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My Joy Learning Center
2804 Granby Street
Norfolk, VA 23504
(757) 625-5437

Current Inspector: Kimberly Sampson (757) 354-7307

Inspection Date: Jan. 19, 2016

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Today we discussed the following standards: program director qualifications, program director present 50 of operation hours, size of equipment, care and comfort, age and stage appropriate activities,

Comments:
An unannounced monitoring inspection of the facility inside and outside and records was conducted from 9:30am ? 12:30pm. There were 17 children present with 5 teaching staff, one administrator. Four children?s records and six staff records were reviewed. Interviews were conducted with children and staff. Children were observed in teacher and self-directed activities including center play, circle time, music and movement, transitions, and restroom routines. Transportation is not offered to the children in at this time. The following violations were found in the following areas and are cited on the violation notice: administration, staff qualifications and training, physical plant, special care provisions and emergencies, and background checks. Upon receipt of the inspection documentation, the licensee must develop a plan of correction for each violation. The plan of correction must include the following: ? The steps to correct noncompliance with the standard(s); ? Measures to prevent reoccurrence of noncompliance; ? Person(s) responsible for implementation and monitoring of preventive measure(s); ? Date by which noncompliance will be corrected. The licensee will have ten calendar days from receipt of the inspection documentation to complete the section titled Plan of Correction, sign each page of the documentation and return it to the Licensing Office by 2/5/16. The licensee should retain a copy to be posted at the facility (Supplemental Information is not to be posted due to confidentiality). Results of the inspection documentation are subject to public disclosure and will be posted on the VDSS web site within 15 calendar days, regardless of whether the Plan of Correction section is completed.

Violations:
Standard #: 22VAC40-185-130-B
Description: Based on record review the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1 - Two of four children's records reviewed are past due to immunization updates. a. The record for child 3's most recent immunization information is dated May 2015. The child's documented date of birth is 2/17/14. b. The record for child 4's most recent immunization information is dated February 2015. The child's documented date of birth is 2/17/14.

Plan of Correction: ? Up to date immunization records were requested immediately for all children under 24 months. Phone calls were made to all parents requesting updated records by 2/1/2016 as well as notices sent home and notice posted throughout the building requesting up to date immunization records. ? All files for students under 24 months are currently being updated with current immunization records and will be monitored monthly

Standard #: 22VAC40-185-160-A
Description: Based on record review and interview the center failed to ensure that each staff submit documentation of a negative tuberculosis screening no later than 21 days after employment. Evidence: 1 - The record for staff 1 does not contain documentation of tuberculosis screening. 2 - Staff 1 has a documented date of hire as 12/12/15. 3 - Staff 1 was observed providing direct care children in the 2 year old room during the inspection. 4 - Staff 8 confirmed that the information was not present in the record of staff 1.

Plan of Correction: ? Staff has received a negative TB screening effective 2/1/2016 ? No staff will be allowed to start employment without a negative TB Screening

Standard #: 22VAC40-185-70-A
Description: Based on record review and interview the center failed to ensure that staff records contain all required information. Evidence: 1 - One of six staff records reviewed does not contain written information to demonstrate that the individual possesses the education, orientation training, staff development, certification, and experience required by the job position. Record for staff 2 has a documented date of hire as 9/8/15 2 - Two of six records reviewed do not contain job titles. a. The record for staff 6 has a documented date of hire of 9/9/15 b. The record for staff 1 has a documented date of hire of 12/12/15 3 - Staff 8 confirmed that the information was incomplete or missing from the records.

Plan of Correction: ? Staff records will be updated with education, orientation training, staff development, certification and experience required by job position ? Staff records will be updated with job titles and comprehensive job description ? Staff records will be reviewed regularly by both Director and Assistant Director to ensure all required documentation is included

Standard #: 22VAC40-185-200-A
Description: Based on record review and interview the center failed to ensure that a qualified program director or a qualified back-up program director who meets one of the director qualifications who shall regularly be on site at least 50% of the center's hours of operation. Evidence: 1 - Documentation obtained from the center lists the center's hours of operation as 6am through 6pm. 2 - The program director of record was not present during the inspection. 3 - The owner stated that the program director was present two days per week from approximately 8am through 4pm. a. The length of time the program director is present is less than the required 50% of the hours operation

Plan of Correction: ? On 1/26/16 a new Program Director was identified and is at the center daily; more than 50% of required time.

Standard #: 22VAC40-185-280-B
Description: Based on observation and interview the center failed to ensure that hazardous substances such as cleaning materials are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1 - The teacher cabinet in the two year old room was standing open at 9:45am and remained open during three classroom observations. At approximately 10:30am staff 1 reached into the cabinet and retrieved two spray bottles. 2 - The cabinet stands approximately 3.5 feet tall. The spray bottle of sanitizer was sitting on shelf within reach of children present in the classroom. 3 - Staff 1 stated that one bottle contained sanitizer. Staff 1 closed and locked the cabinet the proceeded to the bathroom with three children to change their diapers.

Plan of Correction: ? Staff received additional training from the Assistant Director on how to properly store & secure hazardous substances ? Staff will double check cabinets behind each other to make sure all hazardous materials are locked and secured at all times

Standard #: 22VAC40-185-500-A
Description: Based on observation and interview the center failed to ensure that staff wash their hands after any contact with body fluids. Evidence: 1 - During observation in 1 year old class staff 9 wiped the nose of child 1, discarded the tissue then proceeded to assist another child in care by handling materials needed for a cut and paste activity. Staff 9 did not wash her hands. a. Staff 9 wiped the nose of child 2, discarded the tissue and picked up another child without first washing her hands.

Plan of Correction: ? Proper hand washing techniques were reviewed; when to wash and additional training was provided to all staff on 1/21/2016. ? Standard 22 VAC 40-185-500 was reviewed with Staff by Assistant Director

Standard #: 22VAC40-191-60-B
Description: Based on record review and interview the center failed to ensure that an employee must not be employed until the agency has the person's completed sworn statement or affirmation. Evidence: 1 - The record for staff 1 does not contain a sworn statement or affirmation. 2 - The documented date of hire for staff 1 is 12/15/15. 3 - Staff 1 was observed providing direct care to children during the inspection. 4 - Staff 8 confirmed that sworn statement was not present in the record of staff 1.

Plan of Correction: ? Staff completed & signed Sworn Statement and it has been placed in staff file ? Administration will ensure all employee forms are completed, signed & dated prior to start date

Standard #: 22VAC40-191-60-C-1
Description: Based on record review and interview the center failed to ensure that the facility obtain an original criminal history record report within 30 days of employment. Evidence: 1 - The record for staff 1 does not contain an original criminal history record report. 2 - The documented date of hire for staff 1 is 12/15/15. 3 - Staff 1 was observed alone providing direct care to children during the inspection. 4 - Staff 8 confirmed that an original criminal history record report was not present in the record of staff 1.

Plan of Correction: ? Staff Criminal History Search was requested on 1/20/2016 ? Administrator will ensure no staff is allowed to be in direct contact with children without proper background check(s) or under direct supervision of another employee for whom background check has been completed in accordance with requirements

Standard #: 22VAC40-191-60-C-2
Description: Based on record review and interview the center failed to ensure that the facility obtain a central registry finding within 30 days of employment. Evidence: 1 - The record for staff 1 does not contain a central registry finding. 2 - The documented date of hire for staff 1 is 12/15/15. 3 - Staff 1 was observed alone providing direct care to children during the inspection. 4 - Staff 8 confirmed that a central registry finding was not present in the record of staff 1.

Plan of Correction: ? Staff Central Registry Search was requested on 1/20/2016 ? Administrator will ensure no staff is allowed to be in direct contact with children without proper background check(s) or under direct supervision of another employee for whom background check has been completed in accordance with requirements

Standard #: 63.2-1720-F
Description: Based on observation the provider failed to ensure that no employee shall be permitted to work in a position that involves direct contact with a child receiving services until an original criminal history record has been received, unless such person works under the direct supervision of another employee for whom a background check has been completed in accordance with the requirements of this section. Evidence: 1 - Staff 1 was present providing direct to children present in the 2 year old classroom, a lone during the inspection. 2 - The documented date of hire for staff 1 is 12/15/15. 4 - Staff 8 confirmed that an original criminal history record was not present in the record of staff 1.

Plan of Correction: ? Staff was removed from her duties and will NOT be allowed to work directly with children until a criminal background search has been returned; which was requested on 1/20/16 ? Administrator will ensure no staff is allowed to be in direct contact with children without proper background check(s) or under direct supervision of another employee for whom background check has been completed in accordance with requirements

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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