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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: 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 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
63.2 Licensure and Registration Procedures

Technical Assistance:
Beginning December 28, 2012 any crib provided by family child care homes must meet new and improved safety standards. The new standards were effective on June 28, 2011 and most cribs manufactured before this date do not meet current CPSC/ASTM guidelines. Written information is located on the DSS web site. USDA meal pattern guidelines reviewed Risk Report reviewed with the provider Attendance documentation discussed Annual training documentation and requirements discussed

Comments:
An unannounced renewal inspection was conducted on 05/29/2019 from 9:35am - 11:06am. At the time of entrance there were five children in care with the provider. The ages of the children counted for a total of 11 points. Children were observed playing with toys and watching television. The entire home and backyard play area was reviewed. Records reviewed for the provider, one household member and one child. Violations were observed in the areas of physical environment and equipment, medication administration, care of children, nutrition and administration and are listed on the violation notice. These violations were reviewed and discussed with the provider at the conclusion of the inspection.

Violations:
Standard #: 22VAC40-111-730-D
Description: Based on observation and interview, the provider failed to ensure that medication shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A bottle of prescription medication was observed inside of an open purse that was placed on the table in the dining room area of the home which is part of the child care area where children were observed throughout the inspection. a. The provider verified that this was her purse and that the medication was a prescription specific to her. 2. The dining room is open and part of the child care room. a. Children were observed playing near and around this table through out the inspection.

Plan of Correction: All prescriptions are put in a locked box. The box is kept out of children reach.

Standard #: 22VAC40-111-880
Description: Based on interview and menu review, 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 provider stated that children had been provided donuts and milk for morning snack prior to arrival of the inspector. a. Donuts do not meet USDA guidelines as a creditable food component. 2. The posted menu indicated that children were to be served dry cereal and juice for morning snack on the date of the inspection. However, none of the dry cereals on hand in the family day home meet current USDA guidelines.

Plan of Correction: There will be no doughnuts or of any treats brought in by parents. Will follow USDA guideline. Cereal will no longer be served as snack. Replace with item from USDA guidelines. Not all cereal in cabinet was not for day care.

Standard #: 22VAC40-111-60-B
Description: Based on record review and interview, the provider failed to ensure that children's records contained all of the required elements. Evidence: 1. The record for child 1 lacked documentation of the last date of attendance. a. The provider confirmed that the last date of attendance was not documented in the file of child 1.

Plan of Correction: Date was posted.

Standard #: 22VAC40-111-240-A
Description: Based on observation, the provider failed to ensure that areas and furnishings of the family day home shall be maintained in a clean and safe condition. Unsafe conditions shall include, but not be limited to, the presence of unstable heavy equipment, furniture, or other items that a child could pull down on himself or other components that could entangle or could snag skin.

Evidence:
1. The following safety hazards were observed within the home in areas accessible to children and utilized for child care.
a. A child under the age of two years was observed playing with a push toy dog. This toy had a string attached measuring approximately 18 inches. Strings longer than 8.6 inches are a potential entanglement hazard. Additionally, if the string were to detach from the toy a choke hazard could result.
b. An upright vacuum cleaner was observed in the the back bedroom. This is a toppling hazard.
c. An electric razor was observed sitting on the window ledge of the back bedroom. The cord from the razor was dangling down the wall as the razor was being charged. This object is within easy reach of a child and is an entanglement hazard. Additionally, if a child were to pull on the cord the razor could fall and also become an additional safety hazard.
2. Two of four crib sheets had multiple circular stains throughout that had merged into each other.
a. The provider acknowledged that the crib sheets were "filthy and needed to be washed."

Plan of Correction: 1. a. Thrown toy away

b. Upright vacuum cleaner was stored in closet.

c. Electric razor was removed from window ledge - along with cord.

2.A. All crib sheets are washed every Friday or when needed.

Standard #: 22VAC40-111-250-A
Description: Based on observation, the provider failed to ensure that hanging items including, but not limited to, window blind or curtain cords, appliance cords, and ropes shall be out of reach of children under five years of age. Evidence: 1. A black elastic cord was wrapped around the door knob to the closet door beside the front door. The cord had been looped around in a circular fashion and was dangling down approximately 18 inches. This area of the home is used as the primary child care room. 2. A mini blind cord was observed dangling down from the window in the back bedroom used for napping. The cord dangled down below the window ledge and would be accessible to any children using this room for napping.

Plan of Correction: 1. Remove black cord from closet door behind front door. 2. Pinned up all cords from mini blinds in all rooms in house including nap rooms.

Standard #: 22VAC40-111-250-B
Description: Based on observation, the provider failed to ensure that 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. A metal hair clip was observed on the floor of the child care room. a. The hair clip measured approximately 3/8 of an inch in width and 1 1/2 inches in length. 2. A dime was observed on the dresser of the back bedroom used for napping children. A crib was placed within easy reach of this dresser. a. Both objects are choke hazards for four of the children in care who ranged in age from 21 months - two years.

Plan of Correction: 1.A. Thrown hair clip away. Informed all parent - no hair ties, clips etc are allowed in children's hair. 2. Pick up loose money any small object in child's reach. All room will be checked before children arrive.

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 deodorizers shall be stored away from food in areas inaccessible to children. Evidence: 1. A bottle of spray air deodorizer was observed on the ledge between the kitchen and dining area of the home. a. This ledge is in an open area that is part of the child care room where children were observed during the inspection. 2. The wall mounted medicine cabinet in the bathroom contained numerous hazardous personal care products including but not limited to, nail polish remover, liquid hair remover, arthritis pain relief cream, after shave, and deodorants. a. This cabinet is accessible to the children in care due to the step stool that was placed on the floor below the sink. During the inspection two children were observed inside of this bathroom without adult supervision. 3. Two cans of shoe polish and two bottles of lens cleaner were observed on an open book shelf in the back bedroom used for child care. 4. These products contained multiple warning labels indicating the contents as hazards and stating, "keep out of reach of children."

Plan of Correction: All cleaning agents and deodorizer poisonous substances disinfectants are locked in cabinet.

Standard #: 22VAC40-111-580-C
Description: Based on observation and interview, the provider failed to ensure that daily age-appropriate activities shall include opportunities for structured and unstructured play time and provider-directed and child-initiated learning activities. Evidence: 1. The inspector did not observe any structured and provider directed activities during the inspection which lasted from 9:35am - 11:06am. a. Children were observed through out the inspection wandering around the child care room, dining room and down the hall way. The provider did not provide any structure or direction during this time . b. The activities included watching television and the availability of approximately seven toys to share among the five children in care ages 21 months - 3 years. 2. The provider stated she did not have a written daily activity schedule. The provider explained that it was her usual routine to allow the children to play as they wanted to.

Plan of Correction: This was play time - I allow kids to spend time for cartoons, toys, there are (2) full toy boxes in back room where children choose what they play with. I keep the kids in front area with me for safety. On my contract is a written activity schedule. Some changes may occur.

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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