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Ms. Tamara Gilchrist
10715 Locust Court
Fredericksburg, VA 22407
(540) 841-9738

Current Inspector: Cathy E. Aylor (540) 222-6352

Inspection Date: Nov. 15, 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 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Nighttime Care
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 8:50am to 11:30am with the provider. There were four children in care, ranging from 21 months to four years of age, for a total of 9 points. The provider shared that five other children attend before and after public school. Children were observed watching a children's television show, eating a morning snack of cereal and milk, and reviewing flashcards of animals. Six children?s records, the provider's record, and one household members? record were reviewed and were in compliance. The provider has current certification in CPR and First Aid. The provider shared that she will be getting certified in Medication Administration Training (MAT) soon, and she is aware that she is not able to accept or administer medication until she is certified. The first aid kit, flashlight, and fire extinguisher were observed. The emergency drill log, attendance, and menu were also reviewed. 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 #: 22VAC40-111-760-A
Description: Based on observation and interview with the provider, the family day home did not have all of the required emergency supplies. Evidence: The provider was not able to locate adhesive tape or triangular bandages.

Plan of Correction: I will purchase these items.

Standard #: 22VAC40-111-770
Description: Based on interview with the provider, not all required emergency equipment was maintained on site. Evidence: The provider stated that she was unaware that she needed a battery-operated weather band radio.

Plan of Correction: I will purchase a battery-operated weather band radio.

Standard #: 22VAC40-111-830-A
Description: Based on documentation review and interview with the provider, evacuation procedures were not practiced monthly. Evidence: The emergency drill log did not show documentation of evacuation drills in the months of June and September of 2019 and the provider stated that she forgot to do evacuation drills those months.

Plan of Correction: I will make a reminder in my phone to help me remember moving forward.

Standard #: 22VAC40-111-280
Description: Based on observation, potentially poisonous, substances such as disinfectants, were not stored in areas inaccessible to children. Evidence: There was a container of antibacterial wipes on the counter in the bathroom used by the children and was accessible to the children.

Plan of Correction: The container was moved during the inspection to the locked cabinet under the sink.

Standard #: 22VAC40-111-430-A
Description: Based on observation and interview with the provider, children under two years of age had access to stairs. Evidence: During the inspection, there was no gate at the top or bottom of seven stairs going to the upstairs and six stairs going to the downstairs. On this date there was a child present in care who is 21 months old.

Plan of Correction: I had a gate but it broke and a gentleman is going to come fix it for me.

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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