VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Precious Jewels LLC
2813 W Mercury Boulevard
Hampton, VA 23666
(757) 692-0897

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: Dec. 3, 2019

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) 63.2(17) License & Registration Procedures

Comments:

An unannounced monitoring inspection was conducted on December 3, 2019, from approximately 9:20 am to 12:45 pm. Upon entrance there were 7 staff present with 25 children. Children were observed freely playing, working on the letter 'K" and preparing for and eating lunch. The sample size of records reviewed included 5 children's records and 4 staff records. The center is not administering medications. Areas of non-compliance were noted on the violation notice. The exit interview was conducted with the center owner. Please contact the licensing inspector with any questions (757) 404-0568.

Violations:

Standard #:	22VAC40-185-140-A
Description:	Based on review of 5 children's records and staff interview, the licensee did not ensure each child shall have a physical examination by or under the direction of a physician within one month after attendance. Evidence: The record for Child #2 first date of attendance, 7-22-19 did not include a copy of physical conducted and placed in the record within 30 days of attendance.
Plan of Correction:	Director will get the physical by Friday.
Standard #:	22VAC40-185-160-C
Description:	Based on review of 4 staff records and staff interviews, the licensee did not ensure that at least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department, staff members and individuals from independent contractors shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: The record for Staff #1 did not include an updated TB screening as the most recent was dated 7-31-17.
Plan of Correction:	Director will have copy of updated TB placed in record today.
Standard #:	22VAC40-185-60-A
Description:	Based on review of five children's records and staff interviews, the licensee did not ensure each child enrolled had a record which contained all required information. Evidence: The records for the following children were missing the information as listed below; 1) The record for Child #1 did not include the employment phone number for both parents listed. 2) The record for Child #3 did not include the employment phone number for one parent listed. 3) The record for Child #5 did not include the employment phone number for one parent listed. the complete home address for one parent listed (missing street name, house number, city and zip code) and home phone number for one parent listed and the city and state for both emergency contacts listed.
Plan of Correction:	Director will have parents take care of it today.
Standard #:	22VAC40-185-70-A
Description:	Based on review of 4 staff records and staff interviews, the licensee did not ensure all the required information was maintained and kept in a record for each staff. Evidence: The record for Staff #1, Staff #3 and Staff #4 did not include information about any health problems which may interfere with fulfilling the job responsibilities. The record for Staff #4 did not include the name, address and telephone number of a person to be notified in an emergency.
Plan of Correction:	Director will have staff fill out forms today.
Standard #:	22VAC40-185-280-B
Description:	Based on observation, the licensee did not ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Emeralds restroom, there was one cabinet unlocked that had 2 spray containers of bleach/water solution and one container of deodorizer. In the classroom there was one unlocked cabinet with disinfectant wipes and one container of hand sanitizer. The containers were labeled "Keep out of reach of children" and at least one other statement "caution","flammable" and "danger". The cabinet in the restroom was easily accessible to the children.
Plan of Correction:	Director will replace lock and remove items from classroom cabinet.
Standard #:	22VAC40-185-510-J
Description:	Based on observation and staff interviews, the licensee did not ensure that all medications, except for those prescriptions designated otherwise by written physician's orders, including refrigerated medication and staff's personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: One medication, hydrocortison cream was observed stored on a shelf in the infant room and was not stored in a locked place. The shelf was between 4 -6 feet off of the ground.
Plan of Correction:	The medication will be returned to the parent.
Standard #:	22VAC40-191-60-B
Description:	Based on review of 4 staff records and staff interviews, the licensee did not ensure an employee or volunteer must not be employed or provide volunteer service until the agency has the person's completed sworn statement or affirmation. Evidence: The record for Staff #4 did not include a sworn statement and date of employment was 10-7-2019.
Plan of Correction:	Director will have staff fill out the form tomorrow,