VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Betty's Child Care & Educational Center LLC
1026 Settlers Landing Road
Suite E
Hampton, VA 23669
(757) 224-0139

Current Inspector: Cassie Anderson-Leichty (757) 409-4668

Inspection Date: March 30, 2023

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 monitoring inspection was initiated and concluded on 3-30-2023.? There were 15 children present with 3 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, carbon monoxide, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 2 staff records were reviewed. 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-C
Description:	Based on record review in one of two staff records reviewed, the licensee did not ensure that staff shall obtain and submit the results of a follow-up Tuberculosis (TB) screening at least every two years. Evidence: The director confirmed that the TB screening for Staff #1 was more than two years old and was dated 12/15/2020.
Plan of Correction:	Staff called the health dept to set an appointment for TB screening. They will be completed by 4-21-23.
Standard #:	8VAC20-780-40-M
Description:	Based on observation and staff interview, the provider did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: The director confirmed that the written list of children?s allergies, sensitivities, and dietary restrictions, hanging in the kitchen was not dated.
Plan of Correction:	The allergy list has been updated and placed in all classrooms on 4-4-23.
Standard #:	8VAC20-780-60-A-8
Description:	Based on record review and staff interview the provider did not ensure a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The director confirmed that Child #3, with a confirmed food allergy, did not have documentation of a written care plan.
Plan of Correction:	POC: Director contacted the parent, and they will bring one in.
Standard #:	8VAC20-780-70
Description:	Based on record review and staff interview the provider did not ensure staff records shall contain all required items Evidence: The director confirmed the following items were missing from staff files: 1. Staff #1 and Staff #2 were missing documentation to demonstrate that the individual possesses the education required by the job position and information about any health problems that may interfere with fulfilling the job responsibilities. 2. Staff #2 was missing a job title.
Plan of Correction:	The correction plan for staff is to present me a copy of their schooling credentials. Documents will be collected by 4-21-23. Staff must contact administration for a copy of school verification. Staff 2 job title was fixed 3-30-23.
Standard #:	8VAC20-780-260-B
Description:	Based on document review and staff interview the provider did not provide annual approval from the health department. Evidence: The director confirmed that the most recent health inspection was dated 3-25-2022
Plan of Correction:	The owner reportedly contacted the health department while the inspector was present and scheduled a health inspection.
Standard #:	8VAC20-780-270-A
Description:	Based on observation and staff interviews, the provider did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: The director verified the following conditions: 1. On the outdoor playground there was a gate that was broken and unable to be closed. 2. In the girl?s restroom one sink was not operable. The water was turned off at the turn off valve because it continues to run water if the valve is turned on.
Plan of Correction:	My corrected action plan for the outside area is to place a children's safety gate in place until Hampton University repair the gate door. The safety gate will be placed in-between the wood and gate to prevent children from leaving the outside play area willingly. Gate will be purchased from Walmart. The girl's bathroom will be fixed once Hampton university service my order request. Otherwise I will look for other ways to have it fixed by 4-21-23
Standard #:	8VAC20-780-540-C
Description:	Based on observation and staff interview the provider did not ensure wherever children are in care the required first aid kit includes all required items. Evidence: The director confirmed that the first aid kit on the van was missing two triangular bandages, gloves, and a thermometer.
Plan of Correction:	The first aid kit has been updated as of 4-4-23.
Standard #:	8VAC20-780-580-C
Description:	Based on document review and staff interview the licensee did not ensure required information is in transportation vehicles. Evidence: Staff confirmed that emergency numbers and the center?s name, address, and phone number were not in the documentation on the van used to transport children.
Plan of Correction:	The information for the cover of the transportation book was updated 3-30-23.