Donna Conway
26105 Lafayette Dr.
Rhoadesville, VA 22542
(540) 732-0901
Current Inspector: Kelly Adriazola (804) 840-8245
Inspection Date: Sept. 7, 2022
Complaint Related: No
- Areas Reviewed:
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8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies.
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
- Comments:
-
An unannounced monitoring inspection was conducted on-site September 7, 2022. The director was available during the inspection. There were 6 children present, ranging in ages from 6 months to 4 years, with 2 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 4 child records and 2 staff 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.
Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.
- Violations:
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Standard #: 8VAC20-770-60-C-2 Description: Based on a review of staff records on September 7, 2022, the provider failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment.
Evidence: The record of staff #2 (hired 7/19/22) did not contain documentation of central registry results.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-800-780-B Description: Based on a review of children's records on September 7, 2022, the provider failed to annually review, with the parent, the required emergency contact information, to ensure it is correct and to obtain the parent's signed acknowledgment of the review.
Evidence: The record of child #5 (enrolled 8/11/21) did not contain documentation of the parent's signed acknowledgment of the annual review of emergency contact information.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-800-830-D Description: Based on a review of the fire drill log and interview on September 7, 2022, the provider failed to maintain a record of emergency evacuation drills for one year.
Evidence: The fire drill log did not contain documentation of a fire drill practiced in March, April, May, June, July, and August of 2022. Staff #1 confirmed the drills were completed but not documented.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-800-100-A Description: Based on a review of children's records on September 7, 2022, the provider failed to obtain a physical examination by or under the direction of a physician prior to the child's attendance or within 30 days after the first day of attendance.
Evidence: The record of child #3 (enrolled 7/19/22) did not contain documentation of a physical exam.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-800-60-B Description: Based on a review of children's records on September 7, 2022, the provider failed to obtain all required information for children records.
Evidence: The records of child #1 and child #2 did not contain the name, address, and phone number of a second person to contact in an emergency when a parent can't be reached.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-800-90-A Description: Based on a review of children's records on September 7, 2022, the provider failed to obtain that a child had been adequately immunized before the child attended the family day home.
Evidence: The record of child #3 (enrolled 7/19/22) did not contain documentation of immunizations.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-800-210-A Description: Based on a review of staff records and interview on September 7, 2022, the provider failed to obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities for each staff.
Evidence: The record for staff #1 did not contain documentation of sixteen clock hours from March 2021-March 2022. Staff #1 had zero hours. Staff #1 confirmed the training was not completed.Plan of Correction: Not available online. Contact Inspector for more information.
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.
