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Golden Care Child Care Center
1820 W Queen Street
Hampton, VA 23666
(757) 224-5664

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: March 23, 2016

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
"Cleaned" means treated in such a way to reduce the amount of filth through the use of water with soap or detergent or the use of an abrasive cleaner on inanimate surfaces. "Sanitized" means treated in such a way to remove bacteria and viruses from inanimate surfaces through using a disinfectant solution (i.e., bleach solution or commercial chemical disinfectant) or physical agent (e.g., heat). The surface of item is sprayed or dipped into the disinfectant solution and allowed to air dry after use of the disinfectant solution. Discussed wood border on the playground that is can cause a potential tripping hazard if it is no longer used to hold resilient surfacing.

Comments:
An unannounced monitoring inspection was conducted on March 23, 2016 from approximately 10:20 am to 2:15 pm. Three staff were present with thirteen children. Additional staff were on site for administrative and kitchen duties. Children were observed during center play, outside time and lunch. Three children?s records and two staff records were reviewed on this date. Licensing Inspector reviewed supervision, activities, equipment, diapering procedures, hand washing procedures, nutrition, special feedings, injury report documentation, children and staff records, emergency evacuation and shelter-in-place drill documentation, fire and health inspection reports, liability insurance coverage, emergency supplies and required postings. Violations were reviewed with and verified by the administrator on this date.

Violations:
Standard #: 22VAC40-185-270-A
Description: Based on observation, facility did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, 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 clothing or snag skin. Evidence: On March 23, 2016, the following was observed: 1. There is peeling paint along the baseboard in the front children's bathroom. 2. The heat vent outside the girls' bathroom is rusted. 3. A floor tile outside the girls' bathroom is missing leaving rough jagged concrete edges. 4. A corner floor molding outside the girls' bathroom is separating from the wall leaving a visible crack and protruding component. 5. There is peeling paint on the pipes leading along the wall close to the floor leading to the sink in the toddler room. 6. The carpet around the heat vent in the school age room is not secured to the floor causing a potential tripping hazard. 7. The vent cover on the air return in the school age room has a visible layer of dark gray dust. The vent cover is located approximately 3' from the floor and leading up the wall. The vent is accessible to children. 8. There is peeling paint on the hand railing leading up the stairs to the school age room. 9. The carpet at the preschool doorway is frayed and not secured to the floor causing a potential tripping hazard. In the same area, the carpet is buckled presenting a potential tripping hazard. 10. The shed on the side of the outside playground has warped rusted panels with sharp edges. The door is open on the shed leaving exposed yard tools and piles of debris. Two bees were seen flying in the doorway. 11. The exterior of the door by the shed is rotted and peeling. 12. The pipe holding wires leading to an electrical outlet in the school age room is cracked/broken leaving exposed wires. The electrical outlet is secured with one bolt when it should be secured with two bolts leaving the outlet not flush with the wall and not completely covering the opening in the wall. 13. There is an area on the wall (to the right entering the room) where the plaster has come off.

Plan of Correction: Administrator and program director will paint, remove rust and make repairs needed. The shed will be either be replaced or torn down. It is scheduled for the outside door to be picked up and replaced by 4/4/2016.

Standard #: 22VAC40-185-500-B
Description: Based on observation, facility did not ensure the following requirements are met during diapering: children remain in sight supervision of staff and the diapering surfacing is cleaned and sanitized after each diaper change. Evidence: On March 23, 2016, the following was observed: 1. One staff was present with four children in the infant room. The staff member changed a child's diaper. While changing the diaper, the staff stood with her back to the classroom leaving the remaining three children not in sight supervision during the diaper change. 2. A staff member was observed spraying the diaper surface with bleach/water solution and then immediately wiping the surface with a paper towel. The surface was not "cleaned" and "sanitized" as defined by the department.

Plan of Correction: The staff member will be re-directed in diapering procedures and training if needed.

Standard #: 22VAC40-185-540-E
Description: Based on observation, facility did not ensure the required nonmedical emergency supplies are maintained. Evidence: On March 23, 2016, there were not a sufficient amount of batteries available to operate the radio.

Plan of Correction: Batteries will be purchased today.

Standard #: 22VAC40-185-570-A
Description: Based on observation, facility did not ensure children in feeding tables have safety belts/straps secured. Evidence: On March 23, 2016, four children were observed sitting in a feeding table in the infant room. The safety belts/straps have been removed therefore children were not securely strapped/ belted.

Plan of Correction: Safety straps will be replaced.

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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