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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: Aug. 20, 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.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies
20 Access to minor?s records
54.1 Provider must be MAT certified to administer prescription medication.
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, including telephone contacts, documents review and interviews.

A renewal inspection was initiated on 8/20/21 and concluded on 8/26/21. The provider was contacted by telephone and a virtual inspection was conducted. There were four children present, all age two, with two staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of two child records and three staff and household member?s records were reviewed.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:
Standard #: 63.2-1721.1-A
Description: Based on record review and interview, the provider failed to obtain an updated central registry background check five years since the previous central registry check for all providers and household members ages 14 and older.

Evidence:

1. The most current central registry check for the provider is dated 7/28/16.
2. The most current central registry check for household member 2 is dated 3/23/16.

Plan of Correction: Updated central registry checks for the provider and household member 2 was mailed 8/6/21. In the future the provider will keep track of when background checks need to be updated.

Standard #: 63.2-1721.1-B-2
Description: Based on record review and interview, the provider failed to obtain a fingerprint background check for a household member that turned 18 on 4/18/20.

Evidence:

The provider stated she did not obtain a fingerprint background check for household member 2. The provider verified the date of birth for household member 2.

Plan of Correction: A fingerprint background check will be scheduled for Mikeya. In the future the provider will ensure all requirements for background checks will be followed as required.

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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