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Ms. Cynthia Holmes
26070 Old Office Road
Culpeper, VA 22701
(540) 854-8939

Current Inspector: Michelle W. Argenbright (540) 848-4123

Inspection Date: Feb. 25, 2021

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
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies
20 Access to minor?s records
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.
A subsidy health and safety inspection was initiated on 2/25/2021 and concluded on 2/26/2021. The provider was contacted by telephone to initiate the inspection. There were two children present with the provider. The inspector emailed the provider a list of items required to complete the inspection. The Inspector reviewed two children?s records and the provider?s and assistants record submitted by the provider to ensure documentation was complete.
Information gathered during the inspection determined non-compliances 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 #: 22VAC40-111-100-A
Description: Based on record review and interview, the provider failed to obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.

Evidence:

1. The record for child 1 documents the start date as 3/25/19. The record does not contain documentation of a physical.
2. The record for child 2 documents the start date as 10/13/20. The record does not contain documentation of a physical.
3. The record for child 4 documents the start date as 2/3/20. The record does not contain documentation of a physical.

Plan of Correction: The parents of child 1, child 2 and child 3 will be advised to provide documentation of physical examination by 3/16/21 or their children cannot return.

Standard #: 22VAC40-111-90-A
Description: Based on record review and interview, the provider failed to obtain documentation that the child has been adequately immunized before a child may attend the family day home.

Evidence:

1. Child 1's start date was documented as 3/25/19. The record did not contain documentation of immunizations.
2. Child 2's start date was documented as 10/13/20. The record did not contain documentation of immunizations.
3. The director verified she does not have immunization records for child 1 and child 2.

Plan of Correction: The parents of child 1 and child 2 will be advised to provide immunization records by 3/16/21 or their children cannot return.

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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