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Ms. Susan Baker
304 York Downs Drive
Yorktown, VA 23693
(757) 865-8366

Current Inspector: Tiffany Harris (757) 403-3045

Inspection Date: May 3, 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
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced monitoring inspection was conducted on May 3, 2018. There were 5 children present totalling 15 points with 1 provider. The children were observed during their rest period, freely playing and coloring. The provider does not administer medications as a part of the family day home. Transportation is not provided by the family day home. The sample size of records reviewed were 5 children's records, 1 provider record and 1 household member record. The violations from the previous inspection were reviewed. The inspection began at approximately 12:25 pm and ended at 3:00 pm.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on a review of 5 records and provider interviews, the provider did not ensure to obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: During the inspection on May 3, 2018, the record for child #3 did not include a physical and date of enrollment was 2-26-2018.

Plan of Correction: The provider will have parent update the record.

Standard #: 22VAC40-111-60-A
Description: Based on a review of 5 records and provider interviews, the provider did not ensure to maintain an up-to-date record at the family day home for each enrolled child. Evidence: During the inspection on May 3, 2018, the following records were determined incomplete. 1) The records for child #5 and #6 did not include the employment phone number for one parent listed. 2) The record for child #6 did not include the 2 required emergency contact names, addresses and phone numbers.

Plan of Correction: The provider will have parents update the records.

Standard #: 22VAC40-111-480-D
Description: Based on observation, the provider did not ensure that equipment used by children shall be assembled, maintained, and used in accordance with the manufacturer's instructions. Evidence: During the inspection on May 3, 2018, child #6 was observed in an infant swing that had been placed in a pack and play. The manufactures instructions say "Never place on elevated surfaces" and "always use on the floor". The provider was not using the equipment as instructed.

Plan of Correction: The provider will use equipment accordingly.

Standard #: 22VAC40-111-510-A
Description: Based on observation and provider interviews, the provider did not ensure a child shall be provided with an individual crib, cot, rest mat, or bed for resting or napping. Evidence: During the inspection on May 3, 2018, child #6 was not provided with an individual crib for sleeping. Child #6 started care 4-8-2018.

Plan of Correction: The provider will have another child sleep on a mat and provide crib for child #6.

Standard #: 22VAC40-111-510-E
Description: Based on observation and provider interviews, the provider did not ensure rest mats shall be cleaned and sanitized on all sides at least weekly and as needed. Evidence: During the inspection on May 3, 2018, 1 of 4 mats observed was torn at the top seam and the foam was exposed. The mat can not be cleaned or sanitized as the foam is absorbent.

Plan of Correction: The provider repair or order new mats.

Standard #: 22VAC40-111-540-A
Description: Based on observation and provider interviews, the provider did not ensure that infant carrier seats, swings, strollers, feeding or activity tables, and high chairs shall be used according to the manufacturer's instructions and when occupied by a child, a safety strap shall be used and securely fastened. Evidence: During the inspection on May 3, 2018, child #6 was observed in an infant bouncer and the safety strap was not being used.

Plan of Correction: The provider will use safety straps at all times.

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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