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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: Jan. 11, 2018

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
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
22 VAC-111-800 (emergency preparedness and response plan) as well as new background check regulations, which can be found on the state website, were discussed with the provider during the inspection.

Comments:
An unannounced renewal inspection was conducted from 1:35pm until 3:55pm. At the time of the inspection, there were 6 children in care for a total of 14 points with the provider. The assistant arrived during the inspection. A sample of 6 children's records and 2 provider/assistant records were reviewed. The children were observed resting quietly during nap time, watching an educational program and playing with age-appropriate toys. The provider stated medication is not administered at this time. There have been no reported injuries to children since the last inspection. First aid supplies, the emergency preparedness plan, transportation and the outdoor play area were reviewed. Violations in the areas of administration, physical environment and equipment and preventing the spread of disease are identified on the violation notice and were discussed with the provider during the exit interview.

Violations:
Standard #: 22VAC40-111-50-A
Description: Based on observation and interview, the provider did not keep a written record of children in attendance each day. Evidence: 1. Upon arrival, the attendance record for the children in care was blank. 2. There were 6 children in care at the time of the inspection and the provider indicated that one child had already come and gone for the day.

Plan of Correction: The attendance record was completed during the inspection and the provider will ensure children's attendance is maintained in a timely manner each day.

Standard #: 22VAC40-111-350-E
Description: Based on measurement and interview, the provider did not ensure that hot water taps available to children shall be maintained within a range of 105 degrees to 120 degrees fahrenheit. Evidence: 1. The water temperature in the downstairs bathroom used by children in care was measured at 129 degrees fahrenheit. 2. The provider confirmed that the water temperature was measured at 129 degrees.

Plan of Correction: The provider stated that she had turned the water temperature up the night before and turned it down this morning. The water temperature was adjusted again by the provider during the inspection.

Standard #: 22VAC40-111-540-B
Description: Based on observation and interview, the provider did not ensure that infant walkers shall not be used. Evidence: 1. An infant walker was observed in the kitchen of the family day home. 2. The provider confirmed that the infant walker had been used by a child in care.

Plan of Correction: The provider put the walker in the garage during the inspection and stated it would no longer be used.

Standard #: 22VAC40-111-690-D
Description: Based on observation, the provider did not ensure that the diapering surface shall be nonabsorbent and washable. Evidence: 1. The changing pad on the diapering table used to change children was covered with a lightweight blanket, which is not a nonabsorbant material. a. The provider confirmed the changing pad with the blanket was used to change an infant in care.

Plan of Correction: The provider removed the blanket from the changing pad during the inspection.

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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