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Mrs. Cassandra Duff
129 Dogwood Place
Lynchburg, VA 24502
(434) 401-0906

Current Inspector: Susan Mallory (276) 608-4267

Inspection Date: Oct. 3, 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.
8VAC20-820 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:
A monitoring inspection was conducted on 10/3/2023 from 10:43 am to 12:16 pm. Seven children were in care with a total of 15 points with one caregiver. The Licensing Inspector reviewed three children?s records, one staff record, and one household member record, along with other program records. The children were observed returning from a walk, playing, having lunch, and getting ready for nap.

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

Violations:
Standard #: 8VAC20-790-180-A
Description: Based on provider and household member record review, the provider failed to obtain TB screenings every two years.

EVIDENCE:
The TB screenings for Staff 1 and household member 1 are both dated 7/25/2021.

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

Standard #: 8VAC20-800-60-B
Description: Based on record review, the provider failed to have parents do an annual review of emergency contact information.

EVIDENCE:
The record for Child 3 has not had a review of emergency contact information since the child stared on 8/16/2021.

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

Standard #: 8VAC20-800-70-A
Description: Based on record review, the provider failed to provide in writing to a parent the provisions of the emergency preparedness and response plan.

EVIDENCE:
Child 1 began attending on 5/5/2023 and the record does not show documentation that the written provisions of the emergency preparedness and response plan have been provided.

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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