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Pearl Pulley
19627 Dorothy Circle
Dinwiddie, VA 23841
(804) 469-6064

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: Dec. 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
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced renewal inspection was conducted on December 23, 2019 to determine the provider's compliance with family day home standards. The inspection was initiated at 9:45 am and concluded at 11:50 am. Eight children were in care with three caregivers for a value of 18 points. Upon the inspector's arrival, children were observed playing games, working puzzles and fixing lunch with plastic food at the toy grill. Later children reviewed flash cards and one infant went down for a nap. Required documentation was posted to include; license, most recent inspection notice, emergency numbers and menu. Today's posted lunch menu consisted of chicken, potatoes, apples and milk. The first aid kit and non-medical emergency supplies were inspected and found complete. The inspector interacted with the caregivers and children in care.

Eight children?s records, three caregivers? records and one household record were reviewed during the inspection. Caregivers have current CPR and first aid training. Per the provider, medications are not administered.

The most recent evacuation drill was conducted on 11/19/2019. The two required shelter-in-place drills were completed on 04/10/2019 and 10/23/2019. A lock down drill was documented on 10/12/2019.
Violations cited during the licensure period were checked for corrections. There were five repeat violations found during today?s inspection.
If you have any questions regarding this inspection, please contact the licensing inspector at (804) 662-9758.

Violations:
Standard #: 22VAC40-111-730-D
Description: Based on observation and interview, the provider did not ensure medications, including refrigerated medication and medications for caregivers and household members, were kept in a locked place using a safe locking method that prevents access by children.

Evidence:

1. Medication identified by caregiver #2 as belonging to the household member was observed unlocked in the providers bedroom.
2. The door leading from the child care area to the hall and opened door of the bedroom, approximately four feet away was unlocked and opened allowing access to the unlocked medication.

Plan of Correction: Per the provider: I will get a lock for the door leading to the rest of the home where children do not go to make sure the medications are locked.

Standard #: 22VAC40-111-100-A
Description: Based on review of children's records, the provider did not obtain documentation of a physical examination under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.

Evidence:

1. The record of child #2, enrolled 08/27/2018, did not contain documentation of a physical exceeding 30 days from the first day of attendance.
2. The record of child #6, enrolled 10/01/2019, did not contain documentation of a physical exceeding 30 days from the first day of attendance.
3. The record of child #7, enrolled 10/01/2019, did not contain documentation of a physical exceeding 30 days from the first day of attendance.

Plan of Correction: Per the provider: I will remind parents i need a copy of their physical.

Standard #: 22VAC40-111-60-B
Description: Based on review of children's records, the provider did not obtain all required information for each child's record.

Evidence:

1. The record of child #1, enrolled 08/27/2014, did not contain the name/address/phone number for a second emergency contact.
2. The record of child #2, enrolled 08/27/2018, did not contain documentation of the annual review of the child's emergency contact information.
3. The emergency contact information for the record of child #3, enrolled 10/13/2014, was last reviewed on 10/12/2018, exceeding the annual requirement.
4. The emergency contact information for the record of child #4, enrolled 10/13/2014, was last reviewed on 10/12/2018, exceeding the annual requirement.
5. The emergency contact information for the record of child #5, enrolled 10/13/2014, was last reviewed on 10/12/2018, exceeding the annual requirement.
6. The record of child #6, enrolled 10/01/2019, did not contain the addresses for the two emergency contacts listed.
7. The record of child #7, enrolled 10/01/2019, did not contain the addresses for the two emergency contacts listed.
8. The record of child #8, enrolled 12/16/2019, did not contain written authorization for emergency medical care should an emergency occur and the parents cannot be located immediately.

Plan of Correction: Per the provider: I will ask the parents to complete the missing information. The records of Child #3, #4 and #5 were corrected while the inspector was on site.

Standard #: 22VAC40-111-90-C
Description: Based on review of children's records, the provider did not obtain documentation of additional immunizations once every six months for children under the age of two years.

Evidence:

1.The most recent immunizations record for child #2, age 18 months, were dated 08/27/2018.
2. The record for child #2 did not have documentation of additional immunizations every six months.

Plan of Correction: Per the provider: I will ask the parent for the updated immunizations.

Standard #: 22VAC40-111-180-A
Description: Based on review of a household members record, the provider did not obtain a current report of tuberculosis screening every two years from the date of the first screening.

Evidence:

1. The most recent documentation of a tuberculosis screening for household member #1 was dated 03/23/2017 exceeding the requirement to renew every two years.
2. Household member #1 had a tuberculosis screening form dated 03/23/2019, however the form was not signed by a physician, physician's designee or an official of the local health department.

Plan of Correction: Per the provider: I will have him go back to the doctor to have the form completed.

Standard #: 22VAC40-111-210-A
Description: Based on review of annual training hours, the provider did not ensure caregivers obtained a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities.

Evidence:

1. Caregiver #1, had documentation of 13 hours during the period of 11/01/2018 through 10/31/2019 when sixteen hours was required.
2. Caregiver #1 acknowledged only 13 hours of annual training had been completed.

Plan of Correction: Per the provider: I will look for additional training and complete the required hours.

Standard #: 22VAC40-111-280
Description: Based on observation, the provider did not ensure potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates were stored away from food in areas inaccessible to children.

Evidence:

1. The door of the child care area was observed unlocked and open to the rest of the home.
2. Several cleaning materials were observed in the kitchen accessible to children in care.

Plan of Correction: Per the provider: I will get a lock for the door leading to the rest of the home where children do not go.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. To find programs participating in Virginia Quality, click here.

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