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Mrs. Christianne Desir
414 West 33rd St
Norfolk, VA 23508
(757) 623-3055

Current Inspector: Jeffrey Harris (757) 409-4668

Inspection Date: Jan. 30, 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
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSING PROCESS.
22VAC40-80 SANCTIONS.
22VAC40-80 HEARINGS PROCEDURES.
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
54.1-3408 Provider must be MAT certified to administer prescription medication.

Comments:
An unannounced monitoring inspection was conducted on 01/30/2018 from 12:00 p.m. until 2:45 p.m. to review supplemental health and safety requirements. There were 7 children, ages 9 months old to12 years old, for a total of 15 points, in care at the time of arrival with a substitute provider who also serves as a regular assistant to the licensee. The records sample size consisted of 9 children?s records and 11 licensee / caregiver / household member records. Children were observed resting quietly on cots during nap time, using a hand held digital device, and an infant was observed being held, cuddled, talked to and bottle fed. Diapering procedures and hand washing were also observed. Medication administration was not observed. The caregiver states that no medication is administered to children in care at this time and that children are not routinely transported in a vehicle. Children play outdoors in the back grassy area or on the back porch with direct supervision and close proximity of the caregivers. The caregiver reports that there have been no accidents or injuries requiring first aid or medical treatment incurred by children in care since the last inspection. Violations cited during this inspection are identified on the violation notice. Thank you for your time during today's inspection. Please do not hesitate to contact me if I may be of assistance.

Violations:
Standard #: 22VAC40-111-350-E
Description: Based on measurements taken with a digital thermometer during the inspection, the licensee did not ensure that hot water at taps available to children shall be maintained within a range of 105?F to 120?F. Evidence: The hot water from the hot tap at the handwashing sink in the restroom available to children in care measured 125.4 degrees Fahrentheit. Water above 120 degrees Fahrentheit has the potential to burn a child.

Plan of Correction: Children are always monitored when washing hands and the water temperature is adjusted for them. However, the licensee will adjust her hot water heater by tomorrow and will frequently monitor the temperature of the water to ensure that it is within a safe range.

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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