VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Perfect Harmonies Childcare and Development
31 Alabama Avenue
Portsmouth, VA 23702
(757) 397-2503

Current Inspector: Nanette Roberts (757) 404-2322

Inspection Date: March 3, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-185 PHYSICAL PLANT. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 PROGRAMS. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 32.1 Report by person other than physician

Comments:

An unannounced monitoring inspection was conducted between the hours of 8:45 am and 12:00 pm. Upon arrival there were 3 children in care with 2 staff present. Children were observed on the floor with staff. Diapering, hand washing and lunch was observed. All 3 children's records and 2 staff records were reviewed in addition to 1 over-the-counter skin product.

Violations:

Standard #:	22VAC40-185-150-B
Description:	Based on a record review, the center did not ensure all physical examinations and immunization reports were signed by a physician, his designee, or an official of a local health department. Evidence: 4 month-old, Child #3, had a daily progress note from the hospital recording vitals and 1 immunization received, the day after the child's 11/02/19 birth date. The reports did not have a stamp or signature stating the child was adequately immunized and no other record of a physical or required immunizations were in the record.
Plan of Correction:	The following corrective action was provided by the director during the exit interview: The director will follow-up with the child's parent and obtain the most recent physical and immunization record.
Standard #:	22VAC40-185-60-A
Description:	Based on a record review the center did not have all required information for each enrolled child. Evidence: 4 month-old Child #3, who was observed in care, did not have a record. The director stated child #3 was staff #2's child and the paperwork was in the staff member's home. Staff #2 stated the child's birth date is 11/02/2019.
Plan of Correction:	The following corrective action was provided by the director during the exit interview: The director will ensure all documentation for the child is provided within 24 hours.
Standard #:	22VAC40-185-70-A
Description:	Based on a record review, the center did not ensure all staff records included the required information. Evidence: Staff #2, hired 02/19/2020, did not have documentation of at least 2 references checked prior to employment
Plan of Correction:	The following corrective action was provided by the director during the exit interview: The director will check staff #2's references within 24 hours.
Standard #:	22VAC40-185-330-B
Description:	Based on observation the center did not ensure all resilient surfacing requirements were met where playground equipment is provided. Evidence: 1. On the playground there was a little tykes plastic slide sitting inside a boxed in area with rubber mulch. There was about 4' of resilient surfacing on 2 of the 4 sides of the play structure. Six feet around the entire play structure is required. 2. On the playground there were 2 little tykes slides that were in the grass and did not have any resilient surfacing.
Plan of Correction:	The following corrective action was provided by the director during the exit interview: The director misunderstood the resilient surfacing requirements. The resilient surfacing will be extended to at least 6 feet on all sides. The other 2 slides in the grass will be discarded.
Standard #:	22VAC40-185-500-A
Description:	Based on observation, the center did not ensure all requirements were met when hand washing. Evidence: Staff #2 was observed changing a child's diaper with gloves on. After the diaper change she took the child to the sink, touched the faucet handle, still wearing gloves and began to wash the child's hands. Staff #2 did not wash her hands after changing the child's diapers.
Plan of Correction:	The following corrective action was provided by the director during the exit interview: The director will revisit the hand washing policy with staff #2.
Standard #:	22VAC40-185-500-B
Description:	Based on observation the center did not ensure all requirements were met when diapering. Evidence: Staff #2 was observed placing a child on the changing table after changing another child's diaper. The diapering surface was not cleaned and sanitized after the first diaper change or before the second child was placed on the changing table.
Plan of Correction:	The following corrective action was provided by the director during the exit interview: The director will revisit diapering, cleaning and sanitizing with staff #2.