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Betty Adams
6468 Franklin Road
Boones mill, VA 24065
(540) 989-6517

Current Inspector: James R Basham (804) 588-2370

Inspection Date: Nov. 27, 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
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

An unannounced monitoring inspection was conducted on 11/27/2023. There were 3 children, age 5 months to 4 ? years, totaling 9 points, 1 caregiver and 1 household member present during the inspection. The inspector reviewed compliance in the areas of administration, personnel, environment and equipment, preventing the spread of disease, emergencies and nutrition. A total of 2 children?s records , 1 caregiver?s records and 1 household member?s records were reviewed. The children were observed during self-directed play. The inspector arrived for the inspection at 9:50am and departed at 10:48am.

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.

Standard #: 8VAC20-800-110-B
Description: Based on the review of two children?s records, the provider failed to ensure that each report shall be signed by a physician, the physician?s designee, or an official of the local health department.

1. Child #2 start date was 10/05/2023 and on the day of the inspection did not have a physical record signed by a physician.
2. Child #2 start date was 10/05/2023 and on the day of the inspection did not have an immunization record signed by a physician.

Plan of Correction: Provider will obtain a signed physical and immunization record from parent.


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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