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Adelaide Nyamedi
15039 Coronet Place
Waterford, VA 20197
(540) 822-9446

Current Inspector: Mark Davis (804) 629-7103

Inspection Date: Aug. 26, 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 Nutrition
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Discussion was held regarding 4 cribs with a manufacturer's date of 03/2011 that were confirmed to be in compliance.

Comments:
An unannounced renewal visit was conducted today between the hours of 2:00pm and 4:30pm. There were 10 children (29 points) supervised by 2 staff. A sample of 10 children's files and 2 staff files were reviewed. The children were engaged in the following: toy play, singing, movie time, snack, bottle feeding, diapering and engaged with staff. Interactions between the children sand staff were positive. The physical space, records and equipment were reviewed. 6 cribs were inspected and found to be in compliance. Areas of non-compliance are identified in the violation notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at maria.robles-lopez@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-750-A
Description: Based on record review, 2 out of 10 children's files did not have written parent's authorization for the application of non-prescription topical skin products. Evidence: Child #1 and #3's record did not have a signed authorization form available.

Plan of Correction: I will ask the parents for the missing information.

Standard #: 22VAC40-111-920
Description: Based on observation and interview, a menu for the current one-week period was not provided to parents. Evidence: 1) The menu for the current week was not available for review. 2) Menu for the previous week was not available for review.

Plan of Correction: We will put it up today.

Standard #: 22VAC40-111-960-E
Description: Based on observation and interview, bottles were not labeled with the children's full name and date, when more than one infant is in care. Evidence: In the date of inspection, 3 infants were in care in the FDH. In the kitchen area, bottles were not labeled nor dated for 0 out of the 3 infants under care.

Plan of Correction: We are going to start labeling now everyday.

Standard #: 22VAC40-111-60-B
Description: Based on record review, 3 out of 10 children's records were incomplete. Evidence: 1) Child #1 did not contain addresses for 2 emergency contacts and parent's signed acknowledgement of the day home's policies and procedures. 2) Child #2 did not contain address for 1 emergency contact, insurance policy number and parent's signed acknowledgement of the day home's policies and procedures. 3) Child #3 did not contain addresses for 2 emergency contacts and parent's signed acknowledgement of the day home's policies and procedures.

Plan of Correction: I will ask the parents for the missing information.

Standard #: 22VAC40-111-70-A
Description: Based on record review, 3 out of 10 children's files did not have documentation that parents were provided with required information before the first day of attendance. Evidence: 1) Child #1, #2 and #3's records did not include a copy of liability insurance form signed by the parents. 2) Child #2, #3 and #4's records did not include a copy of the FDH's policy for medication administration.

Plan of Correction: I will ask the parents for the missing information.

Standard #: 22VAC40-111-210-A
Description: Based on record review and interview, caregivers did not obtain 16 clock hours of training annually. Evidence: 2 out of 2 staff files reviewed did not have evidence of training hours for the current licensing period.

Plan of Correction: We will work on the training hours.

Standard #: 22VAC40-111-430-A
Description: Based on observation, children under two years of age have access to stairs. Evidence: 1) A stair with 3 or more risers is accessible to children under care. 2) No gate or barrier is installed to prevent access to the stairs.

Plan of Correction: We will put up a gate.

Standard #: 22VAC40-111-690-E
Description: Based on observation, the provider did not have accessible a foot operated system to dispose of soiled diapers and wipes. Evidence: 1) While diapering, staff was observed placing soiled diapers and wipes in a plastic bag on the floor. The provider has one but it was not in the diapering area.

Plan of Correction: We will place a small trash can next to the diapering area and leave the big one outside.

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. To find programs participating in Virginia Quality, click here.

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