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Ms. Belinda Hubble
865 West Madison Street
Wytheville, VA 24382
(276) 620-9502

Current Inspector: Todd Scott (276) 608-3749

Inspection Date: Feb. 21, 2023

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.
8VAC20-770 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.

Comments:
A renewal inspection was initiated on 2/21/2023 and concluded on 2/22/2023. There was one child present with one substitute staff supervising. The point total was two. 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/household members records were reviewed. The inspection started at 9:50 am and concluded at 10:45 am.

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 #: 8VAC20-800-730-D
Description: Based on observation the provider failed to ensure that all medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence:
Located on the dining room table, stove and kitchen counter was prescription medications and vitamins, not locked. These areas are accessible to the children in care.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-830-A
Description: Based on record review the provider failed to ensure that the emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.
Evidence:
The fire drill log reviewed did not show emergency evacuations (fire drills) for the months of June, July, August 2022.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-180-A
Description: Based on review of records the provider failed to ensure that each caregiver and adult household member obtains a current TB screening every two years from the date of the first screening.
Staff #1 TB expired 1/25/23, staff #2 TB expired 5/13/21 and HHM #1 TB expired 1/22/23.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-240-A
Description: Based on observation the provider failed to ensure that areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition.
Evidence:
The flooring in the dining room located at the entrance to the kitchen has holes and is peeling.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-280
Description: Based on observation the provider failed to ensure that all potentially poisonous material and supplies are stored away from areas accessible to children.
Evidence:
Located in the bathroom, that is being used as a storage closet, in the nap room there is cleaning supplies not locked. These areas are accessible to the children.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-320-F
Description: Based on observation the provider failed to ensure that unvented fuel burning heaters shall not be used when children are in care.
Evidence:
Located on the wall in the kitchen is a 30000 BTU vent free blue flame natural gas heater. This heater was on during the inspection, a child was in care and had access to the heater.

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.

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