VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Dee Care, LLC.-Building 2
9286A Warwick Blvd
Newport news, VA 23607
(757) 247-3360

Current Inspector: Melinda Popkin (757) 802-5281

Inspection Date: Dec. 7, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Physical Plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies 8VAC20-780 Special Services. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks 20 Access to minor's records 22.1 Early Childhood Care and Education 63.2 Child Abuse & Neglect

Comments:

A focused monitoring inspection during the 60 day conditional licensure period was initiated and concluded on 12/07/2022. There were 6 children present with 2 staff supervising . The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 2 (all) staff records were reviewed. The inspection started at 12:30 pm and concluded at 2:30 pm. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	8VAC20-780-160-A
Description:	Based on a review of records and interview, the licensee was unable to demonstrate that each staff member and individual from an independent contractor submits documentation of a negative tuberculosis screening prior to contact with children. Evidence: Two staff records were reviewed during the inspection on 12/07/2022. The record for staff #2, who was present with the children and whose date of hire was 12/4/2022, did not contain results of a Tuberculosis screening. Staff #3, the administrator, was unable to provide this documentation during the inspection.
Plan of Correction:	The administrator will provide a plan of correction to the inspector within 10 days of receipt of the violation notice delivered on 12/19/2022.
Standard #:	8VAC20-780-245-L
Description:	Based on a review of records and interview, the licensee did not ensure that when children are present, there is always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: Two staff records were reviewed. Neither of the records for the two staff present (Staff #1 and Staff #2) contained documentation of training in the Daily Health Observation of Children. The administrator was unable to provide this documentation during the inspeciton.
Plan of Correction:	The administrator will provide a plan of correction to the inspector within 10 days of receipt of the violation notice delivered on 12/19/2022.
Standard #:	8VAC20-780-340-C
Description:	Based on a review of records and interview, the licensee was unable to demonstrate that during the stated hours of operation, there is always on the premises when children are present, one staff member who meets the qualifications of a program leader or program director and an immediately available staff member, volunteer or other employee who is at least 16 years of age, with direct means for communication between the two of them. Evidence: At the time of the inspector's arrival, staff #1 was caring for 6 infants alone in the classroom. Staff #2 returned from lunch within 10 minutes. The records for staff #1 and staff #2 did not contain documentation to demonstrate that they met the qualifications for a program leader. The center director was unable to provide further documentation during the inspection.
Plan of Correction:	The administrator will provide a plan of correction to the inspector within 10 days of receipt of the violation notice delivered on 12/19/2022.
Standard #:	8VAC20-780-350-B-1
Description:	Based on observation, the licensee did not ensure that a ratio of 1 staff per 4 children was maintained for infants ages birth through 16 months. Evidence: There were six infants in care with one staff at the time of the inspector's arrival on 12/7/2022. The youngest infant in the group was 14 months old. Five of the infants were sleeping and 1 infant was being held by the staff. The staff stated that there was a second staff assisting prior to nap time, but the second staff had gone on her lunch break during nap time.
Plan of Correction:	The administrator will provide a plan of correction to the inspector within 10 days of receipt of the violation notice delivered on 12/19/2022.
Standard #:	8VAC20-780-560-F
Description:	Based on observation and interview, the licensee did not ensure that meals provided by the center follow the most recent, age appropriate nutritional guidelines of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: The posted weekly menu listed Grits, Butter Toast and Milk as the items served for Tuesday Breakfast. The administrator confirmed this was the menu followed for the current week. Breakfast must contain 3 different food components (Fluid Milk, Vegetable of Fruit, Grains or Meat) in order to meet USDA requirements.
Plan of Correction:	The administrator will provide a plan of correction to the inspector within 10 days of receipt of the violation notice delivered on 12/19/2022.
Standard #:	8VAC20-780-560-G
Description:	Based on observation and interview the licensee did not ensure that food containers are clearly dated and labeled in a way that identifies the owner. Evidence: There were 6 unlabeled "sippy" cups containing liquid in the refrigerator. Staff #1 stated that she was aware of who each cup belonged to by the color of the cup. There was no clear labeling system to ensure that another staff would be able to identify who each cup belonged to.
Plan of Correction:	The administrator will provide a plan of correction to the inspector within 10 days of receipt of the violation notice delivered on 12/19/2022.