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Ms. Letitia Paige
2216 Parker Avenue
Portsmouth, VA 23704
(757) 337-2229

Current Inspector: Kimberly Sampson (757) 354-7307

Inspection Date: Oct. 11, 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 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

Comments:
An unannounced monitoring inspection was conducted on 10/11/2017 from 8:30am-9:30am. At the time of inspectors' arrival there were 3 infant to preschool aged children in care totaling 13 points with the provider. Children were observed participating in indoor play, snack, transitioning between activities and hand washing. A sample of 4 children's records and 1 provider record was reviewed. Medications are not being administered at this time. There have been no injury reports since the last inspection. Areas of noncompliance are detailed in the violation notice and were discussed with the provider at the conclusion of this inspection.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on record review it was determined that the provider did not obtain 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. Evidence: The record for child #4(enrolled 8/2017) did not contain documentation of a physical examination.

Plan of Correction: The provider will request from the parent at pick-up.

Standard #: 22VAC40-111-60-B
Description: Based on record review it was determined that the provider did not ensure that each child's record contained all of the required components. Evidence: 1. The record for child #4(enrolled 8/2017) did not contain the insurance policy number for the child, the addresses of the 2 required emergency contacts. 2. The record for child #5 and #6(enrolled 1/23/17) did not contain the complete address for 1 of the 2 required emergency contacts.

Plan of Correction: Provider will request this information from the parents at time of pick up.

Standard #: 22VAC40-111-90-C
Description: Based on record review it was determined that the provider did not obtain documentation of additional immunizations once every six months for children under the age of two. Evidence: The record for child #1(DOB 3/16/15) did not contain up to date documentation of immunizations. The documentation available was dated 9/1/16.

Plan of Correction: The provider will request from the parent at pick up.

Standard #: 22VAC40-111-140-B-3
Description: Based on record review it was determined that the provider did not have current certification in cardiopulmonary resuscitation (CPR). Evidence: The provider's CPR certification expired on 8/2/17.

Plan of Correction: The provider will enroll in and complete a CPR class.

Standard #: 22VAC40-111-240-A
Description: Based on observation it was determined the provider did not ensure that all areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: The small white and small black bookcases were not anchored and rocked when pulled on presenting potential tip/injury hazards.

Plan of Correction: Provider will anchor both bookcases.

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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