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Mrs. Rosemary Everette
1439 Mellwood Court
Norfolk, VA 23513
(757) 962-7387

Current Inspector: Heather Harrell (757) 334-4329

Inspection Date: Jan. 31, 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
22VAC40-111 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.

Technical Assistance:
The inspector observed that sand has been distributed under and around the outdoor swings to provide a more resilient fall zone. Please ensure that when the portable toddler slides are used, that they are not located over compacted dirt or other hard surfaces.

Comments:
An unannounced monitoring inspection was conducted from 12:50 p.m. to 3:15 p.m. At the time of entrance, 7 children, ages 5 months to 4 years old, for a total of 20 points, were in care with 2 caregivers present. The records sample size consisted of 4 children?s records and 3 provider / assistant/ household member records. Children were observed eating lunch which consisted of breaded corn dogs, french fries, pineapple and milk. Children also had rest time, played with a variety of educational materials and toys such as puzzles, stickers, books and markers. Medication administration was not observed. The provider stated that no medication is administered to children in care. Older children are transported to and from care in the mornings before school and/or after school. The licensee has a designated assistant who regularly transports these children. Two written incident reports for minor injuries were reviewed. The licensee states there have been no accidents or injuries incurred by children in care which required medical treatment. Areas of non-compliance are identified on the violation notice. Thank you for your time during today's inspection. Please do not hesitate to contact me if I may be of assistance. The licensee provided verbal responses to the violations during the inspection, which were entered on to the violation notice by the Licensing inspector.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on a review of records, the licensee did not ensure that results of a physical exam is obtained for each enrolled child prior to attendance or within 30 days of first day of attendance. Evidence: Four children's records were reviewed. The record for child #1 whose enrollment date was documented as 9/1/16 did not contain the results of a physical exam. The licensee did, however, have a signed note from child #1's parent stating that a physical exam was scheduled and that the results will be submitted by 2/6/17.

Plan of Correction: The licensee will follow up with the parent to ensure that the results of the physical examination are obtained by 2/6/17.

Standard #: 22VAC40-111-350-E
Description: Based on measurements taken during the inspection, the licensee did not ensure that sinks located near the toilets are supplied with running warm water that does not exceed 120 degrees Fahrenheit. Evidence: The water at the hot water tap located in the restroom utilized by children in care measured 123.4 degrees Fahrenheit. Water measuring more than 120 degrees Fahrenheit may inflict a burn.

Plan of Correction: Sometimes the temperature on the hot water heater is is temporarily adjusted higher for morning showers and even when turned back down leaves a bit of hotter water in the tank until it is used. The licensee states that she will monitor to ensure the water is cool enough when children arrive each morning.

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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