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

Current Inspector: Susan Mallory (276) 608-4267

Inspection Date: Nov. 8, 2022

Complaint Related: No

Areas Reviewed:
8VAC20 800 Administration
8VAC20 800 Personnel
8VAC20 800 Household Members
8VAC20 800 Physical Health of Caregivers and Household members
8VAC20 800 Caregiver Training
8VAC20 800 Physical Equipment and Environment
8VAC20 800 Care of Children
8VAC20 800 Preventing the Spread of Disease
8VAC20 800 Medication Administration
8VAC20 800 Emergencies
8VAC20 800 Nutrition
8VAC20 800 Transportation
8VAC20 800 Nighttime Care
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

Comments:
An Unannounced Renewal Inspection was conducted on 11/9/2022. Upon arrival at 10:36 a.m. there were a total of 8 children, ages 5 months to 3 years, with a total of 23 points under the care of two staff . The Licensing Inspector reviewed four children?s records and three household/staff records, along with any requested program records submitted by the facility to determine if required 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 program.

Violations:
Standard #: 8VAC20-800-210-A
Description: Based on record review, the Licensee failed to ensure that each caregiver has completed a minimum of 16 hours of annual training.

EVIDENCE:
Record for Staff #3, did not include documentation to support that required training has been completed within the past year. The most recent training document in the file is dated 7/14/2020.

Plan of Correction: Staff will complete required 16 hours annual training for year 2021. An additional 16 hours of annual training will be completed for year 2022.

Standard #: 8VAC20-800-240-A
Description: Based on observation and interview, the Licensee failed to maintain areas of the family day home in a safe condition.

EVIDENCE:
1. A gate at the entryway of the home to keep children away from an outside door had vertical slats 3 ? inches wide, which is wide enough for a small child?s head to become entrapped.

2. A home repair involving removing part of the ceiling was completed about a month ago, according to Staff #1, and the ceiling is still uncovered with insulation hanging down.

3. A panel covering the HVAC system is not secured to the wall and easily tips over into the hall opposite the bathroom that is used by children.

Plan of Correction: Provider will add make necessary changes.

Standard #: 8VAC20-800-250-A
Description: Based on observation, the Licensee failed to have window blind cords kept out of reach of children under five years of age.

EVIDENCE:
Loose cords used to operate a window blind were hanging down within reach of children. During the inspection, all children were under the age of five years.

Plan of Correction: Provider will readjust curtain cords to make sure children do not have access to them. Corrected during inspection.

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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