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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Mrs. Nancy Beight
5400 Beckner Street
Norfolk, VA 23509
(757) 855-8210

Current Inspector: Rene Old (757) 404-1784

Inspection Date: June 20, 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 Licensure and Registration Procedures
63.2 Liability Insurance Disclosure

Technical Assistance:
The following areas of FDH standards were reviewed with the provider: 1. Background checks 2. Annual training for caregivers 3. USDA food requirements 4. Standard 50.E - Records and reports on children shall be maintained for two years from the date of termination. 5. Standard 600.B - Infants and toddlers shall spend no more than 30 minutes of consecutive time during waking hours confined in a high chair or other confining piece of equipment. The intervening time period between confinements shall be at least one hour.

An unannounced monitoring inspection was conducted on 06/20/2018 from 10:45am - 1:15pm. At the time of entrance there were six children in care with two caregivers. The ages of the children counted for a total of 15 points. Children were observed coloring pictures and eating lunch. Nap was observed for the two infants in care. Records were reviewed for two children in care as well as the provider. The entire home, including the outdoor play area, was reviewed. The violations are listed on the violation notice and were reviewed with the provider at the conclusion of the inspection.

Standard #: 22VAC40-111-750-A
Description: Based on observation and interview, the provider failed to ensure that when diaper ointment is used the following requirements shall be met: *The product shall be labeled with the child's name; *Written parent authorization noting any known adverse reactions shall be obtained at least annually; *The product shall be inaccessible to children. Evidence: 1. A tube of diaper ointment for child 4 was not labeled with the child's name. 2. The provider confirmed that the parent of child 4 had not provided written authorization for application of this ointment. a. The ointment had been used according to the provider. 3. This diaper ointment was observed on the table used for lunch during the inspection.

Plan of Correction: The ointment was labeled and put away during the inspection. The parent provided written authorization at pick-up.

Standard #: 22VAC40-111-800-B
Description: Based on record review and interview, the provider failed to review the emergency plan at least annually and updated the plan as needed. The provider shall document in writing each review and update to the emergency plan. Evidence: 1. The emergency plan for the family day home was last reviewed by the provider on 03/28/2017. 2. The provider verified that the plan had not been reviewed annually.

Plan of Correction: The plan was reviewed on the afternoon of 06/20/2018. This review was documented in the emergency plan for the FDH.

Standard #: 22VAC40-111-830-A
Description: Based on record review and interview, the provider failed to ensure that emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: 1. The emergency log for the family day home indicates the most recent fire drill as being conducted on 04/16/2018. 2. The provider verified that a fire drill had not been implemented in May of 2018.

Plan of Correction: A fire drill will be conducted by the end of June and each month thereafter.

Standard #: 22VAC40-111-60-B
Description: Based on record review and interview, the provider failed to ensure that children's records include documentation of an annual review of the child's emergency contact information. Evidence: 1. The record for child 1 was last reviewed by the parent on 03/02/2017. 2. The provider confirmed that the record for child 1 had not been updated by the parent.

Plan of Correction: The parent reviewed the child's record today at pick-up. The annual review has been verified in writing by the parent.

Standard #: 22VAC40-111-240-A
Description: Based on observation, the provider failed to ensure that areas and furnishings of the family day home, inside and outside, shall be maintained in a clean and safe condition. Evidence: 1. A baby monitor with attached cord was observed on the floor directly beside a crib occupied by child 2. a. This object was within reach of child 2. b. The cord is an entanglement hazard and the monitor presents an additional safety risk if it was mouthed by child 2. 2. Child 3 was observed napping in a crib with a piece of construction paper. a. The paper measured 8 x 10 inches and is a suffocation and chocking hazard. 3. A plastic storage container, with multiple cracks and broken areas of plastic, was observed in the outdoor play area. a. Cracked plastic is a pinch point for children's fingers.

Plan of Correction: The monitor was removed during the inspection. The paper was removed from the crib during the inspection. The plastic container was discarded during the inspection.

Standard #: 22VAC40-111-280
Description: Based on observation and interview, the provider failed to ensure that potentially poisonous substances, such as pesticides, shall be stored away from food in areas inaccessible to children. Evidence: 1. An 18 oz can of flying insect spray was observed on the table located on the backyard deck. a. Children walk through this deck to enter and exit the outdoor play area.

Plan of Correction: This was put away during the inspection.

Standard #: 22VAC40-111-320-B
Description: Based on observation, the provider failed to ensure that child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: 1. One outlet in the playroom lacked a protective cover. Two four-year old children were observed playing in this room.

Plan of Correction: The outlet was covered during the inspection.

Standard #: 22VAC40-111-690-D
Description: Based on observation, the provider failed to follow the required procedures for sanitizing the diapering surface. *The diapering surface shall be allowed to air dry after application of the disinfectant solution. Evidence: 1. The inspector observed two diaper changes at approximately 11:45am. The provider immediately used a cloth to wipe the surface of the diapering pad after application of the disinfectant. a. The diapering pad was not allowed to air dry as required.

Plan of Correction: Going forward the diapering surface will be allowed to air dry after the sanitizing solution is sprayed onto the diaper pad.

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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