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Ms. Keysha Nieves
1015 Bethel Avenue
Hampton, VA 23669
(757) 817-5009

Current Inspector: Michele Patchett (757) 439-6816

Inspection Date: June 21, 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
63.2 Licensure and Registration Procedures

Technical Assistance:
Reviewed standard 22VAC40-111-690 D and 22VAC40-111-150.

Comments:
An unannounced non-mandated focused inspection was conducted on June 21, 2017, from approximately 11:20 AM to 1:27 PM. Provider was present with 4 children totaling 14 points. Children were observed tummy time, eating and napping. Four children records and one caregiver record were reviewed on this date. Licensing Inspector reviewed supervision, activities, equipment, diapering procedures, hand washing procedures, nutrition, children and caregiver records, emergency evacuation and shelter-in-place drill documentation, emergency supplies and required postings. Exit interview conducted with the provider.

Violations:
Standard #: 22VAC40-111-830-A
Description: Based on review, provider did not ensure evacuation procedures are practiced monthly. Evidence: During the inspection conducted on June 21, 2017, the emergency drill log was reviewed. There was not documentation of practiced evacuation drills for May.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-960-E
Description: Based on observation and interview, the provider did not ensure infant bottles were labeled with the child's name and the date when more than one infant is in care. Evidence : During the inspection conducted on June 21, 2017, infant bottles were not labeled with the date & child's name. There were three (3) infants in care.

Plan of Correction: We making sure all bottles are been labeled with each child name, date and time

Standard #: 22VAC40-111-100-A
Description: Based on review, provider did not ensure 2 of 4 children's records had a copy of a physical examination within 30 days of child beginning attendance. Evidence: During the inspection conducted on June 21, 2017, the record for child #1 and child #3 does not have a physical examination document. Provider confirmed child #1 and child #3 have attended for more than 30 days.

Plan of Correction: Child #1 and #3: Children have their annual check up next week. Parent will bring in the examination form that day.

Standard #: 22VAC40-111-60-B
Description: Based on 4 of 4 records reviewed , provider did not ensure children's records has documentation of required information. Evidence: During the inspection on June 21, 2017, the following records did not obtain required information: Child #1 did not have emergency contact for second address, first date of attendance and father's work phone number. Child #2 did not have record. Child #3 did not have address and phone number for one emergency contact, second emergency contact and medical insurance policy number. Child #4 did not have father's name of place of employment and phone number and one emergency contact.

Plan of Correction: Child #1: Parent have provide with a second emergency contact.
Child #2: Parents has return his paper work
Child #3: Parent has provide a address and phone number for both emergency contact, child family doesn't have health insurance
Child #4: Parent provided emergency contact and Father employment information

Standard #: 22VAC40-111-70-A
Description: Based on 4 of 4 records reviewed, the provider did not ensure before the child's first day of attendance, parents were provided in writing the following information: Evidence: During the inspection conducted on June 21, 2017, the following information in writing was not provided: - Child #1 did not have a daily schedule . -Child #2 did not have record with information for parents, child's emergency medical authorization, policy for the administration and medications, liability insurance declaration and provisions of Home's Emergency Preparedness and response plan. - Child #3 did not have check in and check out information, daily schedule, termination policies and parent did not sign the written information form. -Child #4 record did not have daily schedule .

Plan of Correction: Child #1: Daily schedule was added to the filed
Child #2: The fallowing information was added to the field. Medical authorization, Administration and Medication policies, Liability insurance declaration, Home emergency preparedness and response plan.
Child #3: The fallowing information was added to the field. Check in and check out, information, daily schedule, termination policies, parent sign the information form.
Child #4: The fallowing information was added to the field daily schedule

Standard #: 22VAC40-111-90-A
Description: Based on record review, the provider did not ensure documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before a child may attend the family day home. Evidence: During the inspection conducted on June 21, 2017, the record for child #2 and child #4 did not contain immunization documentation.

Plan of Correction: Child #2 and #4: Parents provided their immunization record

Standard #: 22VAC40-111-340-C
Description: Based on observation and interview, the provider did not ensure the bathroom contained paper towels. Evidence: During the inspection conducted on June 21, 2017, there was no paper towels in the bathroom.

Plan of Correction: We making sure to have paper tower in the bathroom

Standard #: 22VAC40-111-510-A
Description: Based on observation and interview , the provider did not ensure each child had an individual crib, cot, rest mat or bed for resting for napping. Evidence: During the inspection conducted on June 21, 2017, two of three infants did not have a crib . Provider stated cribs have been ordered.

Plan of Correction: Additional two cribs where order and each child now has their individual cribs

Standard #: 22VAC40-111-530-B
Description: Based on observation, the provider did not ensure when cribs are being used by infant there was a tight fitting bottom cover. Evidence: There was one crib observed with a loose fitting cover.

Plan of Correction: Fitting sheet has been change on the crib for a fitted one.

Standard #: 22VAC40-111-530-B
Description: Based on observation, the provider did not ensure when cribs are being used by infant there was a tight fitting bottom cover. Evidence: There was one crib observed with a loose fitting cover.

Plan of Correction: Fitting sheet has been change on the crib for a fitted one.

Standard #: 22VAC40-111-550
Description: Based on observation and interview the provider did not ensure play pens were not used as a designated sleeping area for children. Evidence: During the inspection conducted on June 21, 2017, two children were observed sleeping in two different play pens with mesh siding. Provider stated that the play pens are being used for sleeping and cribs have been order.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-690-D
Description: Based on observation , the provider did not ensure that diapering procedures were followed. Evidence: 1. During the inspection conducted on June 21, 2017, the licensing inspector observed provider changing a child. The provider sprayed the changing table with a soap and water. and wiped the diapering surface. 2. The area should have been cleaned with soap and water at least room temperature and sanitized after each use. Sanitized" means treated in such a way as to remove bacteria and viruses from inanimate surfaces through first cleaning and secondly using a solution of one tablespoon of bleach mixed with one gallon of water and prepared fresh daily or using a sanitizing solution approved by the U.S. Environmental Protection Agency. The surface of the item is sprayed or dipped into the sanitizing solution and then allowed to air dry.The definition of sanitize means that the surface item is to be sprayed or dipped into the disinfectant solution and allowed to air dry after use of the disinfectant solution. The provider stated the surface was cleaned with soap and water and sprays the diaper surface with disinfectant spray.

Plan of Correction: Changing table was clean with bleach and water. We making sure we now clean it with soup and water and after with bleach and water and let it air dry.

Standard #: 63.2-1701-F
Description: Based on observation, the provider did not post the violation notice. Evidence: During the inspection conducted on June 21, 2017, the violation notice was not posted.

Plan of Correction: Not available online. Contact Inspector for more information.

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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