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Ms. Clara Robinson
8 Tidal Court
Portsmouth, VA 23703
(850) 341-1672

Current Inspector: Emily Walsh (757) 404-2575

Inspection Date: Oct. 23, 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
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced, mandated monitoring inspection was conducted today. The inspector arrived at 12:30 PM and departed at 2:30 PM. One child (2 points) was in care with one caregiver. Activities, outdoor space and lunch service were observed. No children's injuries were reported. It was reported that no medication has been administered to children in care. Two caregiver records and two children's records were reviewed. An exit meeting was conducted with the provider prior to closure of the inspection.

Violations:
Standard #: 22VAC40-111-830-A
Description: Based upon provider interview, the provider has not ensured that practice emergency evacuation drills are conducted monthly. Evidence: The provider stated that she has not yet conducted and documented any emergency evacuation drills. The license was issued effective 9/4/18.

Plan of Correction: The provider responded with the following: An evacuation drill will be conducted and documented monthly.

Standard #: 22VAC40-111-920
Description: Based upon observation and provider interview, the provider has not ensured that the menu for the current one-week period is posted. Evidence: 1. There was no menu posted for the current week. 2. The provider stated that she had the USDA menu but acknowledged that it was not posted for the current week

Plan of Correction: The provider responded with the following: The menu will be posted on Monday of each week.

Standard #: 22VAC40-111-100-A
Description: Based upon review of two children's records, the provider has not ensured that documentation of a physical examination by or under the direction of a physician is obtained prior to attendance or within 30 days after first attendance. Evidence: According to the provider, both child 1 and child 2 began attending when the license was issued on 9/4/18. The provider was unable to provided documentation of a physical examination for either child 1 or child 2.

Plan of Correction: The provider responded with the following: Documentation of physical examinations of children will be required within 30 days of attendance.

Standard #: 22VAC40-111-120-A
Description: Based upon review of one caregiver record, the provider has not ensured that the record maintained for each caregiver contains all required documentation. Evidence: The record provided for caregiver2, who the provider stated has worked with the children when the provider has had to run errands, did not include documentation of verification of age, job title, date of employ, name address and telephone number for an emergency contact person and documentation that two or more references as to character and reputation as well as competency were checked before employment. I

Plan of Correction: The provider responded with the following: All required documentation will be in each caregiver's record.

Standard #: 22VAC40-111-50-A
Description: Based upon review of records and provider interview, the provider has not ensured that there is a written record of children in attendance each day. Evidence: The provider had a form to be used for keeping attendance, however written records of attendance were not available for review.

Plan of Correction: The provider responded with the following: Daily attendance records will be kept and will be available for review.

Standard #: 22VAC40-111-60-A
Description: Based upon review of two children's records and provider interview, the provider has not ensured that there is a record for each enrolled child. Evidence: The provider stated that she does not have a record for child 1, who has attended care since the license was issued on 9/4/18.

Plan of Correction: The provider responded with the following: All enrolled children will have complete records prior to attending.

Standard #: 22VAC40-111-70-A
Description: Based upon review of two children's record, the provider has not ensured that before the child's first day of attendance, the parents are provided in writing the required information. Evidence: 1. The record provided for child 2 did not include a completed and signed written information for parents form including documentation of liability insurance. Child 2 began attending when the license was issued 9/4/18. 2. There was no record for child 1 who began attending when the license was issued effective 9/4/18.

Plan of Correction: The provider responded with the following: All records for enrolled children will be complete to include the written information for parents and liability form prior to attending.

Standard #: 22VAC40-111-90-A
Description: Based upon provider interview, the provider has not ensured that documentation that each child has been adequately immunized before the child can attend the family day home. Evidence: 1. The provider was unable to provide documentation of immunizations for child 1. 2. The provider stated that she does not yet have immunization records for child 1.

Plan of Correction: The provider responded with the following: Immunization records will be obtained prior to allowing the children to attend.

Standard #: 22VAC40-111-150-A
Description: Based upon review of the record for the assistant caregiver and provider interview, the provider has not ensured that assistants have current first aid certification. Evidence: The record provided for caregiver 2 did not contain documentation of current first aid training. The provider stated that the assistant has worked with the children a few times when she has had to run errands.

Plan of Correction: The provider responded with the following: Documentation of caregiver 2's first aid training will be obtained and placed in her record.

Standard #: 22VAC40-111-200-C
Description: Based upon review of the record for caregiver 2, the provider has not ensured that assistants receive the required orientation training prior to the end of the first week of assuming responsibilities and that this orientation training is signed and documented. Evidence: The record provided for caregiver 2 did not include documentation of orientation training.

Plan of Correction: The provider responded with the following: Documentation of orientation training will be placed in caregiver 2's record.

Standard #: 22VAC40-191-60-C-2
Description: Based upon review of records, the provider has not ensured that results of a child protective services central registry search is obtained within 30 days of employment. Evidence: Results of a child protective services central registry search were not in the record for caregiver 2 who the provider said has worked with the children when she has run errands.

Plan of Correction: The provider responded with the following: The office of background investigations will be contacted to determine why the results of the requested search have not been received.

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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