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Ms. Mary Almy
1315 Coltrane Dr
Portsmouth, VA 23701
(757) 541-3144

Current Inspector: Chris Robinson (757) 404-2322

Inspection Date: May 19, 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.
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.

Comments:
An announced monitoring inspection (initial study) was conducted on 5/19/2017 from 9:50am - 11:55am. There were four children in care ages two years old to three years old (8 points). A tour of the home was conducted and children were observed playing outside, eating and participating in various activities including circle time, free play and a learning activity. The provider will not administer medication unless she completes MAT training. Records were reviewed for two children and two caregivers. Emergency plan and supplies were reviewed. A six month conditional license is recommended due to the provider's willingness and ability to demonstrate compliance in all areas of standards during the initial inspection. Violations cited at this inspection are on the attached violation notice. There were not any complaints received during the application phase. Regularly scheduled inspections are recommended. The family day home would like to begin operation on 5/29/17.

Violations:
Standard #: 22VAC40-111-770
Description: Based on observation and interview, it was determined that the provider did not ensure there is a a working portable battery-operated weather band radio available to caregivers at all times. Evidence: 1. The battery powered radio available for viewing during the inspection was not a wether band radio. 2. The provider confirmed that there was not a working battery-operated weather band radio during the inspection.

Plan of Correction: The provider responded: A battery powered weather band radio will be purchased.

Standard #: 22VAC40-111-240-A
Description: Based on observation, it was determined that the provider did not ensure that all areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. There was a section of the fence on the outside play area where the it is broken and there are metal wires sticking into the play area. 2. The provider confirmed that the fence was not currently in a safe and operable condition.

Plan of Correction: The provider responded: The fence will be repaired to a safe and operable condition.

Standard #: 22VAC40-111-330-A
Description: Based on observation and interview, it was determined that 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. Evidence: 1. When the provider was asked for her landline phone, the provider showed the Licensing Inspector a battery powered cordless phone. 2. The provider confirmed that she did have a landline phone did not require electricity to operate.

Plan of Correction: The provider responded: A new landline phone that does not require electricity to operate will be purchased.

Standard #: 22VAC40-111-350-E
Description: Based on observation, it was determined that the provider did not ensure that the hot water at taps available to children are maintained with in a range of 105 to 120 degrees Fahrenheit. Evidence: 1. The hot water tap in the bathroom located in the children's play area/classroom was 74.1 degrees Fahrenheit. 2. The provider viewed the thermometer and confirmed that the hot water temperature was not within the required temperature range.

Plan of Correction: The provider responded: The pilot light was not operational during the inspection. It will be repaired and the water temperature will be monitored to maintain compliance.

Standard #: 22VAC40-191-40-C-1-a
Description: Based on a review of two records, it was determined that the provider did not ensure that any applicant or adult living in the home has a completed sworn statement or affirmation. Evidence: 1. The record for caregiver #1 did not have a completed sworn statement or affirmation. 2. The record for caregiver #2 did not have a completed sworn statement or affirmation. 3. Both records contained a completed criminal record check and search of the central registry finding.

Plan of Correction: The provider responded: The sworn statement or affirmation were signed during the inspection.

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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