VIRGINIA DEPARTMENT OF SOCIAL SERVICES

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

Current Inspector: Rene Old (757) 404-1784

Inspection Date: May 25, 2023

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 8VAC20-800 Transportation 8VAC20-800 Nighttime Care 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect

Comments:

An unannounced monitoring inspection was initiated and concluded on May 25, 2023. There were eight children in care, ages 16months through 3 years old for a total of 11 points, with the provider and one volunteer. Children were observed in provider and self-directed activities. The child care space inside and outside were viewed. Caregiver and children's records were reviewed. Additionally, the first aid kit, radio, flashlight and emergency evacuation drills were reviewed. The provider reports that children are not transported while in care nor are any medications administered. Violations and repeat violations were observed in the areas of required postings, emergency evacuation drills, weather ban radio, outside play equipment, unlocked chemicals, children's records and background check. These violations were reviewed with the provider during the exit interview at the conclusion of the inspection.

Violations:

Standard #:	22.1-289.011-F
Description:	Based on observation the provider failed to post required documents in a conspicuous place on the licensed premises. Evidence: 1 - The results of the most resent inspection was not conspicuous as it was covered by many other documents on the provider's parent information bulletin board. 2 - The provider confirmed that information was not visible on the bulletin board.
Plan of Correction:	Bulletin board was rearranged for said documents to be visible.
Standard #:	8VAC20-800-770
Description:	Based on observation the provider failed to ensure that there is a working portable battery-operated weather band radio. Evidence: 1 - There was not a weather band radio available during the inspection. 2 - The provider stated that she did not have a weather band radio.
Plan of Correction:	A weather band radio was purchased.
Standard #:	8VAC20-800-830-A
Description:	Based on record review the provider failed to ensure that emergency evacuation procedures are practiced monthly. Evidence: 1 - The most recent emergency evacuation drill was dated June 9, 2022. 2 - The provider confirmed the documented information was accurate.
Plan of Correction:	Emergency evacuation drill was done and updated.
Standard #:	8VAC20-800-830-B
Description:	Based on record review the provider failed to ensure that shelter-in-place procedures are practiced a minimum of twice per year. Evidence: 1 - The most recent shelter-in-place drill is dated March 8, 2022. 2 - The provider confirmed that the documented information was accurate.
Plan of Correction:	Shelter-in-Place procedure was done and updated.
Standard #:	8VAC20-800-100-A
Description:	Based on record review and interview the provider failed to ensure that physical examination records are obtained as required. Evidence: 1 - The records for Child #1, #3 and #4 did not contain physical examination documentation. a. The documented date of enrollment for Child #1 is March 6, 2023. b. The documented date of enrollment for Child #3 is December 12, 2022. c. The documented date of enrollment for Child #4 is November 7, 2022. 2 - The provider confirmed that the physical examination documentation was not present in the records of Child #1, #3 and #4.
Plan of Correction:	Records for physical examinations was obtained for Child # 1,3 and 4.
Standard #:	8VAC20-800-60-B
Description:	Based on record review and interview the provider failed to ensure that children's records contain all required documentation. Evidence: 1 - The record for Child #1 does not have a telephone number listed for the parents place of employment. 2 - The record for Child #2 did not include any response regarding name and policy number of the child's medical insurance. 3 - The record for Child #3 did not include any response regarding name and policy number of the child's medical insurance. 4 - The record for Child #4 did not contain documentation of emergency contact information, the name office address and telephone number of the child's physician, the name and policy number of the child's medical insurance or previous child care attended. 5 - The provider confirmed that the children's records were incomplete.
Plan of Correction:	All records was updated to what ever was needed.
Standard #:	8VAC20-800-90-A
Description:	Based on record review and interview the provider failed to ensure that immunization records are obtained as required. Evidence: 1 - The records for Child #1 and #4 did not contain immunization documentation a. The documented date of enrollment for Child #1 is March 6, 2023 b. The documented date of enrollment for Child #4 is November 7, 2022. 2 - The provider confirmed that there were not immunizations records in the files for Child #1 or #4.
Plan of Correction:	Immunization records for child # 1 and 4 were obtained.
Standard #:	8VAC20-800-240-A
Description:	Based on observation the provider failed to ensure that furnishings are in operable condition. Evidence: 1 - There is rest mat assigned to a child in care that is torn. 2 - The provider confirmed that one rest mat was torn. 3 - There is playhouse on the outside playground that has areas of cracked and broken plastic within reach of children. The cracked broken plastic has sharp, jagged edges. 4 - The provider confirmed that there is cracked, broken plastic within reach of children on the outside playhouse.
Plan of Correction:	New sleep mats were purchased.
Standard #:	8VAC20-800-280
Description:	Based on observation and interview the provider failed to ensure that potentially poisonous substances are stored away from food in areas inaccessible to children. Evidence: 1 - There was a spray bottle of cleaning solvent in a lower unlocked cabinet in the bathroom used by children in care. a. The potentially poisonous substance was accessible to children. b. The label on the spray bottle has a warning stating keep out of reach of children. 2 - The provider confirmed that the substance was accessible as the cabinet was not locked.
Plan of Correction:	Child safety latch was retightened.
Standard #:	8VAC20-800-500-C
Description:	Based on observation the provider failed to ensure that outside playground equipment is firmly anchored with ground supports that are covered with materials to protect children from injury. Evidence: 1 - There are two sets of metal swing sets with multiple seats that are not anchored into the ground. a. The support frame can be easily lifted off the ground. 2 - The provider confirmed that swing sets are not anchored in the ground.
Plan of Correction:	Swing's were anchored in ground and the doll house thrown out away.
Standard #:	8VAC20-800-510-A
Description:	Based on observation the provider failed to ensure that a child is provided with an individual rest mat. Evidence: 1 - There were eight children in care ages 16months through three years old. However, there were only seven rest mats available for children to use at nap time. 2 - The provider confirmed that there were eight children in care and only seven rest mats.
Plan of Correction:	New sleep mats was purchased for everyone.