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Ms. Susan Baker
304 York Downs Drive
Yorktown, VA 23693
(757) 865-8366

Current Inspector: Tiffany Harris (757) 403-3045

Inspection Date: May 3, 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
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced monitoring inspection was conducted on May 3, 2017. There were 4 children present with 1 provider. The total number of points for children in care during the inspection were 12. The children were observed playing with trains, watching a video and playing freely. The provider does not administer medications as a part of the family day home. Transportation is not provided by the family day home. The sample size of records reviewed were 2 children's records, 1 provider record and 1 household member record. The designated outdoor play space was observed. The violations from the previous inspection were reviewed. The inspection began at approximately 8:35 a.m. and ended at 10:30 a.m.

Violations:
Standard #: 22VAC40-111-920
Description: Based on observation and provider interviews, the provider did not ensure the menu was given to parents or posted or placed in an area accessible to parents Evidence: During the inspection on May 3, 2017, the menu was not posted in a place visible to parents.

Plan of Correction: The provider will post it.

Standard #: 22VAC40-111-60-A
Description: Based on documentation review and provider interviews, the provider did not ensure the provider maintained an up-to-date record at the family day home for each enrolled child. Evidence: During the inspection on May 3, 2017, the record for child #3 did not include proof of identity.

Plan of Correction: The provider will get some documentation from parent.

Standard #: 22VAC40-111-180-A
Description: Based on a record review and provider interviews, the provider did not ensure each caregiver and adult household member had obtained a current report of Tuberculosis Screening (TB). They are required every two years from the date of the first screening. Evidence: During the inspection on May 3, 2017, the TB screenings for provider and household member #1 were both dated 11-4-2014.

Plan of Correction: The provider will have the TB screenings done this week.

Standard #: 22VAC40-111-460-I
Description: Based on observation and provider interviews, the provider did not ensure animal litter boxes, toys, food dishes, and water dishes were inaccessible to children. Evidence: During the inspection on May 3, 2017, in the kitchen there was 1 water dish and 1 food dish both with water and food designated for the family dog and the area was observed to be accessible to the children.

Plan of Correction: The provider will remove the dishes.

Standard #: 22VAC40-111-680-A
Description: Based on observation, the provider did not ensure caregivers washed their hands with liquid soap and warm running water after contact with any body fluids. Evidence: During the inspection on May 3,2017, the provider was observed twice wiping a child's runny nose (child #2) with a tissue and did not wash their hands after.

Plan of Correction: The provider will wash hands in the future.

Standard #: 22VAC40-111-680-B
Description: Based on observation, the provider did not ensure children's hands were washed with liquid soap and warm running water after toileting or diapering. Evidence: During the inspection on May 3,2017, the provider was changing the diaper of child #3 and the child's hands were not washed after diapering.

Plan of Correction: The provider will make sure hands are washed with each diaper change.

Standard #: 22VAC40-111-690-D
Description: Based on observation, the provider did not ensure the diapering surface was cleaned and sanitized after each use. Evidence: During the inspection on May 3, 2017, the provider was observed during the diapering process and sprayed the diaper pad with soap/water solution and a bleach/water solution and immediately wiped it down. The diaper pad was not sanitized as the bleach/water solution is required to air dry or can be wiped down after 2 minutes.

Plan of Correction: The provider will make sure to sanitize.

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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