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Ms. Munirah Narteh
1588 Coward Avenue
Norfolk, VA 23502
(757) 500-4254

Current Inspector: Rene Old (757) 404-1784

Inspection Date: Sept. 25, 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 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Written information was left regarding child development and safe sleep. The current license and most recent inspection reports are to be posted in an area visible to the public. As a mandated reporter all suspected abuse or neglect should be reported to CPS within 24 hours. Information regarding risk can be obtained from the DSS web site. Risk assessment was discussed. Licensure protocol discussed. USDA meal pattern guidelines reviewed. A copy of this information is posted on the DSS web site. Hand washing for infants was discussed. Refer to Standard 680.B (three towel method). Standard 830. A & B - annual fire drill and twice annual shelter drill Standard 210 - annual training of 16 hours for each caregiver Standard 690.D - Sanitizing and cleaning procedures for diapering surface

An announced initial inspection was conducted on 09/25/2018 from 9:55am - 1:15pm. At the time of entrance there were four children in care with the provider. One child was a resident child. The ages of the children counted for a total of 11 points. Children were observed during morning program activity time. Lunch was observed. Records were reviewed for three children, the provider and one household member. The entire home and backyard 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 #: 22VAC40-111-880
Description: Based on observation, the provider failed to ensure that meals provided by the family day home shall follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: 1. The lunch served to children did not contain a fruit or second vegetable component as required by USDA. a. Children were served cheese pizza, green beans and milk.

Plan of Correction: A second vegetable or fruit will be included with lunch going forward.

Standard #: 22VAC40-111-940-B
Description: Based on interview, the provider failed to have an operable thermometer available to monitor refrigerator and freezer compartment temperatures. Evidence: The provider stated that she did not have an operable thermometer available to monitor refrigerator and freezer compartment temperatures.

Plan of Correction: A thermometer will be purchased.

Standard #: 22VAC40-111-60-B
Description: Based on record review and interview, the provider failed to ensure that children's records contain all of the required elements: Evidence: 1. The record for child 1 lacked the following: a. Telephone number and address of each custodial parent's place of employment; b. The street address for the second designated emergency contact. 2. The record for child 2 lacked the following: a. Telephone number and address of each custodial parent's place of employment. 3. The record for child 3 lacked the policy number of the child's medical insurance.

Plan of Correction: Each parent will be asked to provide the missing information today.

Standard #: 22VAC40-111-70-A
Description: Based on record review, the provider failed to provide in writing to each parent whether or not there is liability insurance of at least $100,000 per occurrence and $300,000 aggregate in force on the family day home operation as required by ? 63.2-1809.1 of the Code of Virginia. Evidence: 1. The liability insurance form in the record for child 1 was not completed to indicate whether there was liability insurance for the family day home.

Plan of Correction: The parent was told verbally that there is no liability insurance for the family day home. The insurance notification form will be completed today.

Standard #: 22VAC40-111-90-A
Description: Based on record review, the provider failed to obtain documentation that the child has been adequately immunized. Evidence: 1. The immunization record for child 1 is not current for a child over the age of two years. a. The most recent immunizations were administered on 05/09/2017 according to the immunization record on file. b. Child 1 was in care during the inspection.

Plan of Correction: The parent of child 1 will be asked to provide a current immunization record within the next two weeks.

Standard #: 22VAC40-111-240-A
Description: Based on observation, the provider failed to ensure that outside areas of the family day home shall be maintained in a safe condition. Evidence: 1. Four wooden tiki type lights were observed on the ground in the outdoor play area. The light poles have sharp points presenting a safety hazard to children. 2. The plastic covering around the backyard desk slats has an area of torn plastic measuring approximately 6 inches. This torn plastic has a sharp point and is located on an area of the desk accessible to children.

Plan of Correction: Tiki lights will be removed. Tape will be placed over plastic until additional plastic can be obtained.

Standard #: 22VAC40-111-320-G
Description: Based on observation and interview, the provider failed to ensure that fireplaces and associated chimneys shall be inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Documentation of the inspection and cleaning shall be maintained by the provider. Evidence: 1. The provider stated that an annual inspection had not been obtained for the fire place and chimney. a. The opening to the fireplace, inside the home, has been boarded up with plywood and glue however, this is not permanently sealing.

Plan of Correction: An inspection was completed. A copy will be forward to the inspector.

Standard #: 22VAC40-111-330-A
Description: Based on observation, the provider failed to ensure that a land line telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home's hours of operation. An operable land line telephone is one that does not require electricity to operate. Cordless or cell phones may be used in addition to the land line telephone. Evidence: 1. The land line telephone for the home uses electricity to operate. a. The provider confirmed that there was not a land line phone in the home that worked without electricity.

Plan of Correction: A landline telephone will be ordered today.


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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.