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Ms. Lisa Ernest
11222 Piedmont Landing Drive
Fredericksburg, VA 22407
(540) 786-8003

Current Inspector: Cindy Horne (804) 297-4469

Inspection Date: Aug. 23, 2019

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

Technical Assistance:
Consultation was provided regarding the outside playground area.

Comments:
An unannounced monitoring inspection was conducted today between the hours of 9:35am through 10:45am. There were a total of 4 children present ages 2 through 4 years (8 points) with the Provider. A total of 3 children?s files, the provider's file, 1 household member?s file, and 1 pet file were reviewed. The children were engaged in the following: playing with dolls, cars, and other age appropriate toys. Positive interactions between the provider and children were observed during this inspection. A complete inspection of the programming space, outdoor playground area, children and staff records, evacuation drills, attendance, and emergency procedures and supplies were completed today. The provider advised there was no medication on site today. There was an abundant supply of age appropriate materials and toys and the home was very clean and organized. The provider is current in CPR/First Aid certification. Areas of non-compliance are outlined on the Violation Notice. Please contact me with any questions or concerns at morgan.bryson1@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-180-A
Description: Based on record review, the provider did not obtain updated tuberculosis (TB) tests or screenings for each caregiver and adult household member every two years. Evidence: 1. Staff #1's most recent TB test was dated 4/27/17. 2. Adult Household Member #1's most recent TB test was dated 4/27/17.

Plan of Correction: We will get updated TB tests by next week.

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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