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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: Oct. 2, 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 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Licensure and Registration Procedures

Comments:
An unannounced renewal inspection was completed on 10/2/19. There were 10 children present with the provider and an assistant supervising. The point total was 30. Ten children's records, the provider's record, one assistant's record, and one household member's record were reviewed. No medications were observed.

The inspector arrived at the provider's home at 9:40 am and departed at 1:30 pm.

The children were observed during free play times, during book time, during naps, during infant feedings, during lunch, and during afternoon nap.

Violations:
Standard #: 22VAC40-111-790
Description: Based on observation, the provider failed to ensure that all required phone numbers were posted.

Evidence:
1. The emergency back-up caregiver's phone number was not observed. The provider was asked about where this person's number was posted. The caregiver stated that she was unaware that the phone number had to be posted. The name of the person and phone number for emergency back-up care was on the emergency preparedness plan that was in with many other papers in a notebook.

Plan of Correction: The provider corrected this during the inspection. The person's name and number was posted on the outside of the emergency book that is posted by the phones.

Standard #: 22VAC40-111-800-C
Description: Based on record review and interview with the provider, the provider failed to ensure that each caregiver receives training regarding the emergency evacuation, emergency relocation, and shelter-in-place procedures by the end of his first week of assuming job responsibilities, on an annual basis, and at the time of each plan update.

Evidence:
1. There was no documentation that staff #2 had training in the emergency preparedness plan annually. There was no documentation that staff #2 was trained in 2017 or 2018.

Plan of Correction: The provider will provide this training for staff #2 for 2019 and document this.

Standard #: 22VAC40-111-920
Description: Based on observation, the provider failed to ensure that the menu for the current one-week period was dated as required.

Evidence:
1. The menu was observed on a dry erase board in the child care area with each day of the week's menu. The menu was not dated.

Plan of Correction: This was corrected during the inspection. The menu was dated by the provider.

Standard #: 22VAC40-111-210-A
Description: Based on record review and interview, the provider failed to ensure that in addition to satisfactory completion of first aid training and CPR training, caregivers shall obtain a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities.

Evidence:
1. The training documentation was reviewed. There were nine and one-half hours of training for staff #1 and #2 documented in addition to first aid and CPR for the period of February 2018-February 2019. Staff #2 had six and on-half hours documented for February 2017-February 2018.

Plan of Correction: The provider will ensure that 16 hours of training is completed each year for all caregivers in addition to first aid and CPR training.

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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