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Ms. Cynthia Holmes
26070 Old Office Road
Culpeper, VA 22701
(540) 854-8939

Current Inspector: Michelle W. Argenbright (540) 848-4123

Inspection Date: Sept. 23, 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
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

A monitoring inspection was conducted on 9/23/19 from 1:20 pm until 3:30 pm to review licensing standards. At the time of the inspection five children were present with the vendor and an assistant. The sample size consisted of five children's records, the vendor's record, the assistant's record and the members of the household's record. Children and staff were observed during free play, hand washing, preparing snack, snack, clean-up, nap, diapering, outdoor play transitions and behavioral management. Violations were found during this inspection and are documented on the violation notice. If you have questions contact the licensing inspector at (540) 848-4123.

Standard #: 22VAC40-111-920
Description: Based on observation and interview, the provider failed to provide families with a menu for the current week's meals and snacks.


1. The menu for today's lunch was posted.
2. The provider stated she did not have the current weeks menu for parents.

Plan of Correction: A weekly menu will be posted for parents from now on.

Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider failed to obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.


1. The records of five children were reviewed.
Child 3's record did not contain documentation of a physical. Child 3's start date was 6/10/19.
Child 4's record did not contain documentation of a physical. Child 4's start date was 2/19/19.
Child 5's record did not contain documentation of a physical. Child 5's start date was 3/25/19.

Plan of Correction: The parents of the three children will be advised to provide documentation of physical examinations before the end of the month or they will not be allowed to return until received. In the future parents that do not provide documentation of physicals within 30 days after employment they will not be allowed to return until received.


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.