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Children's Harbor - Olde Towne
620 London Street
Portsmouth, VA 23704
(757) 397-2980

Current Inspector: Kimberly Sampson (757) 354-7307

Inspection Date: May 10, 2018

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.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Technical assistance was provided in the following areas of the standards: 22VAC40-191 (Background checks); 22VAC40-185-(4)-330 (Play areas)

Comments:
An unannounced monitoring inspection was conducted on 5/10/18 from 10:45am - 12:45pm. During the inspection there were 51 children ages two months old through five years old in care with 16 staff. Children were observed participating in various activities in the classrooms, playing outside, eating lunch, and during rest period. Records were reviewed for five children and nine staff. There was no medication at the facility. Emergency procedures and emergency supplies were reviewed during the inspection. Areas of non-compliance are identified on the violation notice and were discussed during the exit interview.

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on a review of nine staff records, it was determined that the facility did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted no later than 21 days after employment and shall have been completed within 12 months prior to or 21 days after employing. Evidence: 1. The record for staff #3 (date of hire (4/18/18) did not contain documentation of a negative tuberculosis screening. 2. Administrative staff reviewed the record for staff #3 and confirmed that there was not documentation of a negative tuberculosis screening.

Plan of Correction: The facility responded: Staff #3 will complete a TB screening. All new staff will complete a TB screening within 21 days of employment.

Standard #: 22VAC40-185-60-A
Description: Based on a review of five children's records and interview, it was determined that the facility did not ensure that they maintain and keep at the center a complete record for each child enrolled that contains all required information. Evidence 1. The record for child #1 did not contain name, address and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. Administrative staff confirmed that the record for child #3 did not contain all of the required information.

Plan of Correction: The facility responded: The parents of child #3 will be asked to provide the missing information to make the record complete. All new children will have their record reviewed prior to enrollment.

Standard #: 22VAC40-185-550-E
Description: Based on a review of documentation and interviews, it was determined that the facility did not ensure that the center shall maintain a record of the dates of the practice drills for one year. For centers offering multiple shifts, the simulated drills shall be divided evenly among the various shifts. Evidence: 1. When the Licensing Inspector asked for a copy of the emergency drill log, the administrative staff stated they were unable to provide documentation to demonstrate that the emergency evacuation practice drills and shelter-in-place drills had been completed because they couldn't find it. 2. Administrative staff stated that they had completed all required drills.

Plan of Correction: The facility responded: We will start a new emergency drill log and make sure all required emergency drills are completed.

Standard #: 22VAC40-191-60-C-2
Description: Based on a review of nine staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 30 days of employment. Evidence: 1. The record for staff #3 (date of hire 4/18/18) did not contain documentation of a completed search of the central registry finding. 2. The record for staff #6 (date of hire 1/2/18) did not contain documentation of a completed search of the central registry finding. 3. The record for staff #7 (date of hire 4/2/18) did not contain documentation of a completed search of the central registry finding. 4. The record for staff #9 (date of hire 3/14/18) did not contain documentation of a completed search of the central registry finding. 5. Administrative staff review the records for the staff listed above and confirmed that the search of the central registry finding has not been received for any of the staff listed.

Plan of Correction: The facility responded: A new search of the central registry for staff #3, staff #6, staff #7, and staff #9 will be completed. All new staff will complete upon employment. If it is not received within 30 days of employment, we will call the Virginia Department of Social Services to check the status of the request.

Standard #: 63.2-1720.1-B-2
Description: Based on a review of nine staff records, it was determined that the facility did not ensure that an employee is allowed to begin employment without a completed national criminal history record check (finger printing). Evidence: 1. The record for staff #7 (date of hire 4/2/18) did not contain documentation of a completed search of the central registry finding. 2. Administrative staff review the record for the staff #7, and confirmed that staff #7 began employment prior to the facility receiving the results of her national criminal history record check (finger printing).

Plan of Correction: The facility responded: All new staff will complete prior to beginning employment.

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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