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Tonya Mitchell
1501 Three Gait Trail
Virginia beach, VA 23453
(757) 309-6870

Current Inspector: Emily Walsh (757) 404-2575

Inspection Date: Jan. 13, 2017

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 Emergencies
22VAC40-111 Nutrition
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
The record provided for the provider did not include documentation of any training hours in 2016, however 10 clock hours of training were obtained in January 2017. Eight of the ten hours obtained will be applied to the required training for 2016. The remaining 2 hours will be applied toward the ten clock hour minimum training for 2017.

Comments:
An unannounced, mandated renewal inspection was conducted today. The inspector arrived at 12:30 PM and departed at 3:15 PM. Six children, totalling 19 points, were in care with two caregivers. When the inspector was arriving, the seventh child, an infant, was being picked up from care. The provider was not present during the inspection. Activities and nap time were observed. Caregiver 1 reported that there have been no children's injuries and no medication has been administered to children in care since the previous inspection. A sample size of two caregiver records and six children's records were reviewed. An exit meeting was conducted with caregiver 1 during which the violations cited were reviewed. Please contact the inspector if there are any questions.

Violations:
Standard #: 22VAC40-111-140-D
Description: Based upon review of records and caregiver interview, the provider has not ensured that a substitute provider record is kept on which the substitute's times of arrivals and departures are recorded and signed by the substitute. Evidence: 1. Caregiver 1 was identified as the substitute provider during today's inspection in the absence of the provider. Although the first name and arrival time of the substitute was written along the edge of the children's attendance sheet, a record to include a signature was not available. 2. Caregiver 1 was unable to provide any records to verify the annual use of a substitute for the past year.

Plan of Correction: The provider responded with the following: I thought as long as it was kept on a record it did not have to be on a particular form. We will be sure to put it on the correct substitute form. As of the new year I had removed the old substitute hours because it was time to start a new one as of January 2017. I will be sure to keep them from now on.

Standard #: 22VAC40-111-210-A
Description: Based upon review of caregiver records and interview, the provider has not ensured that in addition to satisfactory completion of first aid training and CPR, caregivers have obtained a minimum of eight clock hours training annually. Evidence: 1. The record provided for caregiver 1, the substitute provider in the absence of the provider today, does not contain documentation of any training hours in 2016. 2. Caregiver 1 stated that she thinks the provider calculates training hours by the calendar year and that she needed to complete her online training.

Plan of Correction: The provider responded with the following: The Primary Caregiver has her hours. I was thinking it was February to February like my license therefore I thought the substitutes had until February 17, 2017 to have their trainings in.

Standard #: 22VAC40-111-280
Description: Based upon observation, the provider has not ensured that potentially poisonous substances are stored in areas inaccessible to children. Evidence: 1. During the inspection, there was a small container of hand sanitizer on the kitchen counter with label that read "warning, keep out of reach of children". 2. There was an aerosol container of Glade Air Freshener on the floor beside the toilet used by the children in care. The can was labeled "flammable, keep out of reach of children".

Plan of Correction: The provider responded with the following: I usually keep it in my pocket for our daily walks. I had emptied my pockets the night before and forgot to put it in my lock cabinet. I will be sure to put it in the cabinet in the future. I take the air freshener in and out after daycare hours. Also spray it after some diaper changes. I put it behind the trash can. I will remember in the future to put it in lock cabinet.

Standard #: 22VAC40-111-320-B
Description: Based upon observation, the provider has not ensured that child-resistant protective covers are installed on all unused electrical outlets. Evidence: Upon arrival of the inspector, three children were on cots in the back family room. An outlet to the left of the fireplace in the this room did not have a protective cover.

Plan of Correction: The provider responded with the following: When using the socket we take protector out then leave it by the socket to be able to put it right back. We will remember to put socket protector back in after use.

Standard #: 22VAC40-111-350-E
Description: Based upon a measurement of the water temperature, the provider has not ensured that the water temperature is maintained within a range between 105 degrees and 120 degrees F. Evidence: The hot water temperature at the tap used by the children in the children's bathroom reached a temperature of 144 degrees F.

Plan of Correction: The provider responded with the following: I will have a plumber come turn the hot water heater down. It takes so long to get ho that I never realized it was an issue

Standard #: 22VAC40-111-690-D
Description: Based upon observation, the provider has not ensured that the diapering surface in nonabsorbent and washable. Evidence: The vinyl covered diaper pad on the diaper changing table has a 2 inch tear in the corner that would potentially allow bodily fluids to be absorbed by the foam inside the diaper pad.

Plan of Correction: The provider responded with the following: We set the diaper station up every day we just grabbed the other pad we have two and had not disposed of the old one but the old one has been disposed of and the new one is free of cracks.

Standard #: 22VAC40-111-690-E
Description: Based upon observation, the provider has not ensured that soiled diapers and wipes are disposed in a storage system that is either foot operated or used in such a way that neither a caregiver's hand nor the soiled diaper or wipe touched the surface of the storage system during disposal. Evidence: 1. The diaper disposal storage system in the bathroom has a swinging lid that would require either a hand or the diaper to swing open the lid when disposing the diaper. 2. Caregiver 1 stated that when changing diapers she usually takes the diaper outside to dispose of the diaper or sometimes uses the disposal with the swinging lid in the bathroom. 3. Caregiver 1 stated that they have a foot operated disposal system but was unable to find it when she looked in the garage.

Plan of Correction: The provider responded with the following: We have a diaper Jeanie but we go back and forward to the garage and sometimes if enough providers are here to keep eyes on the children we walk it outside when we can therefore it wont leave a bad odor in the house. The diaper Jeanie was not seen because when I cleaned the garage out I keep it on the other side of the cabinet. We had it so close to the door previously that the odor would still escape into the house.

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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