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Ms. Tammy Palmer
745 Union Valley Road
Riner, VA 24149
(540) 391-2509

Current Inspector: Angela Farmer (276) 608-2283

Inspection Date: Dec. 3, 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 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

The inspector conducted an unannounced mandated inspection from 2:00 until 3:30 p.m. There were eight children in care for a total of 18 pts. with the provider and an assistant present. Children were observed during rest time, and during diapering. Five children's records were reviewed and provider records were reviewed. All but one violation from the last inspection had been corrected. Please contact your inspector with any questions at 276-698-9981.

Standard #: 22VAC40-111-90-C
Description: Based on record review, the center did not obtain up to date documentation of immunizations.
1. The inspector reviewed five children's records. One of five (#2) records did not contain up to date immunizations, the lat immunization record was 10/12/18.

Plan of Correction: The provider texted the parent during the inspection asking for the the up to date records.

Standard #: 22VAC40-111-330-A
Description: Based on interview, the provider did not have a land line telephone.
1. The provider stated she does not have a land line.

Plan of Correction: The provider requested an allowable variance but it was denied; she just recently got the letter about it. provider will research options and get a land line telephone.


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. To find programs participating in Virginia Quality, click here.

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