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Mrs. Renee Hardy
700 Club House Road
Fredericksburg, VA 22406
(540) 899-3926

Current Inspector: Stephanie Reed (540) 272-6558

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 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

Comments:
An unannounced monitoring inspection was conducted today from 8:45 to 10:45am with the provider. There were four children in care, ranging from 16 months to three years of age, for a total of 10 points. Children were observed during circle time- singing good morning, reviewing days of the week, talking about special days in November, reading a book and discussing the shapes they saw, reviewing the colors in Spanish, and talking about what they are thankful for. They then read books, did puzzles, washed their hands, and prepared for snack. Four children?s records, the provider's record, a household member's record, and a pet record were reviewed. The provider is current in CPR and First Aid certification. The provider reported that there is no medication for the children in the home at this time, but the provider is current in Medication Administration Training (MAT). The first aid kit, flashlight, weather band radio, and fire extinguisher were observed. The emergency drill log, attendance, and menu were also reviewed. The last evacuation drill was documented as 10/17/19 and the last shelter-in-place drill was documented as 10/18/19. If you have questions regarding this inspection, please contact the Licensing Inspector, Laura Brindle, at laura.brindle@dss.virginia.gov or 540-905-2062.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on review of four children's records, the provider did not obtain documentation of a physical prior to or within 30 days of first attendance for each child. Evidence: Child A and Child B did not have documentation of a physical in their records.

Plan of Correction: The provider reached out to the family during the inspection to request a copy of the most recent well check.

Standard #: 22VAC40-111-180-A
Description: Based on review of documentation, the provider did not obtain subsequent tuberculosis (TB) screening or testing at least every two years from the date of the initial screening or testing for staff and household members. Evidence: The most recent TB test/screening on file for the provider was dated 7/15/17 and the most recent TB test/screening on file for Household Member #1 was dated 9/2/17.

Plan of Correction: We will get them done as soon as possible.

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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