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Ms Kinda Fernandez
441 Comstock Drive
North chesterfield, VA 23236
(804) 317-4419

Current Inspector: Roshon Casey (804) 662-9760

Inspection Date: May 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 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Licensure and Registration Procedures

Technical Assistance:
none

Comments:
The licensing inspector conducted an unannounced monitoring inspection on Wednesday, May 29, 2019 from 5:00pm to 5:45pm. The children were observed playing games and being picked up by parents. Today, there were two children, totaling zero points, present with one caregiver. The emergency supplies were reviewed. Last evacuation drill: 03/06/19 Last shelter in place drill : 09/17/2018 Five children?s records, two caregivers? records and one household record were reviewed during the inspection. The violations from the previous inspections were checked for corrections. There was one repeat violation found during today?s inspection. If you have any questions about this inspection, please contact the licensing inspector, Roshon Casey, at (804) 662-9760. PROVIDER: Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word ?corrected? is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:
Standard #: 22VAC40-111-830-C
Description: Based on observation and caregiver interview on 05/29/2019, the provider did not ensure that the emergency drills were documented. EVIDENCE: 1. The most recent emergency drill documented was on 03/06/2019. 2. Caregiver #2 stated that a drill was completed in April, but not written down.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-60-B
Description: Based on a review of children's records on 05/29/2019, the provider did not ensure that each child's record reviewed contained the required information. EVIDENCE: 1. The record of Child #1 did not have a policy number of the child's medical insurance that was listed, and telephone number of the child's physician. 2. The record of Child #3 did not have the name and policy number of the child's medical insurance.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-70-A
Description: Based on a review of children's records on 05/29/2019, the provider did not ensure that before the child's first day of attendance, parents shall be provided in writing the required information. EVIDENCE: The record of Child #1, who started at the family day home on 09/05/2017, did not contain documentation of the provisions of the family day home's emergency preparedness and response plan

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-90-A
Description: Based on a review of children's records on 05/09/2019, the family day home did not ensure that before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. EVIDENCE: The immunizations in the record of Child #2, whose start date at the family day home was 09/04/2018, are dated 10/01/2018.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-140-B-3
Description: Based on a review of caregiver records on 05/29/2019, the provider did not ensure that providers and substitute providers have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. EVIDENCE: The cpr certification in the records of Caregiver #1and Caregiver #2 was designated for adults.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-180-A
Description: Based on a review of household member records on 05/29/2019, the provider did not ensure that each adult household member has a current Report of Tuberculosis(tb) Screening form every two years. EVIDENCE: 1. The most recent tb screening in the record of Household Member #1 is dated 08/02/2016. 2. The most recent tb screening in the record of Household Member #2 is dated 07/08/2016.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-210-A
Description: Based on a review of caregiver records on 05/29/2019, the provider did not ensure that caregivers shall obtain a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities. EVIDENCE: The record of Caregiver #2 contained documentation of eight hours of annual training for the year 2018.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 63.2-1721.1-B-2
Description: Based on a review of caregiver and household member records on 05/29/2019, the provider did not ensure that caregivers and household members obtained a fingerprint based national background check by the required 09/30/2018 time frame. EVIDENCE: 1. The letter of eligibility for the fingerprint based national background check results in record of Caregiver #1, is dated 10/10/2018. 2. The letter of eligibility for the fingerprint based national background check results in record of Caregiver #2, is dated 10/12/2018. 3. The letter of eligibility for the fingerprint based national background check results in record of Household Member #1, is dated 10/16/2018. 4. The record of Household Member #2 did not contain a letter of eligibility for the fingerprint based national background check results.

Plan of Correction: Not available online. Contact Inspector for more information.

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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