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Ms. Cheryl Campbell
5533 Brickell Road
Norfolk, VA 23502
(404) 272-1144

Current Inspector: Rene Old (757) 404-1784

Inspection Date: Jan. 20, 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 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-80 THE LICENSE.
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
The dates on the posted menu should be revised in order to provider clear information regarding meals and snacks served to children each week. Two shelter-in-place practice drills are required annually. A shelter drill does not take the place of a fire drill. Children's records are required to be reviewed and updated, if needed, annually by the parent. Best practice regarding hand washing was discussed. The emergency relocation plan, provided to parents, does not list the location for emergency relocation of the children in the event of an emergency. This information should be added to information provided to parents. Suggest contacting the City of Norfolk for appropriate shelters designated in the area of the FDH for evacuation. Additionally, reviewed applicable web sites regarding emergency preparedness. The emergency plan for the FDH was reviewed and discussed. Suggested revisions to strengthen the plan with regard to emergency relocation and communication with parents.

Comments:
An unannounced renewal inspection was conducted on 01/20/2017 from 2:20pm - 3:50pm. At the time of entrance there were two children in care with the provider. The ages of the children counted for a total of six points. Children were observed during nap. Diapering & hand washing was observed after nap. The provider engaged the children in learning activities until departure. Records were reviewed for three children as well as the provider and two household members. The entire home and backyard play area was reviewed. The provider has stated no medication is administered and no transportation of offered at this time. Violations were found in the following areas of the family day home standards: Administration, physical environment and equipment and emergencies. These violations were reviewed with the provider during the exit interview at the conclusion of the inspection.

Violations:
Standard #: 22VAC40-111-830-B
Description: Based on record review and interview, the provider failed to ensure that shelter-in-place procedures shall be practiced a minimum of twice per year. Evidence: 1. The emergency practice log for the family day home did not list any practice shelter drills for 2016. a. The home has been licensed since July 3, 2016. 2. The provider verified that a shelter drill had not been conducted.

Plan of Correction: The provider stated that a shelter drill will be conducted on Monday, January 23, 2017.

Standard #: 22VAC40-111-30-A
Description: Based on observation and record review, the provider failed to ensure compliance with the terms of the current license issued by the department of social services.
*The current license lists an age range of 13 months ? 12 years.

Evidence:
1. When the inspection arrived there was one child in care (child #1) under the age of 13 months.
a. Child #1 has a birthdate of 2/22/2016 which was verified by a review of enrollment records.

Plan of Correction: The provider stated:
"This violation were not intentinally...just a over site but, I have the equipment to care for my baby and ability."

Standard #: 22VAC40-111-90-C
Description: Based on record review and interview, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The most recent immunizations on file for child #1 were administered on June 30, 2016. 2. The provider confirmed the immunizations on file were the most recent.

Plan of Correction: The parent was asked, at pick-up, to provide a copy of the child's updated immunization record. The parent stated she needed to make an appointment with her child's physician. The provider stated she would ask the parent to provide updated immunization information within the next two weeks.

Standard #: 22VAC40-111-240-A
Description: Based on observation, the provider failed to ensure that outdoor areas of the home shall be maintained in a safe condition. Evidence: 1. The metal fence had separated in one area from the metal fence cover. This area of the fence is accessible to children as they exit and enter the child care entrance to the backyard play area. a. The metal pole was leaning and protruding and is a safety hazard if a child were to fall or run into the fence. Additionally, the separation of the metal pole & cap from the actual fence compromises the integrity of the fence.

Plan of Correction: The provider stated she would put a repair in place within the next two weeks.

Standard #: 22VAC40-111-250-A
Description: Based on observation, the provider failed to ensure that hanging items including, but not limited to, window blind or curtain cords, appliance cords, and ropes shall be out of reach of children under five years of age. Evidence: A cord from a CD player was observed hanging down from a shelf in the child care room. The cord was accessible to a child napping on a cot nearby. This child is under the age of five years.

Plan of Correction: The cord was removed immediately.

Standard #: 22VAC40-111-530-B
Description: Based on observation, the provider failed to ensure that cribs when being used by infants shall have a tight-fitting bottom cover. Evidence: An infant was observed napping in a crib with a loose fitting crib sheet.

Plan of Correction: The provider stated that she plans to go out this evening and look for crib sheet clips that will pull and hold the sheet tight.

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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