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Ms. Letitia Paige
2216 Parker Avenue
Portsmouth, VA 23704
(757) 337-2229

Current Inspector: Kimberly Sampson (757) 354-7307

Inspection Date: Aug. 21, 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
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
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.

An unannounced monitoring inspection was conducted on 08/21/2018 from 10:45am-12:23pm. At the time of inspectors' arrival there were 7 infant to preschool aged children in care totaling 21 points with the provider and an assistant. Children were observed participating in free play, lunch, story time, nap, feeding, diapering and transitioning between activities. A sample of 5 children's records,1 provider record and 2 assistant records were reviewed. Medications are not being administered at this time. There have been no injury reports since the last inspection. Areas of noncompliance are detailed in the violation notice and were discussed with the provider at the conclusion of this inspection.

Standard #: 22VAC40-111-100-A
Description: Based on record review it was determined that the provider did not 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: The record for child #5(enrolled 7/2/18) did not contain documentation of a physical examination.

Plan of Correction: The provider will request from the parent at pick-up.

Standard #: 22VAC40-111-90-C
Description: Based on record review it was determined that the provider did not obtain documentation of additional immunizations for children once every six months for children under the age of two years. Evidence: The record for child #4 did not contain documentation of additional immunizations for children once every six months for children under the age of two years. The last documentation was dated 10/17/17.

Plan of Correction: The provider will request updated documentation from the parent at pick up.

Standard #: 22VAC40-111-240-A
Description: Based on observation it was determined the provider did not ensure that all areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. The carpet in the threshold to the day care area has lifted creating a potential tripping hazard. 2. There was a rough 1" hole in the wooden baseboard behind the table that posed a potential injury hazard. 3. On the walls in the main childcare area there was peeling paint and small holes in the plaster. 4. The edging to the carpet underneath the table had come loose creating a potential trip hazard.

Plan of Correction: Provider will repair the areas.

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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