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Ms. Marlene Campbell
4812 Lytham Drive S.W.
Roanoke, VA 24018
(540) 685-2852

Current Inspector: Jensen Mellnick (540) 309-2051

Inspection Date: Oct. 31, 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.

Comments:
An unannounced renewal inspection was conducted on 10/31/2019. The inspection began at 8:00 AM and concluded at 10:30 AM. There were six children in care with two caregivers and a total of sixteen points. During the inspection, children were observed during free play and engaging with the caregivers. The caregivers were also observed during bottle feeding and hygiene practices. Additionally, the inspector reviewed five children's records, household members' records, and all caregiver records. The inspector examined rooms used for care and the emergency supplies. This provider did not have medications and does not transport children. There was discussion about children's records, provider records, and the renewal process. Violations were reviewed at the conclusion of the inspection. Please contact your inspector, should you have any questions: Jensen Mellnick (540)309-2051.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on record review and discussion with the provider, 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.

Evidence:

1. Child 5 had no documentation of a physical examination and the child's first day of attendance was 07/01/2019. When the LI asked the provider about the physical examination, the provider confirmed that there was no document for the child.
2. Child 3 had no documentation of a physical examination and the child's first day of attendance was 12/04/2017. When the When the LI asked the provider about the physical examination, the provider confirmed that there was no document for the child.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-110-B
Description: Based on record review, the provider failed to ensure that each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a licensed physician, the physician's designee, or an official of a local health department.

Evidence:

1. In the record for Child 2, the documentation of immunization was not signed by a licensed physician, the physician's designee, or an official of a local health department.

Plan of Correction: Not available online. Contact Inspector for more information.

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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