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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Ms. Patricia Temple
2261 Jeffrey Drive
Norfolk, VA 23518
(757) 639-4317

Current Inspector: Trisha Brown (757) 404-2601

Inspection Date: Aug. 11, 2016

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
22VAC40-191 Background Checks for Child Welfare Agencies

An unannounced renewal inspection of the family day home and records was conducted from 10:18am through 12:45pm. There were ten children present with the provider and one assistant caregiver. Total points for children present equal 24. Children household and assistant caregiver records were reviewed. Interviews were conducted with children and the provider. Children were observed in provider and self-directed activities including nap, lunch, transitions, and restroom routines. The inspector reviewed documentation for emergency evacuation drills, menus and required postings. The provider reports that there is not any medication administered to children in care. Children in care are rarely transported by the provider. When transportation is provided written parent authorization is obtained. The violations were observed in the following areas and appear on the violation notice: physical environment, materials and sanitation.

Standard #: 22VAC40-111-240-A
Description: Based on observation and interview the provider failed to ensure furnishings are maintained in safe condition. Evidence: 1 - There are two shelving units in the upstairs child care room that are not secured to the wall. Therefore, they pose a toppling hazard. a. One shelf is 3 feet tall and two feet wide. b. One shelf is 3 feet tall and 3 feet wide. 2 - Children were observed accessing the toys and equipment on the shelves. 3 - The provider confirmed that the shelves are not secured to the wall.

Plan of Correction: The provider will secure the shelving units to the wall.

Standard #: 22VAC40-111-250-B
Description: Based on observation and interview the provider failed to ensure that children are protected from materials that could be swallowed or present a choking hazard. Evidence: 1 - At approximately 11am caregiver 1 gave the children in care a bucket of stringing beads. The beads were 7/8ths of an inch in diameter. 2 - There were six children in care under three years of age, one, five month old, two, 16 month old, one, 18 month old and two, two year old children in care today. 3 - The children were observed playing with the beads. 4 - The provider stated that she was unaware that the beads posed a choking hazard.

Plan of Correction: Corrected during the inspection. The provider will ensure that going forward, children under the age of 3 years will not have access to choking hazard materials.

Standard #: 22VAC40-111-690-D
Description: Based on interview the provider failed to ensure that the diaper surface is sanitized after each use. Evidence: Caregiver 1 stated that he used two wipes to clean the diaper surface after changing a diaper. However, he did not sanitize the surface by spraying or dipping the surface with sanitizer and allowing the surface to air dry.

Plan of Correction: The provider will retrain all each caregiver in the steps required to clean and sanitize the diaper surface after each diaper change.

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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