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Ms. Nancy Carter
1214 Long Street
Charlottesville, VA 22901
(434) 977-4919

Current Inspector: Michelle Argenbright (540) 848-4123

Inspection Date: Nov. 28, 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
VAC20-800 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 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.

Comments:
A monitoring inspection was initiated on 11/28/2023 and concluded on 11/28/2023 from 9:58 AM to 11:40 PM. There were nine children present, ranging in ages from 13 months to four years, with two staff. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies. A total of five children?s records and the two staff?s records were reviewed.
Information gathered during the inspection determined noncompliance with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations:
Standard #: 8VAC20-800-800-B
Description: Based on record review and interview, the provider failed to review the emergency plan at least annually.

Evidence:

1. The emergency plan documented the last review was conducted on 2/11/2022.
2. The provider verified the last time the emergency plan was reviewed was on 2/11/2022.

Plan of Correction: The emergency plan will be reviewed and updated by the end of the week.

Standard #: 8VAC20-800-680-A
Description: Based on observation, the provider failed to ensure staff washed hands with soap and warm running water between each diapering.

Evidence:

Staff 2 was observed changing three diapers. Staff 3 did not wash hands until she had completed changing all diapers.

Plan of Correction: The staff will ensure to wash hands after each diaper change in the future.

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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