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Mrs. Lorraine Bryant
901 Meadowood Drive
Va. beach, VA 23452
(757) 306-1133

Current Inspector: Rene Old (757) 404-1784

Inspection Date: April 27, 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
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.

Technical Assistance:
New background check requirements discussed. (Fingerprint CRC will be needed for all caregivers and adult household members by September 2018)

Comments:
An unannounced monitoring inspection was conducted on 04/27/2018 from 9:25am - 11:00am. At the time of entrance there were seven children in care with the provider. The ages of the children counted for a total of 19 points. A second caregiver arrived at 9:58am. Children were observed during outdoor play, morning group time which included reading and music and movement and story time. Records were reviewed for four children, two caregivers and one household member. No medication is being administered at this time. The violations are listed on the violation notice and were reviewed with the provider at the conclusion of the inspection.

Violations:
Standard #: 22VAC40-111-750-A
Description: Based on observation, the provider failed to ensure that diaper ointment shall be labeled with the child's name. Evidence: 1. Two of four diaper ointments reviewed lacked a name label. 2. All of the diaper ointments were in a labeled plastic storage container however, the actual product did not have the child's name written on the tube.

Plan of Correction: All were labeled on the date of the inspection.

Standard #: 22VAC40-111-750-B
Description: Based on observation, the provider failed to ensure that diaper ointment shall be inaccessible to children. Evidence: 1. Four tubes of diaper ointment were observed stored inside of plastic storage containers that were placed on a shelf above the children's bathroom toilet. The containers were within reach of the preschool children in care.

Plan of Correction: All have been removed and placed in an area inaccessible to children.

Standard #: 22VAC40-111-180-A
Description: Based on record review and interview, the provider failed to obtain for an adult household member a tuberculosis screening every two years from the date of the first screening. Evidence: 1. The TB screening for one household member was last conducted on 10/02/2015. 2. The provider verified this as the most recent TB screening.

Plan of Correction: The TB screening has been obtained for this household member.

Standard #: 22VAC40-111-570-A
Description: Based on observation and interview, the provider failed to ensure that each caregiver does not exceed 16 points. A second caregiver is needed when the ages of the children in care exceed 16 points. Evidence: 1. When the inspector arrived at 9:25am the provider was alone with seven children. The ages of the children counted for a total of 19 points. 2. The provider verified that a second caregiver was not on site at the present time. a. A second caregiver arrived at approximately 9:58am.

Plan of Correction: A part-time caregiver has been hired in order to ensure there is a third person available in the event that the regular assistant is not available. This will eliminate the possibility of this happening again.

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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