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Ms. Jacqueline Hitchcock
1118 Joyce Lee Circle
Hampton, VA 23666
(757) 224-8488

Current Inspector: Anita Drewry (757) 404-5261

Inspection Date: Aug. 27, 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
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Licensure and Registration Procedures

Comments:
An unannounced renewal inspection was conducted on August 27, 2019 from approximately 1:40 pm 6:00 pm. Provider and assistant were present with eleven children for a total of twenty-six points. Five children records and two caregiver records were reviewed.

Violations:
Standard #: 22VAC40-111-700-A
Description: Based on observation and interview, provider did not ensure prescription medication is given to a child according to the home's written medication policies and only with written authorization from the parent. Evidence: Prescription medication was observed for child #3. Review of records and interview with provider resulted in the following: 1. Medication policy for the family day home states "I (or other caregivers) will administer only non-prescription topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine, and insect repellent". 2. Provider stated she administered the prescription medication last week and she does not have a written authorization from the parent to administer.

Plan of Correction: Medication was returned to parent during inspection and it will not be brought back. Will not administer any medication without being MAT certified.

Standard #: 22VAC40-111-710
Description: Based on interview, provider did not ensure when a prescription medication is administered, it is given by a caregiver certified in Medication Administration Training (MAT). Evidence: Prescription medication was observed for child #3. Provider stated she has administered the prescription cream on the child last week. Provider stated she is not certified in MAT.

Plan of Correction: Medication was returned to parent during inspection and it will not be brought back. Provider will pursue MAT training.

Standard #: 22VAC40-111-730-D
Description: Based on observation, provider did not ensure medication is kept in a locked place using a safe locking method that prevents access by children. Evidence: Prescription medication was observed sitting on top of the cubbies in the downstairs main child care room. Medication was locked. Provider stated she understands it should be kept locked.

Plan of Correction: Will put all medications in the designated emergency box that is kept locked.

Standard #: 22VAC40-111-100-A
Description: Based on review, provider did not ensure 1 of 5 children's records has a physical examination within 30 days of first day of attendance. Evidence: The record for child #2 (start date April 16, 2019) did not have a physical.

Plan of Correction: Parent was contacted and she will bring it tomorrow.

Standard #: 22VAC40-111-110-B
Description: Based on review, provider did not ensure 1 of 5 children's records has an immunization record that is signed by the physician, physician's designee or an official of a local health department. Evidence: The record for child #2 has an immunization record that is not signed by a physician, physician's designee or official a local health department.

Plan of Correction: Parent was contacted and she will bring it tomorrow.

Standard #: 22VAC40-111-40-A
Description: Based on observation, provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: Between 1:40 pm and 2:40 pm, eleven children were present in the home and provider is approved for a maximum capacity of nine children. Provider confirmed eleven children are present verbally as well as on two attendance sheets that documented a total of eleven children.

Plan of Correction: Provider will contact parent and explain that she was over because of those two kids. A note will be written to parents to tell them they have to be on time picking up.

Standard #: 22VAC40-111-170-A
Description: Based on review, provider did not ensure 1 of 2 caregiver records has documentation of a negative TB test or screening. Evidence: The record for caregiver #2 (start date May 21, 2018 did not have a TB test or screening.

Plan of Correction: If the test is not found today, another one will be done.

Standard #: 22VAC40-111-210-A
Description: Based on review and interview, provider did not ensure 2 of 2 caregivers complete at least 16 hours of annual training. Evidence: The following was found during record review: 1. The record for caregiver #1 (start date of licensure March 2018) had documentation of completing 8 hours of training within the first twelve months of licensure. 2. The record for caregiver #2 (start date of employment May 21, 2018) did not have documentation of any annual training. 3. Provider confirmed training hours.

Plan of Correction: Will do online trainings and will go to the next scheduled training later this year. Both will get at least 16 hours of training before December.

Standard #: 22VAC40-111-250-B
Description: Based on observation, provider did not ensure children are 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: Between 1:45 and 2:15, a AA battery and ball earring with a straight pin were observed sitting in a bowl on a coffee table in the living room. Child #2 (2 years old) was observed laying on the couch by the coffee table watching television. The battery and earring were within reach of the child. Provider stated she knew it should not be accessible to children and a safety hazard.

Plan of Correction: Provider removed items during inspection. Will do a safety check every morning.

Standard #: 22VAC40-111-320-B
Description: Based on observation, provider did not ensure child-resistant protective covers are installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: Three outlets did not have protective covers in a power bar located within reach of children in the downstairs main childcare.

Plan of Correction: Caps will be kept on open outlets.

Standard #: 22VAC40-111-530-A
Description: Based on observation, provider did not ensure when rest mats are used for napping that children have linens consisting of a top cover and a bottom cover or a one-piece covering that is open on three edges. Evidence: One of four children napping on mats in the downstairs main childcare room did not have a top cover. One of two children napping on mats in the baby room did not have a top cover.

Plan of Correction: Will make sure the cover is with the mat for each child.

Standard #: 22VAC40-111-530-F
Description: Based on observation, provider did not ensure soft bedding of any kind is not used under or around infants during napping. This includes but is not limited to, pillows, quilts, comforters, sheepkins or stuffed toys. Evidence: Child #2 (age 9 months) was observed sleeping in a crib with a stuffed animal.

Plan of Correction: Will make sure child does not have a stuffed animal when they lay down.

Standard #: 22VAC40-111-540-A
Description: Based on observation, provider did not ensure when high chairs are used that the safety strap is securely fastened. Evidence: Child #3 (age 18 months) was observed sitting in a high chair. The safety belt was not fastened. Provider removed high chair tray and verified the strap was not being used.

Plan of Correction: Will make a focused intent to ensure any child in a high chair is buckled up.

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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