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Mrs. Lorraine Bryant
901 Meadowood Drive
Va. beach, VA 23452
(757) 306-1133

Current Inspector: Rene Old (757) 404-1784

Inspection Date: Oct. 20, 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.
22VAC40-80 SANCTIONS.
22VAC40-80 HEARINGS PROCEDURES.
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
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.

Comments:
An unannounced renewal inspection was conducted on October 20, 2015 from 2:55 p.m. to 5:20 p.m. Upon arrival, there were 9 children, ages 5 months to 4 years, for a total of 20 points, with 2 caregivers present. A tour of the facility was conducted. Children were observed awakening from the nap time, using the bathroom, putting on their shoes, assembling puzzles, participating in reading a story, singing, eating a snack, engaging in a paper cutting activity while discussing its characteristics with a caregiver, putting away play equipment, individual choice play and departure with parents. Records were reviewed for 3 children and 3 adults. There was no medication being administered. Areas of non-compliance in administration are identified on the violation notice and were discussed with the provider during the exit interview. Please complete the ?plan of correction and ?date to be corrected? for each violation cited on the violation notice and return it to the licensing office within 10 calendar days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word ?corrected? is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s); 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring and preventive measure(s). If you have any questions, please call the licensing inspector.

Violations:
Standard #: 22VAC40-111-110-B
Description: Based on a review of 3 children's records, the facility did not ensure that each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a licensed physician, the physician's designee, or an official of a local health department. Evidence: 1. In the record of child #1, the immunization report was not signed by a physician, the physician's designee or an official of a local health department.

Plan of Correction: Provider has returned physical examination form to parent to complete. Forms are completed with the physical/examination dates and immunization dates. Form was signed by a licensed physician and has an official local health department stamp. Physical form completed on 10/26/2015

Standard #: 22VAC40-111-60-B
Description: Based on a review of 3 children's records, the facility did not ensure that children's records included Information on allergies and intolerance to food, medication, or any other substances, and actions to take in an emergency situation. Evidence: 1. The record of child #1 did not have an answer regarding allergies on either of the child's record or enrollment forms.

Plan of Correction: Provider has reviewed the medication form with parent. The parent has filled-in all questions regarding her child's information on allergies, intoleration to food, medication and actions to take in an emergency situation.

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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