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Ms. Sandra Nicholas
2801 Montclair Court
Richmond, VA 23223
(804) 329-8830

Current Inspector: Florence Martus (804) 662-9772

Inspection Date: Jan. 28, 2020

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

Technical Assistance:
n/a

Comments:
The licensing inspector conducted an unannounced monitoring inspection on Tuesday, January 28, 2020 from approximately 9:55 AM until 2:00 PM to determine the provider?s compliance with licensing standards. There were 11 children in attendance being cared for by three caregivers. Based on the children?s ages there was a total of 34 points. Upon the inspector?s arrival, the children were observed in the designated area for childcare watching television, playing with toys, and interacting with peers and the caregivers. The children later transitioned to circle time where they were observed singing songs and learning the alphabet. The infants were observed as they were held and fed. Diapering procedures were also observed. The children were later observed taking bathroom breaks, washing hands, eating lunch, and preparing for nap time. The caregivers were observed having positive interactions with the children. The designated areas for childcare were deemed appropriate and are equipped with age appropriate toys and materials to meet the needs of the children. During the inspection, the licensing inspector interacted with staff and children when appropriate. The bathroom, kitchen, outdoor play area, and designated childcare areas were all inspected during today's inspection. The first aid kit and non-medical emergency supplies and required postings were inspected. Five children?s records, three caregivers? records, and one household member?s records were reviewed during the inspection. Medication is not administered and transportation is not provided at this time.

If you have any questions about this inspection, please contact the licensing inspector, Florence Martus, at (804) 662-9772.

Violations:
Standard #: 22VAC40-111-830-C
Description: Based on observation and interview on 01/28/2020, the provider did not maintain documentation of emergency evacuation and shelter-in-place drills as required.

Evidence: 1) During the inspection, the licensing inspector reviewed documentation of the emergency evacuation and shelter-in-place drills. The most recent emergency evacuation drill documented was on 05/29/2019. 2) During interview, Caregiver #1 reported the emergency evacuation drill and two shelter-in-place drills were conducted, but not documented.

Plan of Correction: Per the Provider: I will start writing a note to myself to ensure all emergency drills are documented when they are practiced.

Standard #: 22VAC40-111-100-A
Description: Based on a review of five children's records and interview on 01/28/2020, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to one child's attendance or within 30 days after the first day of attendance.

Evidence: 1) The record for Child #2, enrolled on 11/04/2019, did not contain a physical examination. 2) During interview, Caregiver #1 reported the physical examination for Child #2 has not been received to date.

Plan of Correction: Per the Provider: I will call the parents to have them bring them in the morning.

Standard #: 22VAC40-111-90-A
Description: Based on a review of five children's records and interview on 01/28/2020, the provider did not obtain documentation that one child had been adequately immunized before the child may attend the family day home.

Evidence: 1) The record for Child #2, enrolled on 11/04/2019, did not contain documentation that the child has been adequately immunized. 2) During interview, Caregiver #1 reported the documentation has not been obtained to date.

Plan of Correction: Per the Provider: I will call the parents to have them bring them in the morning.

Standard #: 22VAC40-111-170-A
Description: Based on a review of three caregivers' records on 01/28/2020, the provider did not obtain from two caregivers at the time of hire a current report of tuberculosis (TB) 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: 1) The TB screening in the record for Caregiver #2, hired on 06/26/2019, was dated 07/31/2019. 2) The TB screening in the record for Caregiver #3, hired on 06/26/2019, was dated 07/31/2019.

Plan of Correction: Per the Provider: Before someone is hired, I will make sure they have their TB and that it is completed within 30 days of hire.

Standard #: 22VAC40-111-180-A
Description: Based on a review of documentation and interview on 01/28/2020, the provider did not maintain a current Report of Tuberculosis (TB) Screening form for one out of three caregivers every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

Evidence: 1) The record for Caregiver #1 contained a TB screening test dated 06/07/2017. 2) During interview, Caregiver #1 reported the most recent TB screening was completed in 2019, but was not available for review at the time of the inspection.

Plan of Correction: Per the Provider: I will go pick up the results and keep them on file.

Standard #: 22VAC40-111-280
Description: Based on observation on 01/28/2020, the provider did not ensure that potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food in areas inaccessible to children.

Evidence: 1) During the inspection, the licensing inspector observed a bottle of disinfectant spray on top of the toilet used by children.

Plan of Correction: Corrected on site.

Standard #: 22VAC40-111-320-B
Description: Based on observation on 01/28/2020, the provider did not ensure to have child-resistant protective covers on all unused electrical outlets and surge protectors accessible to children under five years of age.

Evidence: 1) During the inspection, the licensing inspector observed two uncovered electrical outlets in the bathroom used by children. 2) During the inspection, the licensing inspector observed two uncovered electrical outlets in the room where the children eat lunch.

Plan of Correction: Corrected on site.

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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