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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: March 14, 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 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
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 03/14/2018 from 12:20pm-1:30pm. At the time of inspectors' arrival there were 7 infant to preschool aged children in care totaling 23 points with the provider. Children were observed participating in nap, feeding, diapering and transitioning between activities. A sample of 5 children's records,1 provider record and 1 assistant record were 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 #: 22VAC40-111-920
Description: Based on observation and interview it was determined the provider did not post the current menu for one-week period. Evidence: The provider reported the menu was not posted.

Plan of Correction: The provider will post the menu.

Standard #: 22VAC40-111-60-B
Description: Based on record review it was determined that the center did not ensure that each child had a record that contained all of the required components. Evidence: 1. The record for child #2(enrolled 3/13/18) did not contain proof of the child's age and identity. 2. The record for child#4(enrolled 1/24/18) did not contain the name and policy number of the child's medical insurance and documentation of the review of the child's emergency contact information as required by 22 VAC 40-111-780 B.

Plan of Correction: The provider will request this information from the parents at 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 for children once every six months for children under the age of two years. Evidence: The record for child #3 did not contain documentation of additional immunizations for children once every six months for children under the age of two years. The last documentation was dated 11/1/17.

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

Standard #: 22VAC40-111-570-A
Description: Based on observation it was determined the provider did not ensure that 16 points were not exceeded. Evidence: The provider was alone supervising 7 children for a total of 23 points from 12:20pm - 12:49pm. The provider reported that they were over points due to a scheduling mistake.

Plan of Correction: The provider will ensure that the they do not exceed 16 points per caregiver.

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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