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Mia Stewart
7225 Plantation Road
Roanoke, VA 24019
(540) 580-1554

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Jan. 17, 2023

Complaint Related: No

Areas Reviewed:
8VAC20-800 ADMINISTRATION
8VAC20-800 PERSONNEL
8VAC20-800 PHYSICAL HEALTH OF CAREGIVERS AND HOUSEHOLD MEMBERS
8VAC20-800 PHYSICAL EQUIPMENT AND ENVIRONMENT
8VAC20-800 CARE OF CHILDREN
8VAC20-800 PREVENTING THE SPREAD OF DISEASE
8VAC20-800 EMERGENCIES
8VAC20-770 BACKGROUND CHECKS
20 ACCESS TO MINOR?S RECORDS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
63.2 CHILD ABUSE AND NEGLECT

Comments:
An unannounced non-mandated monitoring inspection was conducted on 01/18/2023. There were 12 children, ages 5 months-3 years, totaling 29 points, and a total of 3 caregivers present during the inspection. The inspector reviewed compliance in the areas of administration, personnel, physical equipment and environment, care of children, preventing the spread of disease, emergencies and nutrition. A total of five children?s records and one caregiver record were reviewed. The children were observed during free choice play and nap time. The inspector suggested that the provider attend the upcoming Family Day Home Phase Training that is scheduled for February 14, 2023. The inspector arrived for the inspection at 2:00 pm and departed at 3:15 pm.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:
Standard #: 8VAC20-800-100-A
Description: REPEAT VIOLATION

Based on record review and interviews, the provider failed to ensure that prior to a child?s attendance or within 30 days after the first day of attendance, documentation of a physical examination by or under the direction of a physician shall be obtained.

Evidence:
1. The record for Child 1 contained a documented start date of 10/10/2022; the record did not contain documentation of a physical examination.
2. Caregiver 1 stated that the start date for Child 3 was 11/29/2021; the record did not contain documentation of a physical examination.

Plan of Correction: The parents were notified during the inspection of the missing information.

Standard #: 8VAC20-800-60-B
Description: REPEAT VIOLATION

Based on record review, the provider failed to ensure that children?s records shall contain all of the elements as required by the standards.

Evidence:
1. The record for Child 1 did not contain the following information: name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached (there were no addresses provided for the two designated contacts).
2. The record for Child 4 did not contain the following information: the first date of attendance.
3. The record for Child 5 did not contain the following information: name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached (there were no addresses provided for the two designated contacts); and information on allergies and intolerance to food, medication, or any other substances, and actions to take in an emergency situation.

Plan of Correction: The parents were notified during the inspection of the missing 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.

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