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Mrs. Denise Shields
267 Revell Road
Fredericksburg, VA 22405
(540) 834-3749

Current Inspector: Laura Brindle (540) 905-2062

Inspection Date: Jan. 6, 2020

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced renewal inspection was conducted between the hours of 9:45am through 11:50am. There were a total of 5 children present (8 points) ranging in ages between 4 and 5 years old with the Provider. A total of 5 children?s files, the provider's file, 3 household member's files, and 3 pet files were reviewed. The children were engaged in the following: coloring, practicing writing, counting, reading books, playing outside, and eating snack. Positive interactions between the provider and children were observed during this inspection. A complete inspection of the programming space, children and staff records, evacuation drills, menu, attendance, and emergency procedures were completed today. No new staff have been hired since the last inspection. The provider advised she does not administer medication and there was no medication on site today. There was an abundant supply of age appropriate materials and toys and the home was clean and organized. Please contact me with any questions or concerns at morgan.bryson1@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-830-B
Description: Based on review of the emergency drill log and interview with the provider, shelter-in-place drills have not been practiced a minimum of twice per year.

Evidence: There were no shelter-in-place drills documented over the past year. The last documented shelter-in-place drill was 1/9/2018.

Plan of Correction: I will immediately do a shelter-in-place drill and make sure to do the shelter-in-place drill once every six months.

Standard #: 22VAC40-111-60-B
Description: Based on record review, 1 of 5 children's records reviewed did not contain all required information.

Evidence: Child #5's record was missing written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.

Plan of Correction: I am going to make sure the parent either signs the authorization or a letter stating why they're not going to sign it.

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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