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Tamia Colbert
160 Collington Drive
Lynchburg, VA 24502
(434) 444-0288

Current Inspector: Monique D Anderson (540) 309-2397

Inspection Date: Dec. 18, 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.
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Licensure and Registration Procedures

Comments:
An unannounced renewal inspection was completed on 12/18/19. There were 12 children present with the provider and two assistant caregivers supervising. The point total was 28. Two newly enrolled children's records were reviewed and seven other children's records were reviewed for annual updates only. All caregiver and household records were up-to-date; caregivers records were reviewed for annual training only. No medications are administered to the children in care.

The inspector arrived at the provider's home at 8:30 am and departed at 1:00 pm.

The children were observed during arrivals, during free play times with various activities, during structured learning activities, during story time, and during lunch.

Violations:
Standard #: 22VAC40-111-530-F
Description: Based on observation, the provider failed to ensure that no soft bedding of any kind shall be used under or around infants including, but not limited to, pillows, quilts, comforters, sheepskins, or stuffed toys.

Evidence:
1. At arrival of the inspector, a three month old infant was observed sleeping on top of a large stuffed pillow that was placed in the crib. The pillow was approximately three inches thick and round in shape taking up approximately 1/2 of the crib area lengthwise and approximately 3/4 of the width of the crib. The infant was observed sleeping on the pillow for approximately 10 minutes when the inspector notified the provider of the Standard requirements prohibiting the use of pillows for infants.

2. The inspector observed the manufacturer's recommendations on the attached tag on the pillow which stated "Do not allow baby to sleep in this product." This statement had a symbol There were also other precautions stated on this tag for use. .

Plan of Correction: The provider removed the infant from the pillow when the inspector notified the provider of the requirements of the Standards.

Standard #: 22VAC40-111-570-A
Description: Based on observation, record review, and interview, the provider failed to ensure that a caregiver did not exceed 16 points using the point system provided by the Standards.

Evidence:
1. At arrival of the inspector, the provider was the only caregiver present with seven children in care. The ages of the children were three months through four years old and the point total was 18. Two additional children (two years and four years) arrived at approximately 8:35 am which increased the point total to 22 with the provider as the only caregiver present.

2. The provider stated that two children (four points) arrived earlier on the date of the inspection than their scheduled arrival time which is normally 9:30 am or later.

Plan of Correction: This was corrected when an assistant caregiver arrived at approximately 8:50 am. A second assistant caregiver arrived at approximately 9:00 am.

Standard #: 22VAC40-111-600-B
Description: Based on observation, the provider failed to ensure that infants and toddlers did not spend more than 30 minutes of consecutive time during waking hours, with the exception of mealtimes, confined in a crib, play pen, high chair or other confining piece of equipment. The intervening time period between confinements shall be at least one hour.

Evidence:
1. A three month old infant was observed sleeping in a crib at arrival of the inspector at 8:30 am. The infant woke up at approximately 8:45 am and stayed in the crib until approximately 8:57 am. The infant was placed in a floor swing with a safety strap which is a confining piece of equipment at approximately 8:57 am. The infant was observed awake and still in the swing at 9:30 am.

2. The same three month old infant was observed being placed in a bouncy seat with a safety strap which is a confining piece of equipment at approximately 11:30 am. The infant was awake from the time being placed in the bouncy seat and was still awake and in the bouncy seat at 12:15 pm. The infant was in the confining equipment for more than 30 minutes while awake.

Plan of Correction: The infant was taken out of the swing at approximately 9:45 am and allowed one hour of time outside of a confining space at that time. The infant was removed at approximately 12:30 pm. The provider will make sure that the infant is taken out of any confining equipment after 30 minutes while awake and allow at least one hour of non-confining time in between.

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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