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Mrs. Barbara Staples
9 Briar Hill Drive
Fieldale, VA 24089
(276) 629-6035

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: April 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.
22VAC40-191 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 April 16, 2019. During the inspection, a total of six children were in the care of a substitute provider. Four of the six children are enrolled in the FDH. Based on the ages of children in care, 19 months to 4 years, the points totaled 12 points. A school-age child arrived by bus after school. As reported, six children are currently enrolled in care. The children were observed during free play with blocks and play-doh. The children were served an afternoon snack. A discussion was held with the caregiver regarding the 3 hour subsidy-training requirement to be completed by 03/01/2020. The notice will be forwarded to your e-mail as requested. A discussion was also held regarding the license process and phase II training, dates of upcoming scheduled training were provided. A sample of five children's records was reviewed. The record of the substitute provider was also reviewed. Documentation of the practiced emergency drills was reviewed Findings were reviewed with the substitute provider at exit. If you have any questions, please contact this Licensing Inspector at (540)309-2310 or via e-mail: elaine.moore@dss.virginia.gov. Thank you.

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on a sample review of children's records, the Provider failed to obtain the parent' signed acknowledgment of an annual review of the emergency contact information required in 22VAC40-111-60.B.2. to ensure the information is correct. Evidence: Documentation reviewed in the records of children 4 and 5 did not indicate an annual review of emergency contacts was completed with the parent. The record of child 4 was signed and dated 9/18/17; the record of child 5 was signed and dated 1/25/18.

Plan of Correction: Children's records will be reviewed with each parent to ensure information is correct, signed acknowledgment will be retained in each record.

Standard #: 22VAC40-111-60-B
Description: Based on a sample review of children's records, the Licensee failed to ensure the following information was complete in each child's record: (B2.) emergency contact information including: name, address and telephone of two designated persons to contact in case of a emergency if the parent cannot be reached; Evidence: Three of five reviewed records, children #1, #2 and #3, the emergency contact information was not complete to include full addresses.

Plan of Correction: A parent of each child will be requested to review their child's record and complete emergency information.

Standard #: 22VAC40-111-70-A
Description: Based on a sample review of children's records, the Provider failed to provide information as required by 70.A.1. - 19. in writing before the child's first day of attendance. Evidence: Two of five reviewed records (children 2 and 3) did not contain a signature to verify information was provided to the parent or the model form "information for Parents" reviewed in one of the two records was not completed in its entirety. The following was not complete for child #3: 1.) Operating information including the hours and days of operation, holidays or other times closed, and the telephone number where a message can be left for a caregiver; 15.) amount of time per week that an adult assistant or substitute provider instead of the provider is scheduled to care for the child and the name of the adult assistant or substitute provider; and 18.) policies for termination of care.

Plan of Correction: Complete information will be provided to each parent, signed acknowledgement will be retained in each record.

Standard #: 22VAC40-111-140-D
Description: Based on interview with the substitute provider, documentation of the time of arrivals and departures that the substitute provider had worked each day in the absence of the Provider was not available for review. The substitute provider was present on the date of the inspection with a total of six children in care, four of the six children are enrolled in the Family Day Home. There were 5 children present at the same time.

Plan of Correction: The substitute provider will record the time of arrivals and departures for each day worked whenever the Provider is not present 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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