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Ms. Phyllis Noel
4 Pyron Hunt Circle
Hampton, VA 23666
(757) 826-2076

Current Inspector: Anita Drewry (757) 404-5261

Inspection Date: Sept. 3, 2015

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
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
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced monitoring inspection was conducted on September 3, 2015. At the time of entrance there were 3 children, (a total of 10 points) in care, 1 provider and 1 household member were present. The sample size of records consisted of 2 children's and 1 providers record. Children were observed watching a vide and playing with a musical toys. No medications are being administered at this time. The inspection began at approximately 8:15 A.M. and ended at 10:40 A.M.. The results of the inspection and the violations cited were reviewed and confirmed with the Provider. Areas of non-compliance are identified on the violation notice.

Violations:
Standard #: 22VAC40-111-830-A
Description: Based on observation and provider interviews, the provider did not ensure emergency evacuation procedures were practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: During the inspection on September 3, 2015, there was not documentation available indicating an emergency evacuation drill had been conducted in June, July or August 2015.

Plan of Correction: The provider will ensure it is kept updated.

Standard #: 22VAC40-111-920
Description: Based on observation and provider interviews, the provider did not ensure that when meals or snacks are provided by the family day home, the menu for the current one-week period was given to parents or posted or placed in an area accessible to parents. Evidence: During the inspection on September 3, 2015, the menu was not posted in place where the parents could view it. Provider #1 said it was in the baby room on the desk.

Plan of Correction: The provider will make sure it is in the daycare room.

Standard #: 22VAC40-111-940-B
Description: Based on observation and household member interviews, the provider did not ensure there was an operable thermometer available to monitor refrigerator and freezer compartment temperatures. Evidence: During the inspection on September 3, 2015, household member #1 and licensing inspector viewed the freezer thermometer on different occasions and household member #1 confirmed there was not an operable thermometer for the freezer.

Plan of Correction: The provider will get a new thermometer.

Standard #: 22VAC40-111-60-B
Description: Based on record review and provider interviews, the provider did not ensure all required documentation was in each enrolled child's record. Evidence: During the inspection on September 3, 2015, the record for child #1 did not include the employment phone number for both parents listed.

Plan of Correction: Provider will get the parents work phone numbers

Standard #: 22VAC40-111-70-A
Description: Based on a record review and provider interviews, the licensee did not ensure the parent of each child had before the child's first day of attendance all the required written information regarding the family day home. Evidence: During the inspection on September 3, 2015, there was not documentation or information indicating the parent of child #1 (first date of attendance was 6-3-15) and child #2 (first date of attendance was 6-1-15 had received in the writing the following information; 1) Operating information including the hours and days of operation, holidays or other times closed, and the telephone number where a message can be left for a caregiver 2) Schedule of fees and payment plans 3) Check in and check out procedures 4) Policies for the administration of medications 5) Requirement for the family day home to notify the parent when the child becomes ill and for the parent to arrange to have the child picked up as soon as possible if so requested by the home 6) Requirement for the parent to inform the family day home within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life-threatening diseases, which must be reported immediately 7) Requirement for paid caregivers to report suspected child abuse or neglect according to ? 63.2-1509 of the Code of Virginia; 8) Discipline policies including acceptable and unacceptable discipline measures; 9) Presence of a pet or animal in the home; 10) Policies of termination of care 11) Amount of time per week that an adult assistant or substitute provider instead of the provider is scheduled to care for the child and the name of the adult assistant or substitute provider; 12) Address of the website of the department, with a note that a copy of this regulation and additional information about the family day home may be obtained from the website, including compliance history that includes information after July 1, 2003. 13) Custodial parent's right to be admitted to the family day home any time the child is in care as required by ? 63.2-1813 of the Code of Virginia 14) General daily schedule that is appropriate for the age of the enrolling child; 15) Policies for the provision of food; 16) Provisions of the family day home's emergency preparedness and response plan; 17) Address of the website of the department, with a note that a copy of this regulation and additional information about the family day home may be obtained from the website, including compliance history that includes information after July 1, 2003

Plan of Correction: Provider will get the parents to fill out the form

Standard #: 22VAC40-111-240-A
Description: Based on observation, the provider did not ensure areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe, and operable condition. Unsafe conditions shall include, but not be limited to, the presence of poisonous plants; tripping hazards; unstable heavy equipment, furniture, or other items that a child could pull down on himself; splintered, cracked, or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting, or breakage of any equipment; head entrapment hazards; and protruding nails, bolts, or other components that could entangle or could snag skin. Evidence: During the inspection on September 3, 2015, there were two areas observed that were determined to poses a safety risk to the children in care as listed below; 1) In the baby room there are two metal blocks on the floor protruding from the wall approximately 1 to 2 inches with sharp metal edges. 2) The gate to backyard located next to the entrance of the family day home was observed unlocked and appropriately 60 feet from the gate is an inground pool in the backyard that is not filled with water and household member #1 said the pool was an 8 foot deep pool.

Plan of Correction: The provider will be removed or covered and the gate was locked during inspection.

Standard #: 22VAC40-191-40-D-1-c
Description: Based on a record review and interviews with the provider, the provider did not ensure all providers had obtained updated background checks. Background checks are to be updated three years from the date of the last check. Evidence: During the inspection conducted on September 3, 2015, the record for provider #1 did not include an updated search of the central registry. The most recent check was dated 7-30-2012.

Plan of Correction: The provider will get an updated check.

Standard #: 63.2-1809.1-A
Description: Based on observation and provider interviews, the provider did not ensure there was a written notice furnished to the parent or guardian of each child under the care of the family day home, that states whether there is liability insurance in force to cover the operation of the family day home; provided, that no person under this section shall state that liability insurance is in place to cover the operation of the family day home, unless there is a minimum amount of coverage as established by the Department. [Dept establishes min. at $100,000 ($300,000 aggregate)] Evidence: During the inspection on September 3, 2015, provider #1 confirmed the records for child #1 and child #2 did not include liability insurance notification.

Plan of Correction: The provider will get those forms by next Friday.

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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