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Ms. Babette Mayfield
467 Wyatt's Mill Road
Jarratt, VA 23867
(434) 535-8159

Current Inspector: Rene Old (757) 404-1784

Inspection Date: Aug. 3, 2022

Complaint Related: No

Areas Reviewed:
8VAC20-800 Administration
8VAC20-800 Personnel
8VAC20-800 Household Members
8VAC20-800 Physical Health of Caregivers and Household members
8VAC20-800 Caregiver Training
8VAC20-800 Physical Equipment and Environment
8VAC20-800 Care of Children
8VAC20-800 Preventing the Spread of Disease
8VAC20-800 Medication Administration
8VAC20-800 Emergencies
8VAC20-800 Nutrition
8VAC20-820 THE LICENSE
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:
Discussed annual update for each child's record and adding amount of time assistant is left alone with children each week.

Discussed adding afternoon snack to posted menu.

Discussed attendance documentation to be documented at arrival.

Comments:
An unannounced renewal inspection was conducted on 08/03/2022 from 12:12 pm - 1:54 pm. There were eight children in care with one caregiver when the inspector arrived. A second caregiver arrived at 12:38 pm. The ages of the children in care counted for a total of 14 points.
Children were observed napping, watching an educational television show, eating snack and playing with toys.
Records were reviewed for both caregivers and five children.

Information gathered during the inspection determined non-compliance with applicable standards and violations were documented on the violation notice issued to the provider.

Violations:
Standard #: 8VAC20-800-770
Description: Based on observation, the provider failed to ensure that a working battery-operated portable weather band radio, and extra batteries shall be kept in a designated area and be available to caregivers at all times.

Evidence:
The battery operated radio lacked working batteries.

Plan of Correction: The provider stated that new batteries will be purchased for the radio.

Standard #: 8VAC20-800-830-A
Description: Based on record review and interview, the provider failed to ensure that the emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

Evidence:
1. The emergency log for the family day home indicated the most recent fire drill was conducted on 06/09/2022.
a. No fire drill was listed for July 2022.
2. The provider confirmed that a fire drill had not been conducted in July 2022.

Plan of Correction: The provider stated that a fire drill will be conducted in August and each month thereafter.

Standard #: 8VAC20-800-30-E
Description: Based on interview, the provider failed to ensure that the home's services are conducive to the welfare of children in care.

Evidence:
1. The services of the FDH were not conducive to the welfare of the children as enrollment information, to include emergency contact information, was not available to caregiver 2 who was left alone with the children for approximately 30 minutes on 08/03/2022.
a. Caregiver 2 stated she did not have access to the children's records or any emergency or parent contact information for the eight children in care.
b. Caregiver 2 stated the provider was the only person with access to the children's records.
c. The provider was not in the home when the inspector arrived at 12:12 pm. The provider arrived at approximately 12: 38 pm.

Plan of Correction: The provider stated that the children's records were available to caregiver 2. The provider stated she would discuss this with caregiver 2 and make sure she was aware that she could access the children's records.

Standard #: 8VAC20-800-240-A
Description: Based on observation, the provider failed to ensure that outside areas and furnishings of the family day home shall be maintained in a safe condition. Unsafe conditions shall include, but not be limited to, the presence of visible cracks, bending or warping, rusting, or breakage of any equipment; that could entangle or could snag skin.

Evidence:
1. Three broken areas of plastic were observed on the outdoor log cabin play house.
a. The cracks have sharp edges.

Plan of Correction: The provider stated that repairs will be made to the log cabin to eliminate the cracks.

Standard #: 8VAC20-800-280
Description: Based on observation, the provider failed to ensure that potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, shall be stored away from food in areas inaccessible to children.

1. A bottle of hand sanitizer and a container of disinfecting wipes were observed on the end table beside the reclining chair in the child care room.
a. Both products have multiple warning labels indicating the contents as hazards.
b. This end table is within reach of the children in care.

Plan of Correction: Both products were put away during the inspection and will remain out of reach of children in care.

Standard #: 8VAC20-800-500-C
Description: Based on observation, the provider failed to ensure that stationary outdoor playground equipment shall be firmly anchored with ground supports that are covered with materials to protect children from injury.

Evidence:
1. The two outdoor swing sets, in the backyard, are not anchored in the ground.
a. The support poles move upward, out of the ground, when lifted.

Plan of Correction: The provider stated that both swing set posts will be secured inside of the ground with cement or some other way will be found to make sure the posts do not come up when moved.

Standard #: 8VAC20-800-510-A
Description: Based on observation, the provider failed to ensure that a child shall be provided with an individual crib, cot, rest mat, or bed for resting or napping.

Evidence:
When the inspector arrived at 12:12 pm two children were observed asleep in the child care room:
1. Child 1 was observed sleeping on the couch in the child care room.
2. Child 2 was observation sleeping on a chair in the child care room.

Plan of Correction: The provider stated that both children do not sleep well on a rest mat - which is available to both children.
The provider stated that she would begin transitioning both children to a rest mat for sleeping.

Standard #: 8VAC20-800-690-L
Description: Based on observation, the provider failed to ensure that toilet chairs, when used, shall be cleaned and sanitized after each use.

Evidence:
1. A small film of dried urine was observed in a toilet chair in the children's bathroom.
a. The assistant stated this chair had been used earlier by a child in care.

Plan of Correction: The potty chair was cleaned and sanitized during the inspection. The provider stated it was the usual practice to clean and sanitize the potty chair after each use.

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.

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