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Ms. Keysha Nieves
1015 Bethel Avenue
Hampton, VA 23669
(757) 817-5009

Current Inspector: Michele Patchett (757) 439-6816

Inspection Date: March 29, 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 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.

Technical Assistance:
Discussed outlet cover and appliances not in use and adequate space . Reviewed standard 22VAC40-111-510-C and 22VAC40-111-280.

Comments:
Licensing inspector arrived at 1:18pm and departed at 5:00pm to conduct a licensing inspection At the time of the tour there was 9 enrolled children in care, 1 household child and 2 staff ( 26 points). Additional staff and visitor arrived at approximately 1:53. Children were observed napping, eating snack and freely playing in the kitchen. The sample size consisted of 5 children records, 3 provider records and 1 household record. Areas of non-compliance was reviewed with the provider. The results of the inspection will be reviewed with the administrator.

Violations:
Standard #: 22VAC40-111-730-D
Description: Based on observation, the provider did not ensure medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: On March 29, 2019, child # 6 was observed holding a prescription medication bottle. Provider acknowledge medication belong to household member.

Plan of Correction: The provider will lock household medication.

Standard #: 22VAC40-111-830-C
Description: Based on record review and staff interview, the provider did not ensure two shelter in place drills were completed annually. Evidence : On March 29, 2019, staff #1 confirmed only one shelter in place drill was documented.

Plan of Correction: Provider will document all Shelter in places.

Standard #: 22VAC40-111-960-E
Description: Based on observation, the provider did not ensure bottles were labeled with the child's full name and the date, if more than one infant is in care. Evidence: On March 29, 2019, three bottles were on the table with no name or date and there two infants present.

Plan of Correction: Provider will make sure bottles were labeled.

Standard #: 22VAC40-111-120-B
Description: Based on record review and staff interview, the provider did not ensure assistants' and substitute records contained all required documents. Evidence: On March 29, 2019 , Staff #2's record did not have job title, date of hire, name and address and telephone number for emergency.

Plan of Correction: The provider will have staff #2 fill out paperwork today.

Standard #: 22VAC40-111-60-B
Description: Based on 3 of 5 records reviewed , provider did not ensure children's records has documentation of required information. Evidence: On March 29, 2019 the following records did not have required information: Child #1 did not have mother and father's employer's address and phone number. Child #3 did not have father's employer's address and employer's name. Child #3 and child #4 did not have start date .

Plan of Correction: The provider will put the start date and contact parent about the missing items.

Standard #: 22VAC40-111-140-B-3
Description: Based on record review and staff interview, the provider did not ensure the provider and subsitute provider obtained current CPR certification issued within the past two years . Evidence: On March 29, 2019, the provider confirmed her certification for cardiopulmonary resuscitation (CPR) expired February 14, 2019.

Plan of Correction: The class was scheduled for April 3, 2019.

Standard #: 22VAC40-111-170-A
Description: Based on record review and staff interview, the provider did not ensure to obtain from each caregiver at the time of hire and each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: On March 29, 2019, staff #2 did not have tuberculosis screening results. Confirmed with provider.

Plan of Correction: Staff #2 will have T.B. test completed by next week.

Standard #: 22VAC40-111-180-A
Description: Based on record review and staff interview, the provider did not ensure a Tuberculosis Screening is completed every two years from the date of the first screening . Evidence: On March 29, 2019, Staff #1 most recent Tuberculosis Screening was 1/25/2017. Confirmed with provider.

Plan of Correction: The provider will have a T.B. test completed by next week.

Standard #: 22VAC40-111-230-A
Description: Based on record review, the provider did not ensure written documentation of each caregiver's applicable education and programmatic experience and orientation. Evidence: On March 29, 2019, staff #2 record did not have documentation of caregiver's applicable education and programmatic experience and orientation. Provider confirmed she did not have the documentation.

Plan of Correction: Provider will have it by next week.

Standard #: 22VAC40-111-340-C
Description: Based on observation, the provider did not ensure the bathroom contain paper towels and liquid soap. Evidence: On March 29, 2019, in the bathroom there was bar soap and no liquid soap .

Plan of Correction: The provider ran out of liquid soap and will purchase more.

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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