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Ms. Ashley Simons Crouch
91 Bellwood Drive
Lynchburg, VA 24501
(434) 382-7628

Current Inspector: Victoria E Dawson (540) 309-2674

Inspection Date: June 4, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
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
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Licensure and Registration Procedures

Comments:
An unannounced monitoring inspection was completed on 6/4/19. There were 11 children present from eight months through four years with the provider and two assistant caregivers supervising. The point total was 29. Five children's records, one newly hired assistant caregiver's record, and the provider's record were reviewed. The inspector arrived at the provider's home at 11:30 am and departed at 1:30 pm. The children were observe during outside water play time, during inside free play, during lunch, and during nap.

Violations:
Standard #: 22VAC40-111-90-A
Description: Based on record review, the provider failed to ensure that before a child attends the family day home that the provider obtains documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Evidence: 1. The immunization record for child #4 was dated 12/4/18 by the physician's designee. The documented first date of attendance for child #4 was 12/3/18.

Plan of Correction: The provider will make sure the first date of attendance is the actual date that the child starts and that the child does not start attending prior to obtaining the immunization records.

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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