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Ms. Tammy Barker
16 Keller Court
Hampton, VA 23666
(757) 825-5350

Current Inspector: Tiffany Harris (757) 403-3045

Inspection Date: Oct. 24, 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
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced monitoring inspection was conducted on October 24, 2018, from approximately 11:00 AM to 1:00 PM. Three staff were present with 11 children (25 points). Children were observed in circle time and cleaning up . Five children records, three caregiver record and two household records reviewed on this date. Exit interview conducted with provider.

Violations:
Standard #: 22VAC40-111-900-A
Description: Based on observation , the provider did not ensure food that is round and small such as uncut grapes not be served to children under four years of age unless the food was prepared before being served in a manner that will reduce the risk of choking. Evidence: During the inspection conducted on October 24, 2018, the children under the age of four were given whole grapes to eat.

Plan of Correction: The grapes will be cut and will be effective immediately.

Standard #: 22VAC40-111-900-B
Description: Based on observation , the licensee did not ensure children were not allowed to eat while walking . Evidence : During the inspection conducted on October 24, 2018, child #3 was walking around eating grapes there cut in small pieces.

Plan of Correction: The children will be put in high chair when eating.

Standard #: 22VAC40-111-180-A
Description: Based on record review the provider did not ensure there was a current Report of Tuberculosis Screening form, every two years from the date of the last screening. Evidence : During the inspection conducted on October 24, 2018, staff #2 and staff #3 most recent tuberculosis test was 09/19/2016.

Plan of Correction: The staff will have there TB test as soon as possible.

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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