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Ms. Michelle Borst
133 Lynch Street
Danville, VA 24540
(434) 793-0160

Current Inspector: Susan Mallory (276) 608-4267

Inspection Date: Dec. 4, 2020

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Licensure and Registration Procedures

Comments:
This inspection was conducted by licensing staff using an alternative remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.

A renewal inspection was initiated on 11/30/2020 and concluded on 12/04/2020. The provider was contacted by telephone to initiate the inspection. There were no children in care during the inspection due to COVID-19. The inspector reviewed 2 children's records, one caregiver record and one household member record during the inspection to ensure documentation was complete. Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the facility.

The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs.

Violations:
Standard #: 22VAC40-111-140-B-3
Description: Based on record review and discussion, the provider failed to maintain a current certification in cardiopulmonary resuscitation (CPR).

Evidence: The most recent CPR certification obtained my Caregiver #1 expired on 01/01/2020.

Plan of Correction: The provider is waiting to get into a class to get recertified.

Standard #: 22VAC40-111-140-B-4
Description: Based on record review and discussion, the provider failed to maintain a current certification in first aid.

Evidence: The most recent first aid certification obtained my Caregiver #1 expired on 01/01/2020.

Plan of Correction: The provider is waiting to get into a class to get recertified.

Standard #: 22VAC40-111-180-A
Description: Based on record review and discussion, the provider failed to ensure that each caregiver and adult household member obtains a tuberculosis screening every two years from the date of the first screening.

Evidence:
1. The record for Caregiver #1 contained documentation of a tuberculosis test dated 06/13/2020; there was not a follow-up screening for 2020.
2. The record for Household Member #1 contained documentation of a tuberculosis test dated 06/15/2018; there was not a follow-up screening for 2020.

Plan of Correction: The provider will discuss getting updated screenings with her doctor.

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.

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