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Essie Washington
3804 Gloucester Drive
Hopewell, VA 23860
(804) 214-1591

Current Inspector: Heather Dapper (804) 662-7014

Inspection Date:

Complaint Related: No

Violations:
Standard #: 22VAC40-111-760-A-1
Description: Based on observation, the provider did not ensure that the first aid kit contained the required components. Evidence: The licensing inspector observed the first aid kit did not contain the following: scissors, tweezers, gauze pads, adhesive tape, digital thermometer, a second triangular bandage, disposable gloves, instruction manual, or an ice pack.

Plan of Correction: The provider has ordered a new first aid kit for the home.

Standard #: 22VAC40-111-770
Description: Based on observation and interview, the provider did not ensure there was a working battery operated flashlight with extra batteries available at all times. Evidence: The licensing inspector observed there was no flashlight available in the home. The provider stated there was no flashlight available.

Plan of Correction: The provider will obtain a battery operated flashlight and extra batteries for the home.

Standard #: 22VAC40-111-120-B
Description: Based on review of one caregiver record, the record did not contain the required elements. Evidence: The record for Caregiver #1 (reported hire date 1/2/19) did not contain documentation of the provider's address, verification of age, job title, date of hire, or emergency contact information.

Plan of Correction: The provider will update the caregiver's record.

Standard #: 22VAC40-111-60-A
Description: Based on review of five children's records, the family day home did not have an up to date record for each child in care. Evidence: 1. The record for Child # 1 (start date 11/6/18) did not contain a policy for the administration of medications or an immunization. 2. The record for Child #2 (unknown start date) did not contain documentation of information for parents, emergency medication authorization, policy for the administration of medications, liability insurance declaration, provisions for the emergency preparedness plan, or complete emergency contact information. 3. The record for Child #3 (start date 12/3/18) did not contain documentation of information for parents, emergency medication authorization, policy for the administration of medications, liability insurance declaration, provisions for the emergency preparedness plan, medical insurance information, complete emergency contact information, immunizations or a physical. 4. The record for Child #4 (start date 8/6/18) did not contain documentation of information for parents, emergency medication authorization, policy for the administration of medications, liability insurance declaration, provisions for the emergency preparedness plan, or complete emergency contact information. 5. The record for Child #5 (unknown start date) did not contain documentation of information for parents, emergency medication authorization, policy for the administration of medications, liability insurance declaration, provisions for the emergency preparedness plan, complete emergency contact information, medical insurance information, immunizations, or a physical.

Plan of Correction: The provider will meet with parents and ensure children's records are up to date.

Standard #: 22VAC40-111-80-B
Description: Based on review of five children's records, the provider did not verify the ages of two of the children in care. Evidence: The records for Child #3 and Child #5 did not contain documentation of the provider verifying the identity and age of the two children who were in care during the inspection.

Plan of Correction: The provider will request the information from the children parents and update the records.

Standard #: 22VAC40-111-170-A
Description: Based on review of caregiver and household member records, the provider did not ensure that the records contained a current Report of Tuberculosis (TB) Screening form. Evidence: The record for Caregiver #1 (reported hire date 1/2/19) did not contain documentation of a TB screening. Caregiver #1 has been an adult household member during the licensure period.

Plan of Correction: The provider will ensure the caregiver/household member record contains a TB screening. Any future caregivers will obtain TB screenings prior to the hire date.

Standard #: 22VAC40-191-40-D-4-a
Description: Based on review of the adult household member record, the provider did not ensure the record contained a Sworn Statement of the adult living in the home. Evidence: The licensing inspector observed the record for Household Member #1did not contain documentation of a Sworn Statement. The provider reported that Household Member #1 has been a resident of the home during the entire licensure period. The licensing inspector notes that Household Member #1 is also an assistant in the program as of 1/2/19.

Plan of Correction: The provider will ensure the record contains a Sworn Statement from the household member.

Standard #: 63.2-1721.1-B-2
Description: Based on review of the adult household member record, the provider did not ensure the record contained documentation of a national fingerprint-based criminal history record check. Evidence: The record for Household Member #1 did not contain documentation of a national fingerprint-based criminal history record check. As of 1/22/2018, fingerprint-based criminal history record checks became a requirement for all adult household members. The licensing inspector notes that Household Member #1 is also an active assistant for the program.

Plan of Correction: The provider will ensure the household member/assistant obtains an appointment for his fingerprint check.

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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