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Daniella Holmes
286 Hilltop Drive
Orange, VA 22960
(540) 229-9981

Current Inspector: Amy Tomblin (804) 629-3923

Inspection Date: Nov. 7, 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
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
A supplemental page was provided.

Thank you for your time and assistance with the unannounced monitoring inspection conducted today, November 11, 2019. The on-site inspection was from 10:05 a.m. to 12:20 p.m. On this date, at the time of arrival, there were ten children in the care of the provider (27 points). There were a total of 13 children enrolled in the program. The exception to compliance was noted on the violation notice and the risk rating was noted on the supplemental page. The records for five children were reviewed. There was no medication being administered, which is the policy of the provider. The records for the provider, an assistant and one household member were reviewed. The Letter of the Week was H,h and the children had doing a math activity with beans on a tray.
Some items reviewed/observed included: first aid kit, emergency supplies, required posted information, documentation of evacuation and shelter-in-place drills, warm water temperature, temperature of the fridge and freezer, hand washing procedures, infant care, and TV time.

Please contact your licensing inspector, Diann Reed, if you have questions concerning this inspection, the licensing standards, and/or if I may be of assistance to you (540) 280-0742.

Standard #: 22VAC40-111-570-A
Description: Based on observation, record review and verification from the provider, the provider failed to have a second caregiver on-site when there were more than 16 points worth of children present.

1. There were 10 children present and in the care of one provider which was 27 points based on the ages of the children. The provider had 11 more points than the 16 allowed for each caregiver.
2. The provider confirmed she had more points than she was allowed to have at any one time. She reported that her assistant was driving to work this morning when she became sick and had to go home.

Plan of Correction: The provider will hire an assistant that can come anytime she is needed.


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.

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