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Kim Mayo
6455 Bareback Terrace
North chesterfield, VA 23234
(804) 275-3899

Current Inspector: Heather Dapper (804) 625-2304

Inspection Date: May 24, 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 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
N/A

Comments:
An unannounced monitoring inspection was conducted on Friday, May 24, 2019 to determine the provider's compliance with licensing standards. The inspector arrived at 9:50 AM and concluded the inspection at 12:30 PM. The provider was present with two children, totaling six points. Children were observed engaging in activities to include eating and playing with toys on the floor. Children's equipment, outdoor and indoor space, restroom, and the first aid and non medical emergency supplies were inspected. There are no medications being administered at this time. Three children's records, one caregiver record, one household record, fire drill, shelter in place and lockdown drills, and required postings were reviewed. Violations were cited and are documented on the violation notice. Please complete the ?plan of correction? and ?date to be corrected? for each violation listed on the violation notice and return it to me within 5 business days from receipt. Your plan of correction should 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. If you have any questions about this inspection, please contact the licensing inspector, Heather Dapper, at (804) 662-7014.

Violations:
Standard #: 22VAC40-111-760-A-1
Description: Based on observation, the provider did not ensure that all required emergency supplies are in the family day home and wherever children are in care. Evidence: 1. The first aid kit did not contain a first aid instructional manual. A two year old and a four month old were in care.

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

Standard #: 22VAC40-111-770
Description: Based on observation, the provider did not ensure that a working portable battery-operated weather band radio and extra batteries were available at all times. Evidence: The provider did not have a working portable battery-operated weather band radio and extra batteries available.

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

Standard #: 22VAC40-111-790
Description: Based on observation and an interview with the caregiver, the provider did not ensure that the required emergency numbers are posted in a visible area close to the telephone. Evidence: The emergency numbers (911, poison control, local number to the police, fire and emergency medical responders, emergency back up care person) were not posted in the home.

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

Standard #: 22VAC40-111-100-A
Description: Based on a review of documentation, the provider did not obtain documentation of a physical examination for one child prior to attendance or within 30 days after the first day of attendance. Evidence: Child #3 (first day of attendance 03/20/2019) did not have documentation of a physical examination.

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

Standard #: 22VAC40-111-120-A
Description: Based on an interview with the provider, a record was not maintained for each caregiver. Evidence: 1. The record for caregiver #1 was not available for review. 2. The provider was unable to locate the record for caregiver #1

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

Standard #: 22VAC40-111-90-C
Description: Based on a review of children's records, the provider did not ensure documentation of additional immunizations once every six months for children under the age of two years of age. Evidence: Child #1 (date of birth 02/18/2017) enrolled in the family day home on 03/01/2018, did not have documentation of updated immunizations once every six months for children under the age of two years.

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

Standard #: 22VAC40-111-140-B-3
Description: Based on review of documentation and interview, the provider did not ensure current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of children in care was obtained. Evidence: 1. Caregiver #1 did not have documentation of current certification of CPR. 2. The provider was unable to locate documentation of current certification of CPR

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

Standard #: 22VAC40-111-140-B-4
Description: Based on review of documentation and interview, the provider did not ensure current certification in first aid. Evidence: 1. Caregiver #1 did not have documentation of current certification in first aid. 2. The provider was unable to locate documentation of current certification in first aid.

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

Standard #: 22VAC40-111-170-A
Description: Based on review of documentation, the provider did not ensure that each adult household member prior to coming in contact with children has a current Tuberculosis Screening (TB). Evidence: 1. The provider did not have documentation of TB screening/test for household member #1. 2. Household member #1 was present during the inspection.

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

Standard #: 22VAC40-111-240-A
Description: Based on observation, the provider did not ensure that all areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable conditions. Unsafe conditions shall include, but not be limited to, the presence of poisonous plants; tripping hazards; unstable heavy equipment, furniture, or other items that a child could pull down on himself; splintered, cracked, or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting, or breakage of any equipment; head entrapment hazards; and protruding nails, bolts, or other components that could entangle or could snag skin. Evidence: 1. The dining room table had a large base appropriately two and half feet wide with a glass top. The glass top was not secured to the table base. Child #1 was playing in the dining room on the floor and at the table. 2. The inspector and provider used the dining room table to review records; one side of the glass top moved down towards the floor and the other side moved up towards the ceiling creating an unstable heavy surface and safety hazard. 3. The front porch railing on the right side was cracked, splintered and broken creating a hazard that could snag skin.

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

Standard #: 22VAC40-111-320-B
Description: Based on observation, the provider did not ensure that child-resistant protective covers shall be installed on all unused electrical outlets accessible to children under five years of age. Evidence: 1. The electrical outlet on the lower part of the wall in the dining room did not have a protective cover. 2. A two year old was observed playing on the floor in the dining room.

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

Standard #: 22VAC40-111-410
Description: Based on observation, the provider did not ensure that portable electric fans shall be securely mounted out of reach of children. Evidence: 1. There was an unmounted portable oscillating fan on in the dining room and within reach of children. A two year old was observed playing in the dining room.

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

Standard #: 22VAC40-191-40-D-1-c
Description: Based on review of caregiver records, the provider did not have a completed sworn statement or affirmation. Evidence: 1. The record for Caregiver #1 did not contain a completed sworn statement or affirmation. 2. The provider was unable to locate documentation of completed sworn statement or affirmation.

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

Standard #: 22VAC40-191-40-D-4-a
Description: Based on a review of household member records, the family day home provider did not ensure that a sworn statement or affirmation is obtained when a person in the home becomes 18 years old. Evidence: Household member #1 turned 18 years of age on April 9, 2019. The household member's record did not contain a sworn statement or affirmation.

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

Standard #: 63.2-1721.1-B-2
Description: Based on a review of records, the provider did not ensure that a fingerprint based background check determination from the Office of Background Investigation was obtained for one adult household member and the provider/caregiver. Evidence: 1. Household member #1 turned 18 years of age on April 9, 2019. 2.The record for household member #1 did not have a fingerprint based background check determination from the Office of Background Investigations. 3. The record for caregiver #1 did not contain a fingerprint based background check determination from the Office of Background Investigations. 4. The provider was unable to locate the fingerprint based background check determination.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. To find programs participating in Virginia Quality, click here.

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