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Ms. Jacqueline Hitchcock
1118 Joyce Lee Circle
Hampton, VA 23666
(757) 224-8488

Current Inspector: Anita Drewry (757) 404-5261

Inspection Date: April 9, 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
22VAC40-80 THE LICENSE.
63.2 Licensure and Registration Procedures
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
There should be an accurate list of children in attendance. Discussed definitions for cleaning and sanitizing. Discussed nutrition requirements to include posting menu for current week, following USDA requirements, hand washing and not walking/running/lying down while eating or drinking.

Comments:
An unannounced monitoring inspection was conducted on April 9, 2018 from approximately 10:40 am to 4:15 pm. Provider and assistant were present with five children at the onset of inspection, totalling ten points. Children were observed doing exercises, coloring, eating lunch and napping. Five children's records and the assistant record were reviewed.

Violations:
Standard #: 22VAC40-111-830-C
Description: Based on review, provider did not ensure there is documentation of monthly evacuation drills conducted. Evidence: On April 9, 2018, there was not documentation of a evacuation drill conducted in March 2018.

Plan of Correction: Drills be documented when they occur.

Standard #: 22VAC40-111-870-G
Description: Based on observation, provider did not ensure tables are cleaned after each use. Evidence: On April 9, 2018, children were observed eating at the child's table in the main childcare room and the table was not cleaned after they finished eating.

Plan of Correction: Tables will be cleaned as soon as they finish eating.

Standard #: 22VAC40-111-880
Description: Based on observation, provider did not ensure USDA requirements are met when meals and snacks are provided. Evidence: On April 9, 2018, provider served children chicken strips, tator tots and milk for lunch when four food components should have been served.

Plan of Correction: All the food will be served at the same time for children at meals and snacks.

Standard #: 22VAC40-111-900-B
Description: Based on observation, provider did not ensure children are not allowed to eat or drink while walking, running, playing, lying down or riding in vehicles. Evidence: On April 9, 2018, children were observed eating and drinking while walking around the main childcare room on two different occasions.

Plan of Correction: Provider will sit with them during meal time or drinking to make sure they sit down.

Standard #: 22VAC40-111-920
Description: Based on review, provider did not ensure a menu is posted showing meals and snacks served for the current week. Evidence: On April 9, 2018, the menu was not posted.

Plan of Correction: Menu was written and posted during inspection.

Standard #: 22VAC40-111-100-A
Description: Based on review, provider did not ensure 3 of 5 children's records have a physical within 30 days of beginning attendance. Evidence: On April 9, 2018, the records for child #1 (start date February 2, 2015), child #4 (start date February 2, 2015) and child #5 (start date March 19, 2018) do not have a physical.

Plan of Correction: Provider will tell parents today the information is needed immediately.

Standard #: 22VAC40-111-120-B
Description: Based on review, provider did not ensure there are two references conducted for the assistant. Evidence: On April 9, 2018, there was not documentation of two reference checks for the assistant (start date April 3, 2018) present on this date.

Plan of Correction: Provider will have her send in the letters as soon as possible.

Standard #: 22VAC40-111-50-A
Description: Based on review, provider did not ensure there is a written record of children in attendance each day. Evidence: On April 9, 2018, eight children were listed on the attendance sheet for this day and five children were present.

Plan of Correction: Provider will write their names down as they come in and draw a name through name when they leave. Their name will be written again if they are in attendance again the same day.

Standard #: 22VAC40-111-60-A
Description: Based on review, provider did not ensure 1 of 5 children's records has documentation of required information. Evidence: On April 9, 2018, the record for child #5 (start date March 19, 2018) does not have documentation of medical insurance information, second emergency contact and viewing proof of child's identity/age.

Plan of Correction: Provider will tell parents today the information is needed immediately.

Standard #: 22VAC40-111-70-A
Description: Based on review, provider did not ensure 1 of 4 children's parents are provided required information in writing. Evidence: On April 9, 2018, the record for child #5 (start date March 19, 2018) does not have documentation of providing written information for parents, liability insurance disclosure and provisions of emergency preparedness plan.

Plan of Correction: Provider will tell parents today the information is needed immediately.

Standard #: 22VAC40-111-90-A
Description: Based on review, provider did not ensure 1 of 5 children's records has documentation that the child has been adequately immunized prior to beginning attendance. Evidence: On April 9, 2018, the record for child #5 (start date March 19, 2018) does not have an immunization record.

Plan of Correction: Provider will tell parents today the information is needed immediately.

Standard #: 22VAC40-111-240-A
Description: Based on observation, provider did not ensure areas and furnishings of the family day home are maintained in a clean, safe and operable condition. Evidence: On April 9, 2018, children were observed napping on mats. One of four mats has three tears in the seams ranging in length from 3" - 4" leaving exposed foam padding.

Plan of Correction: Provider will separate torn mats and will only use mats that have no tears.

Standard #: 22VAC40-111-280
Description: Based on observation, provider did not ensure potentially poisonous substances are stored inaccessible to children. Evidence: On April 9, 2018, paint was observed sitting on the dryer in the laundry room which is where children use potty chairs for toileting. The paint was accessible to children.

Plan of Correction: Paint was moved during inspection.

Standard #: 22VAC40-111-300
Description: Based on observation, provider did not ensure when any surface is contaminated with body fluids that it is cleaned and sanitized. Evidence: On April 9, 2018, provider was observed cleaning and sanitizing the potty chair bowl with fecal matter on the inside and outside of the bowl. The provider sprayed bleach/water solution on the surface and immediately wiped the surface with a paper towel. The surface was not allowed to air dry.

Plan of Correction: Provider will allow the bleach/water to air dry.

Standard #: 22VAC40-111-510-C
Description: Based on observation, provider did not ensure there is at least 12" of space between occupied mats while children are sleeping. Evidence: On April 9, 2018, there was 8" of space between two children napping on mats.

Plan of Correction: Mats will be placed so that they are definitely 12" apart.

Standard #: 22VAC40-111-680-A
Description: Based on observation, provider did not ensure caregivers wash their hands with liquid soap and warm running water after assisting with toileting and/or diapering. Evidence: On April 9, 2018, provider was observed cleaning and sanitizing a soiled potty chair. The provider touched the door knob in the main child care room before going to the kitchen and washing her hands.

Plan of Correction: Children will use the hall bathroom to eliminate contamination.

Standard #: 22VAC40-111-680-B
Description: Based on observation, provider did not ensure children's hands are washed with liquid soap and warm running water before eating meals or snacks. Evidence: On April 9, 2018 at 11:32 am, child #4 was observed eating two pieces of cantaloupe from the child's table in the main childcare room and the child's hands were not washed.

Plan of Correction: Food will not be left out for children to eat outside of normal time frame.

Standard #: 22VAC40-111-690-D
Description: Based on observation, provider did not ensure the diapering surface is not used for other activities. Evidence: On April 9, 2018, three children's books and one coloring book were observed laying on the diapering pad.

Plan of Correction: The diapering surface will only be used for changing.

Standard #: 22VAC40-111-690-L
Description: Based on observation, toilet chairs, when used, shall be emptied promptly, cleaned and sanitized after each use. Evidence: On April 9, 2018, one of two potty chairs was observed to have fecal matter in the bowl.

Plan of Correction: Potty chairs will no longer be used.

Standard #: 63.2-1720.1-A
Description: Based on review, provider did not ensure assistant has a complete fingerprint background check prior to beginning employment. Evidence: On April 9, 2018, the record for the assistant present on this day (start date April 3, 2018) does not have a complete fingerprint background check.

Plan of Correction: The fingerprint check will be done and the assistant will not work until the letter is received.

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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