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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: Aug. 15, 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 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
22VAC40-111-630.A Caregivers shall use positive methods of discipline. This includes giving positively worded direction; modeling and redirecting children to acceptable behavior; and arranging equipment, materials, activities, and schedules in away that promotes desirable behavior.

Comments:
An unannounced renewal inspection was conducted on August 15, 2018 from approximately 9:30 am to 1:45 pm. One provider was present with six children, totalling 18 points, at the onset of inspection. An assistant arrived at 9:38 am. The records for the 6 children present were reviewed. The assistant's record was also reviewed. Children were observed playing freely, eating a snack, napping and doing quiet table activities.

Violations:
Standard #: 22VAC40-111-730-D
Description: Based on observation, provider did not ensure medication, expect for those prescriptions designated otherwise by a written physician's order, are kept in a locked place using a safe locking method that prevents access by children. Evidence: On August 15, 2018, a pill box with medication was observed on the microwave in the kitchen.

Plan of Correction: Medication was moved during inspection and will be kept in a locked cabinet.

Standard #: 22VAC40-111-880
Description: Based on review, provider did not ensure meals provided follow USDA requirements. Evidence: On August 15, 2018, the menu posted did not have a grain noted for lunch on 8/15, 8/16 and 8/17.

Plan of Correction: Bread was added to the menu during inspection.

Standard #: 22VAC40-111-100-A
Description: Based on review, provider did not ensure 1 of 6 children's records has a physical examination within 30 days of beginning attendance. Evidence: On August 15, 2018, the record for child #6 (start date June 14, 2018) did not have a physical.

Plan of Correction: Provider will write the child's name with information needed on a 3x5 card for each parent asking them to give the information for the record making sure the physical is signed.

Standard #: 22VAC40-111-110-B
Description: Based on review, provider did not ensure 1 of 6 children's records had an immunization record that is signed by a licensed physician, the physician's designee or an official of a local health department. Evidence: On August 15, 2018, the record for child #4 (start date July 30, 2018) had an immunization record that is not signed.

Plan of Correction: Provider will write the child's name with information needed on a 3x5 card for each parent asking them to give the information for the record making sure the shot record is signed.

Standard #: 22VAC40-111-60-B
Description: Based on review, provider did not ensure 4 of 6 children's records have documentation of required information. Evidence: On August 15, 2018, the following was found during record review: 1. The record for child #1 (start date August 2016) did not have father's employment address, father's employment address, medical insurance plan, medical insurance plan number and second emergency contact. 2. The record for child #3 (start April 16, 2018) did not have mother's home address, father's employment address and father's employment phone number. 3. The record for child #5 (start date March 19, 2018) did not have father's employment address, father's employment phone number and second emergency contact phone number. 4. The record for child #6 (start date June 14, 2018) did not have father's employment address, medical insurance plan, medical insurance plan number and second emergency contact.

Plan of Correction: Provider will write the child's name with information needed on a 3x5 card for each parent asking them to give the information for the record.

Standard #: 22VAC40-111-280
Description: Based on observation, provider did not ensure potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates are stored inaccessible to children. Evidence: On August 15, 2018, spray paint and Good Gone were stored on the washing machine in the laundry room. The laundry room was not locked and the items were within reach of children in care. Containers were labeled "warning/caution...keep out of reach of children".

Plan of Correction: The door to the laundry room will always be kept locked. Chemicals will be kept unreachable at all times.

Standard #: 22VAC40-111-570-A
Description: Based on observation and review, provider did not ensure a caregiver does not exceed 16 points by using the point system to determine if an additional caregiver is needed. Evidence: On August 15, 2018 at 9:30 am, provider was present with 6 children, totalling 18 points. The assistant arrived at 9:38 am.

Plan of Correction: Provider will have the assistant be on time by coming in at 9:00 am every day.

Standard #: 22VAC40-111-590-A
Description: Based on observation and review, provider did not ensure infants are placed on their backs when sleeping or napping unless otherwise ordered by a written statement signed by the child's physician. Evidence: On August 15, 2018 at 10:48 am, 2 of 3 infants were observed sleeping in cribs on their stomachs. Provider stated she laid child #5 (7 months old) and child #6 (5 months old) on their stomachs in the cribs because they will not sleep on their back. When asked if the children can roll over, provider stated "not really".

Plan of Correction: Provider will place them on their back when laying them down in the crib for napping.

Standard #: 22VAC40-111-690-L
Description: Based on observation, provider did not ensure toilet chairs, when used, are emptied promptly, cleaned and sanitized after each use. Evidence: On August 15, 2018 at 12:45 pm, urine was observed in the potty chair in the hall bathroom.

Plan of Correction: As of today, provider will monitor the one child being potty trained and empty the potty chair immediately.

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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