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Christine Jones-Nixon
8720 Old Rapidan Road
Orange, VA 22960
(540) 672-0811

VDSS Contact: Nicole Jeffress (804) 773-1847

Inspection Date: March 3, 2021

Complaint Related: No

Areas Reviewed:
22VAC40-180 PROVIDER REGISTRATION AND GENERAL PROCEDURES
22VAC40-180 HEALTH AND SAFETY CRITERIA AND CHECKLIST.
63.2 Licensure and Registration Procedures
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.

A renewal inspection was initiated on 3/3/21 and concluded on 3/9/21. The provider or in-charge person was contacted by telephone to initiate the inspection. There were 4 children present with the provider. The inspector emailed the provider a list of items required to complete the inspection. The Inspector reviewed 2 children?s records, the provider?s record and 2 adult household member?s records submitted by the provider to ensure documentation was complete.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the facility.
The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs.

Violations:
Standard #: 22VAC40-180-100-C
Description: Based on record review and interview, the provider failed to obtain all required information for children's records.

1. The record for child 1 did not contain a signed statement from the parent affirming receipt of the Information to Parents Statement.
2. The record for child 2 did not contain a signed statement from the parent affirming receipt of the Information to Parents Statement and did not contain a signed disclosure of whether the family day home has liability insurance coverage.

Plan of Correction: A copy of the Information to Parents Statement was obtained from the inspector and will be given to the parents for the signatures. The parent of child 2 was given the liability insurance coverage disclosure statement to sign on 3/8/21 and it was forwarded to licensing 3/8/21. In the future the provider will ensure all required information is obtain upon enrollment.

Standard #: 22VAC40-180-40-C-1-a
Description: Based on record review and interview, the provider failed to ensure an adult household member obtained a tuberculin skin test indicating the absence of tuberculosis (TB) in a communicable form within 30 days of living in the home.

Evidence:

The provider stated household member 2 moved into the home sometime in 5/19. The provider did not have documentation of TB test results but stated he is required to get one for his current employment.

Plan of Correction: After the inspection the provider had household member 2 obtain a TB test. Documentation of a completed TB result dated 3/3/21 was provided to the licensing office on 3/5/21. In the future the provider will ensure any new household member obtains TB test prior to the household member moving in.

Standard #: 22VAC40-180-120-C
Description: Based on record review and interview, the provider failed to obtain the results of a health examination for each child within 30 days from the first date of care & up-to-date immunization records for each child before the first date of care.

Evidence:

1. The provider stated child 1 started in 2017. The provider was unable to provide documentation of a health examination and immunizations.
2. The provider provided documentation of child 2 starting 5/1/13. The immunization record provided was dated 9/27/16. The provider was unable to provide documentation of a health examination.

Plan of Correction: The provider had the parents of child 1 provide a health examination and immunization. The documents, dated 3/5/21, were forwarded to licensing. The parents of child 2 have been advised to provide health examination. In the future the provider will ensure immunizations are obtained prior to the first day of care and health examination within the first 30 days of care.

Standard #: 22VAC40-191-40-D-4-a
Description: Based on record review and interview, the provider failed to ensure an adult household member completed a sworn statement or affirmation prior to residing in the home and a search of central registry within 30 days after residing in the home.

Evidence:

The renewal application listed a new household member. The provider stated household member 2 had lived in the home since 5/19. The provider stated household member 2 had not completed a sworn statement or affirmation prior to residing in the home or a search of central registry within 30 days after residing in the home.

Plan of Correction: After the inspection the sworn statement was completed by household member 2 on 3/4/21 and forwarded to licensing. The central registry paperwork was completed and mailed on 3/5/21. Licensing was advised. In the future the provider will ensure new household members complete all paperwork in the timeframe required.

Standard #: 63.2-1721.1-B-2
Description: Based on record review and interview, the provider failed to obtain fingerprint-based criminal history check determination letters within the first 30 days of residing in the household for a new household member.

Evidence:

The renewal application listed a new household member. The provider stated household member 2 had lived in the home since 5/19. The provider stated household member 2 had not obtained a fingerprint-based criminal history check.

Plan of Correction: After the inspection the household member 2 completed the fingerprint-based criminal history check and the results were received dated 3/4/21. The results were forwarded to licensing. In the future the provider will ensure new household members obtain fingerprint-based criminal history check within 30 days of residing in the home.

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.


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