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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: July 27, 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 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Technical assistance was provided on the following items during the Inspection: 22VAC40-111-(2)-90 (Immunizations); 22VAC40-111-(12)-190 (Menus)

Comments:
An unannounced monitoring inspection was conducted on 7/27/17 from 10:30am - 12:00pm. At the time of entrance there were 4 children ages 18 months old to three years old (9 points) in care with two caregivers. A tour of the home was conducted and children were observed playing inside with toys and doing a learning activity. Records were reviewed for six children and two caregivers. There is no medication at the family day home. Emergency plan and emergency supplies were reviewed. Areas of non-compliance are identified on the violation notice, and were discussed during the exit interview.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on a review of six children's files, it was determined that the provider did not ensure that documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance is obtained. Evidence: 1. The record for child #5 did not contain documentation of a physical examination. 2. The record for child #6, present during the inspection, did not contain documentation of a physical examination. 3. Caregiver #1 reviewed the record for child #5 and child #6 confirmed that they did not contain documentation of a physical examination.

Plan of Correction: The provider responded: The parent of child #5 and child #6 will be asked to provided a copy of the physical examination

Standard #: 22VAC40-111-120-B
Description: Based on a review of two caregiver records, it was determined that the provider did not ensure that the records for assistants contained all of the require information. Evidence: 1. The record for caregiver #2 did not contain two references and did not contain documentation of orientation training. 2. Caregiver #1 confirmed that the record for staff #2 did not contain all of the required information.

Plan of Correction: The provider responded: Reference will be completed for caregiver #2, and orientation training will be documented.

Standard #: 22VAC40-111-60-B
Description: Based on a review of six children's records, it was determined that the provider did not ensure that they maintain and keep at the center a complete record for each child enrolled that contains all required information. Evidence: 1. The record for child #2 did not contain any information the about the child's father, and the policy number for the child's medical insurance. 2. The record for child #3 did not contain the address for the second emergency contact, documentation to indicate if the child previously attended child care, and the documentation of liability insurance. 3. The record for child #4 did not contain the policy number for the child's medical insurance, documentation of the parent receiving the family day home's policy for administering medication and the emergency plan. 4. The record for child #5 did not contain any information the about the child's father, and the address for the second emergency contact, information on the child's health, including allergies, and documentation of the parent receiving the family day home's policy for administering medication. 5. The record for child #6 did not contain any information the about the child's father, and the policy number for the child's medical insurance.

Plan of Correction: The provider responded: The parents will be asked to complete the missing information.

Standard #: 22VAC40-111-280
Description: Based on observation, the licensee did not ensure that potentially poisonous substances, materials and supplies but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food in areas inaccessible to children. Evidence: 1. There was a can of air freshener on the back of the toilet in the bathroom that the children use. 2. The provider confirmed the air freshener was accessible to the children.

Plan of Correction: The provider responded: Corrected during inspection. All hazardous items will be placed in a location inaccessible to the children in care.

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 132.1 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 provide responded: The water temperature will be turned down to ensure it meets the requirements.

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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