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Ms. Rhonda Bost
14 Shoal Court
Portsmouth, VA 23703
(757) 515-8690

Current Inspector: Heather Harrell (757) 334-4329

Inspection Date: July 7, 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.

Technical Assistance:
Technical assistance was provided in the following areas of the standards: 22VAC40-111-(2)-60-A (Children's records); 22VAC40-111-(3)-140-B (CPR & First Aid certification); 22VAC40-111-(11)-800 (Emergency Procedures);

Comments:
An announced monitoring inspection (initial study) was conducted on 7/7/17 from 10:00am - 11:25am. At the time of entrance there were two children ages two years old (4 points) in care with one caregiver. A tour of the home was conducted and children were observed playing with toys. Records were reviewed for two children and one caregiver. There was no medication being stored at the facility. The provider will not administer medication unless she completes MAT training. 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. Areas of non-compliance are identified on the attached violation notice, and were discussed during the exit interview. 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 #: 22VAC40-111-320-B
Description: Based on observation, it was determined that the provider did not ensure that child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: 1. There was an outlet in the bathroom used by the children in the family day home that did not have protective covers. 2. There were two electrical outlets in the kitchen that did not have protective covers. 3. The provider confirmed that all the unused electrical outlets in the family day home did not have protective covers.

Plan of Correction: The provider responded: Protective covers were placed on all unused electrical outlets during the inspection.

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 125 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: I will turn down the temperature on the water heater and regualrly check the temperature of the water in the bathroom.

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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