of the children have been provided the forms to complete to provide this information, but to date have not returned the completed forms. The provider will ask the children's parents to provide this information at pick up time today.

Standard #: 22VAC40-111-70-A
Description: Based on record reviews, the provider failed to obtain signed acknowledgements of the family day home's policies. Evidence: 1. The inspector reviewed eight children's records. Three of eight records reviewed (children's records #6, #7 and #8) did not contain signed acknowledgements for the child's emergency medical authorization, the family day home's policy for administration of medication, the liability insurance declaration and the provisions of the family day home's emergency preparedness and response plan.

Plan of Correction: The provider has given the family day home's policies and additional information to the children's parents; however, the parents have not returned the signed documents. The provider will request this information from the children's parents at pick up time today.


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.