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Ms. Letitia Paige
2216 Parker Avenue
Portsmouth, VA 23704
(757) 337-2229

Current Inspector: Kimberly Sampson (757) 354-7307

Inspection Date: May 12, 2015

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
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Reviewed standard 22 VAC 40-111-90.C (updated immunizations)

Comments:
Licensing Inspector arrived at 11:45 am and departed at 1:00 pm. At the time of the inspection, there were 11 children in care (ages infant through preschool), for a total of 30 points. Children were observed napping. Infant care was also observed. No medication is being administered or stored on site.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on review of children's records, it was determined that the provider did not ensure that all child obtained documentation of obtaining a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: 1. Child #1 (date of enrollment 11/13/14) did not have documentation of a completed physical examination on file. 2. Child #3 (date of enrollment 12/17/14) did not have documentation of a completed physical examination on file.

Plan of Correction: Provider will request that parents bring in copies of the physicals.

Standard #: 22VAC40-111-210-A
Description: Based on review of provider/assistant/substitute provider records, it was determined that the provider did not ensure that in addition to satisfactory completion of first aid training and CPR training, caregivers obtained a minimum of eight clock hours of training annually in areas relevant to their job responsibilities. Evidence: The record for caregiver #2 indicated that she had completed only eight hours of training in the past year.

Plan of Correction: Provider will ensure that all assistant and substitute providers complete 16 hours of training annually.

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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