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Latest Child Care Guidance
(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Mrs. Nancy Beight
5400 Beckner Street
Norfolk, VA 23509
(757) 855-8210

Current Inspector: Rene Old (757) 404-1784

Inspection Date: May 9, 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
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
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

Technical Assistance:
The following FDH standards were reviewed with the provider: Standard 320.E - Radiators, oil and wood burning stoves, floor furnaces, fireplaces, portable electric heaters, and similar heating devices located in areas accessible to children shall have barriers or screens and be located at least three feet from combustible materials. Standard 690.D was reviewed- specifically the definition of "cleaning" and sanitizing" of the diapering surface. Standard 680.B - Hand washing for infants after diapering Standard 690.E - Use and disposal of soiled diapers in the foot operated diaper pail or container. Standard 510.E - Rest mats shall be cleaned and sanitized on all sides at least weekly and as needed. Standard 610.A - Use of media such as, but not limited to, television, videos, video games, and computers shall be limited to not more than a total of two hours per day. Standard 210.A.3 - Caregivers shall obtain 16 clock hours of training annually. Training opportunities are posted on the DSS web site. Standard 880.1 - When family day homes provide meals or snacks, the following shall apply: Family day homes shall follow the most recent, age appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). The following written information has been given to the provider: *Risk Matrix *Components of the Inspection (The licensing process and types of licenses discussed) *Communicable Disease Chart *Safe Sleep Information for Infants *Health & Safety (subsidy) inspections information (www.childcareva.com) Discussed removing hazardous beauty products from the top shelf in the bathroom cabinet. While these items were not easily accessible - removing them would eliminate the possibility of a child gaining access. At this time there are no older preschool children in care however, an older preschool child and/or school age child would be able to reach this shelf. *Child Abuse Reporting Requirements *USDA Food Program and Meal Pattern Requirements The most recent licensing inspection reports are required to be posited in an area of the home visible to the parents. Additionally, when received, the current license is required to be posted in a visible area as well.

Comments:
An announced initial inspection was conducted on 05/09/2017 from 9:45am - 1:10pm. At the time of entrance there were four children in care with the provider. The ages of the children counted for a total of ten points. Children were observed playing outside, watching cartoons, eating lunch and napping. Records were reviewed for the provider, one household member and the four children in care. The entire home and outdoor play area was reviewed. At this time no medication is being administered and no transportation is provided. The violations were reviewed with the provider during the exit interview and are listed on the violation notice.

Violations:
Standard #: 22VAC40-111-760-A-1
Description: Based on review, the provider failed to ensure that the first aid kit shall contain a digital thermometer and a second triangular bandage. Evidence: 1. The first aid kit lacked a digital thermometer. 2. The first aid kit lacked a second triangular bandage. 3. The provider confirmed these items were not on hand.

Plan of Correction: Purchased a digital thermometer and second triangular bandage.

Standard #: 22VAC40-111-760-B
Description: Based on observation, the provider failed to ensure that the first aid kit shall be inaccessible to children. Evidence: The two first aid kits for the family day home was stored on the bottom shelf of the buffet in the dining room. This area is open and accessible to children.

Plan of Correction: Moved to top of refrigerator.

Standard #: 22VAC40-111-770
Description: Based on review and interview, the provider failed to have a working portable battery-operated weather band radio available. Evidence: The provider stated she did not have a battery-operated weather band radio.

Plan of Correction: Purchased radio.

Standard #: 22VAC40-111-790
Description: Based on observation, the provider failed to ensure that the telephone number for 911 or local dial number for police, fire and emergency medical responders and the regional poison control center. Evidence: The phone number for 911 and/or local emergency responders and the regional poison control center were not posted in the family day home.

Plan of Correction: Emergency numbers have been posted.

Standard #: 22VAC40-111-900-B
Description: Based on observation, the provider failed to ensure that children shall not be allowed to drink while lying down. Evidence: The provider placed an infant in his crib with a bottle of formula. This child was observed drinking from the bottle while lying in his crib.

Plan of Correction: Baby will be fed bottle before nap.

Standard #: 22VAC40-111-940-B
Description: Based on observation and interview, the provider failed to have an operable thermometer available to monitor refrigerator and freezer compartment temperatures. Evidence: The inspector did not see a thermometer in the refrigerator and freezer. The provider confirmed that a thermometer was not available.

Plan of Correction: Both freezer and refrigerator thermometers are in place.

Standard #: 22VAC40-111-70-A
Description: Based on record review, the provider failed to ensure that before the child's first day of attendance, parents shall be provided in writing the following information: *The hours and days of operation, holidays or other times closed, and the telephone number where a message can be left for a caregiver; *Policies for termination of care. Evidence: 1. The enrollment record for child #1 and child #3 lacked written information regarding the hours and days of operation, holidays or other times closed; and the telephone number where a message can be left for a caregiver. Policies for termination of care are not included as well. 2. The enrollment record for child #2 lacked policies for termination of care. 3. The enrollment record for child #3 lacked page one of the written agreement which includes written policies regarding: Fees for care, check in and check out procedures, general daily schedule, discipline policies, presence of a pet and provisions for meals and snacks.

Plan of Correction: All corrections have been made.

Standard #: 22VAC40-111-250-A
Description: Based on observation, the provider failed to ensure that window blind cords shall be out of reach of children under five years of age. Evidence: 1. The window blind cords for one window in the front child care room and one window in the dining room were dangling and accessible to the children in care. a. The dining room is open and accessible to the front child care room.

Plan of Correction: All blind cords have been pinned up and out of reach of children.

Standard #: 22VAC40-111-280
Description: Based on observation, the provider failed to ensure that potentially poisonous substances such as cleaning agents and disinfectants shall be stored in areas inaccessible to children. Evidence: 1. A container of disinfecting wipes was observed on the dining room table. This area is open and accessible to the front child care room and were within reach of the children in care. a. The label on this product indicated the contents as hazardous.

Plan of Correction: All poisonous substances, disinfectants put in locked cabinet.

Standard #: 22VAC40-111-320-A
Description: Based on observation, the provider failed to ensure that small electrical appliances such as, but not limited to, curling irons, toasters, blenders, can openers, and irons shall be unplugged unless being used by the caregiver. Evidence: The coffee pot and toaster, located in the kitchen, were plugged into the wall outlets.

Plan of Correction: Unplugged appliances when not in use.

Standard #: 22VAC40-111-530-H
Description: Based on observation, the provider failed to ensure that pillows shall be covered with pillowcases. Evidence: Two children were observed napping on pillows that lacked a pillowcase.

Plan of Correction: Pillow cases have been supplied to the 2 children.

Standard #: 22VAC40-111-540-B
Description: Based on observation, the provider failed to ensure that infant walkers shall not be used. Evidence: An infant walker was observed in the child care play room. The provider confirmed that the walker was utilized by the one infant in care.

Plan of Correction: Walker not to be used, placed in attic until disposed.

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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