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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Mrs. Nancy Beight
5400 Beckner Street
Norfolk, VA 23509
(757) 855-8210

Current Inspector: Rene Old (757) 404-1784

Inspection Date: Jan. 30, 2019

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 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
General Procedures and Information for Licensure was discussed. A copy of this manual can be obtained from the DSS web site. Review of standards related to CPR/First Aid training and caregiver requirements including background checks.

Comments:
An unannounced monitoring inspection was conducted on 01/30/2019 from 10:35am - 11:45am. There were five children in care with the provider. The ages of the children counted for a total of 12 points. The children were observed watching cartoons in the front child care room. Morning snack was additionally observed. The sample size included record review for six children and the provider. Violations were found in areas of administration, care of children, physical environment and equipment, preventing the spread of disease and nutrition. These violations are listed on the violation notice and were reviewed with the provider at the conclusion of the inspection.

Violations:
Standard #: 22VAC40-111-870-G
Description: Based on observation, the provider failed to ensure that tables and high chair trays shall be cleaned after each use. Evidence: Morning snack concluded at approximately 11:00am. The table, high chair tray and feeding chair trays had not been cleaned when the inspector left at 11:45am.

Plan of Correction: Clean all trays and tables as soon as child is done.

Standard #: 22VAC40-111-880
Description: Based on observation, the provider failed to ensure that snacks 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 morning snack served to children consisted of a banana and dry french toast crunch cereal. a. The cereal served does not meet current USDA guidelines as it is not classified as a whole grain.

Plan of Correction: Will follow exactly by the USDA guidelines.

Standard #: 22VAC40-111-900-B
Description: Based on observation, the provider failed to ensure that children shall not be allowed to eat or drink while walking. Evidence: Child 4 was observed walking around the home three times , during the inspection, while drinking from a sippy cup of milk.

Plan of Correction: Children no longer allowed to have drinks or food unless strap in chair.

Standard #: 22VAC40-111-100-A
Description: Based on record review and interview, the provider failed to 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: 1. There was no documented physical exam on file for child 1 who has an enrollment date of 10/18/2018. 2. The provider confirmed that the record for child 1 lacked a documented physical.

Plan of Correction: Received documentation of physical for child 1.

Standard #: 22VAC40-111-60-B
Description: Based on record review, the provider failed to ensure that children's records contain all required elements. Evidence: 1. The enrollment record for child 1 lacked an address and phone number for a second emergency contact. 2. The enrollment record for child 1 lacked information regarding the names of schools attended. a. The provider confirmed that child 1 attended a local public school which was not documented on the enrollment form.

Plan of Correction: Had parent and self complete child's record - school , emergency numbers. Record was completed.

Standard #: 22VAC40-111-250-B
Description: Based on observation, the provider failed to ensure that children shall be children shall be protected from materials that could be swallowed or present a choking hazard. Toys or objects less than 1-1/4 inches in diameter and less than two inches in length shall be kept out of reach of children under the age of three years. Evidence: 1. Child 2, who is under the age of three years, was observed playing with a small pony tail holder. a. This hair accessory is a choke hazard.

Plan of Correction: Removed all choking hazards in toys. Also notify all parents to not put any type of hair ties in child's hair.

Standard #: 22VAC40-111-280
Description: Based on observation, the provider failed to ensure that potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants and deodorizer shall be stored away from food in areas and inaccessible to children. Evidence: 1. Child 3, age three years, was observed in the kitchen standing beside a counter top where a can of spray disinfectant was placed. Additionally, another can of spray disinfectant and a container of disinfecting wipes were observed on another counter top in the kitchen. a. All of these products were within easy reach of the child 3. b. All of these products contained multiple warnings indicating the contents hazardous if inhaled or ingested.

Plan of Correction: Removed all poisonous substances placed in locked cabinet.

Standard #: 22VAC40-111-540-A
Description: Based on observation, the provider failed to ensure that infant feeding tables and high chairs shall be used according to the manufacturer's instructions and when occupied by a child, a safety strap shall be used and securely fastened. Evidence: 1. Child 2, age two years, was observed sitting in a high chair without the safety strap in use and securely fastened. 2. Child 4 and child 5 , both under the age of two years, were observed sitting in infant feeding chairs without the safety strap in use and securely fastened.

Plan of Correction: Using straps in chairs at all times.

Standard #: 22VAC40-111-560-A
Description: Based on observation and interview, the provider failed to ensure that a caregiver shall be physically present on site and provide direct care and supervision of each child at all times. Direct care and supervision of each child includes: Awareness of and responsibility for each child in care, including being near enough to intervene if needed. Evidence: 1. When the inspector arrived at 10:35am, five children were observed in the front child care room with an individual unknown to the inspector. a. This individual stated that the provider was in the backyard. b. This individual further stated that she did not know why the provider was in the backyard. 2. The inspector entered the backyard from the kitchen area of the home. a. The provider was observed in the driveway area of the home exiting from a vehicle that had the engine running. b. This driveway is a secondary driveway that is not directly adjacent to the home and does not allow for direct supervision or an awareness of the children inside of the home. 3. The provider stated that the individual inside the home with the children was not a caregiver for a children.

Plan of Correction: Never leave children unattended at all times. Children and caretaker will remain in same room at all times.

Standard #: 22VAC40-111-680-B
Description: Based on observation, the provider failed to ensure that children's hands are washed with liquid soap and warm running water before eating. Evidence: The provider failed to wash children's hands before the morning snack served at 10:45am.

Plan of Correction: Washing hands before snacks & meals.

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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