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Ms. Melissa Smith
43 Ireland Street
Hampton, VA 23663
(757) 327-3640

Current Inspector: Tiffany Harris (757) 403-3045

Inspection Date: Aug. 23, 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
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 August 23, 2016. There was one child present during the inspection with the provider totaling one point. The child was observed napping during the inspection. No medications are being administered in the family day home at this time. Two children's records and the provider's record were reviewed during the inspection. The outdoor play area is not being used at this time. The child was observed napping during the inspection.

Violations:
Standard #: 22VAC40-111-800-B
Description: Based on observation and inspection of the family day home, the provider did not review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan. Evidence: During the inspection conducted on August 23, 2016, the provider's emergency plan had not been updated since 3/8/15.

Plan of Correction: The plan will be reviewed and updated.

Standard #: 22VAC40-111-920
Description: Based on observation and inspection of the family day home the provider did not ensure that menu requirements were followed when meals or snacks are provided by the family day home. Evidence: During the inspection conducted on August 23, 2016, there was not a menu dated for the current one week period posted, given to parents or placed in an area accessible to parents.

Plan of Correction: Corrected during the inspection.

Standard #: 22VAC40-111-940-A
Description: Based on observation and inspection of the family day home, the provider did not ensure that temperatures shall be maintained at or below 0?F in the freezer compartments. Evidence: During the inspection conducted on August 23, 2016, the temperature in the freezer measured at 12?F.

Plan of Correction: The freezer will be repaired.

Standard #: 22VAC40-111-60-B
Description: Based on record review, in one of two children's records reviewed, the provider did not ensure that each child's record was documented with all required information. Evidence: During the inspection conducted on August 23, 2016, the record for Child #2 did not include documentation of the provider's policies for the administration of medications, the first day of attendance and one of two persons to contact in the event of an emergency.

Plan of Correction: Will have the parent to update missing information today.

Standard #: 22VAC40-111-280
Description: Based on observation and inspection of the family day home, the provider did not ensure that potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food in areas inaccessible to children. Evidence: 1. During the inspection conducted on August 23, 2016, the licensing inspector observed insect killer on the kitchen cabinet and laundry detergent on the kitchen floor which are both areas accessible to the child in care. 2. The items were labeled keep out of reach of children and warning or caution.

Plan of Correction: Corrected during the inspection.

Standard #: 22VAC40-111-330-A
Description: Based on observation and inspection of the family day home, the provider did not ensure that a landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home's hours of operation. An operable landline telephone is one that does not require electricity to operate. Cordless or cell phones may be used in addition to the landline telephone. Evidence: During the inspection conducted on August 23, 2016, the provider did not have a landline telephone.

Plan of Correction: I will get a landline phone and in the meantime I will use my cell phone.

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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