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Children's Harbor - Olde Towne
620 London Street
Portsmouth, VA 23704
(757) 397-2980

Current Inspector: Kimberly Sampson (757) 354-7307

Inspection Date: Oct. 30, 2017

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.
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was completed on 10/30/2017 from 10:47am and ended at 2:30pm. At the end of the inspection there were 41 children ages three months to four years old in care with ten staff. Children were observed during rest period, eating lunch, and participating in age appropriate activities. The sample size was five children's records and five staff records where reviewed. Medication, emergency procedures, and emergency supplies were reviewed. Areas of non-compliance are identified on the violation notice, and were discussed at the exit interview.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on a review of five children's records and interview, it was determined that the facility did not ensure that they maintain and keep at the center a complete record for each child enrolled that contains all required information. Evidence 1. The record for child #5 did not contain the address for the first emergency contact. 2. Staff #6 confirmed that the record for child #5 did not contain all of the required information.

Plan of Correction: The facility responded: The parent of child #5 will be asked to complete the missing information. All newly enrolled children will have their records reviewed at enrollment to ensure they are complete.

Standard #: 22VAC40-185-270-A
Description: Based on observation, it was determined that the facility did not ensure that all areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. There were several pieces of wood on the wooden deck that is located on the far side of the building outside the Three year old classroom that had peeling paint and splintering wood. 2. On the playground, there were two big wheel tricycles where the plastic front wheel was cracked. In addition, there were four other metal tricycles that were missing the hand grips. 3. There was a cord dangling from a radio on the shelf in the Toddler classroom that was within the reach of the children.

Plan of Correction: The facility responded: A work order has been placed to repair the deck. The broken tricycles will be removed and hand grips will be purchased for the other tricycles.

Standard #: 22VAC40-185-550-D
Description: Based on a review of the emergency drill logs, the facility did not ensure that a monthly practice evacuation drill for the most likely to occur scenarios was completed. Evidence: 1. There was no documentation to indicate that an emergency evacuation drill was completed during the month of May 2017. 2. Staff #4 and staff #6 reviewed the emergency drill log, but could not provide documentation that an emergency evacuation drill was completed in May 2017.

Plan of Correction: The facility responded: There has been a change in management, so we were unable to verify if the emergency evacuation drill was completed. Going forward an emergency evacuation drill will be completed each month.

Standard #: 22VAC40-191-60-B
Description: Based on a review of five staff records and interview, it was determined that the facility did not ensure that any employee of a licensed facility must not be employed until the employee has completed a sworn statement or affirmation. Evidence: 1. The record for staff # 1 (date of hire was 10/3/17) contained a the sworn disclosure statement that was signed on 10/4/2017. In addition, the facility is not using the most current sworn statement or affirmation form that is required. 2. The record for staff #3 (date of hire 9/11/17) did not contain a signed copy of the most current version of sworn statement or affirmation that was effective 7/1/17, it contained the previous version. 3.The record for staff #4 (date of hire 7/21/17) did not contain a signed copy of the most current version of sworn statement or affirmation that was effective 7/1/17, it contained the previous version. 4. The record for staff #5 (date of hire 10/2/17) did not contain a signed copy of the most current version of sworn statement or affirmation that was effective 7/1/17, it contained the previous version. 5. Staff #6 confirmed that the facility failed to have the current document signed and completed prior to employment starting.

Plan of Correction: The facility responded: The new version of the sworn statement or affirmation was downloaded. The staff members who had completed the old version, will complete the most current sworn statement or affirmation.

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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