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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: Nov. 28, 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
22VAC40-80 THE LICENSE.
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 family day home 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 960.E- Bottles shall be refrigerated and labeled with the child's full name and the date, if more than one infant is in care. Standard 510.C- Occupied cribs, cots, rest mats, and beds shall be at least three feet from any heat producing device and at least 12 inches from each other. On-line serious injury form reviewed. ( Injury requiring medical attention)

Comments:
An unannounced renewal inspection was conducted on 11/28/2017 from 10:00am until 12:50pm. At the time of entrance there were four children in care with the provider. The ages of the children counted for a total of 11 points. Children were observed watching cartoons on television, playing games on a computer tablet, eating lunch and preparing for nap. Records were reviewed for the provider, one household member and five children. The entire home and backyard play area was reviewed. No medication is being administered. The violations were reviewed with the provider at the conclusion of the inspection and are listed on the violation notice.

Violations:
Standard #: 22VAC40-111-770
Description: Based on observation and interview, the provider failed to ensure that there was a working portable battery-operated weather band radio, and extra batteries available to caregivers at all times. Evidence: 1. The battery operated radio lacked sufficient batteries for operation. 2. The provider stated she did not have any extra batteries on hand in the family day home.

Plan of Correction: Purchased batteries for radio and also extra for backup

Standard #: 22VAC40-111-880
Description: Based on observation and record review, the provider failed to ensure that when meals or snacks are served the family day home 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). Evidence: 1. The lunch served to children during the inspection lacked fluid milk. Children were served juice. 2. The posted menu did not list a second food component for any of the morning or afternoon snacks listed. a. Each morning snack for the current week listed fruit and juice. Juice and fruit can not be counted as separate food components as they are both fruits. b. Each afternoon snack for the current week listed vegetable and water. Water is not a food component

Plan of Correction: Menu/meals & snacks are based on the food component sheet.

Standard #: 22VAC40-111-70-A
Description: Based on record review and interview, the provider failed to ensure before the child's first day of attendance, parents shall be provided in writing the provisions of the family day home's written parent agreement. Evidence: 1. The record for child 2 lacked written information regarding the emergency plan for the family day home. 2. The record for child 4 lacked written policies for termination of care. 3. The record for child 3 lacked a written parent agreement with all of the 19 required elements regarding policies of the family day home. 4. The provider stated she could not located any of this information during the inspection.

Plan of Correction: Child 2 emergency plan put in file also made a copy for parent. Child 4 completed policy for termination put in file. Child 3 written parent agreement put in child's folder.

Standard #: 22VAC40-111-90-C
Description: Based on record review and interview, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The most recent immunizations for child 1 were administered on 03/27/2017 and signed by the physician on 04/12/2017. 2. Child 1 is under the age of two and was in care during the inspection. 3. The provider stated that updated immunization documentation had been requested from the parent however, the parent had not provided.

Plan of Correction: Child 1 has had all immunizations up to date. Informed parent to turn in copy.

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 or with children under close supervision. Evidence: When the kitchen was viewed it was noted that the toaster was plugged into the electrical wall outlet. The toaster was not in use.

Plan of Correction: Unplugged all appliances not in use/place with protective cover.

Standard #: 22VAC40-111-320-B
Description: Based on observation, the provider failed to 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. The crib in the master bedroom was placed directly against a wall with one uncovered electrical outlet. This outlet was on the lower wall within reach of a child in the crib. a. An infant was placed in this crib for a brief nap prior to lunch and for a second nap at 12:30pm.

Plan of Correction: Put protective covers on all outlets that are accessible to children including master bedroom.

Standard #: 22VAC40-111-610-A
Description: Based on observation, the provider failed to ensure that the 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. Evidence: The inspector arrived at 10:15am and departed at 12:50pm. Child 2 was observed either watching cartoons on television or engaged with video games/shows on a tablet for the entire inspection with the exception of lunch - which lasted for approximately 20 minutes.

Plan of Correction: All TV & videos are not used more than the allowed amount of time.

Standard #: 22VAC40-111-680-A
Description: Based on observation, the provider failed to ensure that caregivers shall wash their hands with liquid soap and warm running water after diapering a child. Evidence: 1. The provider changed the diaper of child 3 at 12:10pm. After completion of the diaper change, the provider did not wash her hands. The provider resumed assisting children with the conclusion of lunch and preparation for nap. 2. The provider changed the diaper of child 1 at 12:25pm. After completion of the diaper change, the provider did not was her hands. The provider placed child 1 in his crib for nap and finished preparation for nap.

Plan of Correction: Washing hands after every diaper change.

Standard #: 22VAC40-111-680-B
Description: Based on observation, the provider failed to ensure that children's hands are washed with liquid soap and warm running water before eating and after diapering. Evidence: 1. The provider failed to ensure that child 1 and child 3 washed their hands prior to lunch. 2. The provider failed to ensure that child 1 and child 3's hands were washed after their diaper changes which occurred after lunch.

Plan of Correction: Assisting children washing hands before eating and diapering. Assisting children by holding them up to sink to wash hands.

Standard #: 22VAC40-111-690-D
Description: Based on observation, the provider failed to ensure that the diapering surface shall be sanitized after each use. *The disinfectant solution is required to air dry after application. Evidence: 1. Two diaper changes were observed at 12:10 p.m. and 12:25 p.m. The provider sprayed the diapering pad with a disinfectant solution after each diaper change however, the provider immediately wiped the pad with a cloth. a. The pad was not allowed to air dry as required.

Plan of Correction: Allowing to air dry pads. Also purchased extra pads.

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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