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Mrs. Rosemary Everette
1439 Mellwood Court
Norfolk, VA 23513
(757) 962-7387

Current Inspector: Heather Harrell (757) 334-4329

Inspection Date: July 28, 2015

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-80 SANCTIONS.
22VAC40-80 HEARINGS PROCEDURES.
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Today children were observed attempting to climb outdoor equipment which is not intended for climbing. Children were immediately redirected from climbing these pieces of equipment. However, given the ages and activity levels of the children in care, it is strongly recommended that all outdoor play equipment be located in grassy areas of the yard where the ground is more resilient and may absorb the impact of a fall. Play equipment that has moving parts or that is intended for climbing cannot be located over bare / hard packed ground and must be located over grass or a resilient surface. Written authorization from parents must be obtained and kept on file for any children that are transported in a vehicle or that ride in a vehicle while transporting other children to or from the family day home.

Comments:
An unannounced monitoring inspection was conducted from 10:55 a.m. to 1:30 p.m. At the time of entrance the following adult to child ratios were observed: 4 children, ages 4 months to 3 years old, for a total of 11 points, with the licensee / provider. The records sample size consisted of 2 children?s records and 2 staff records. Children were observed playing outdoors, putting together puzzles, painting, playing with sculpting clay, sorting sequence cards and eating lunch which consisted of fish filets, green peas, pears, croissant and milk. Diapering, restroom procedures, hand washing (staff and children) sanitizing tables and changing surfaces, and infant bottle-feeding were also observed. Medication administration was not observed. The licensee states that there are no children being administered medication while in care and that there have been no accidents or injuries incurred by children in care requiring first aid or medical care since the last licensing inspection. Transportation is not currently being provided for children, but may resume during the school year. Areas of non-compliance are identified on the violation notice. Thank you for your time during today's inspection. Please do not hesitate to contact me if I may be of assistance. The licensee provided verbal responses to the violations during the inspection, which were entered on to the violation notice by the Licensing inspector.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on a review of records, the licensee did not obtain documentation of the results of a physical examination for each child within 30 days of attending the family day home. Evidence: Two children's records were reviewed. The record for child #1 did not contain documentation of the results of a physical examination. The enrollment date documented for child #1 was 4/24/15.

Plan of Correction: The licensee was unaware that the documentation was not present in the file and will follow up with child #1's parent today to request a copy of the physical examination results no later than August 12, 2015.

Standard #: 22VAC40-111-80-A
Description: Based on a review of records and interview, the licensee did not document having viewed verification of the identity and age of each enrolled child within 7 business days of their first day of attendance. Evidence: Two children's records were reviewed. The record for child #2 did not contain documentation that the licensee had verified the identity and age of this child. When asked if a birth certificate or other form of identification had been viewed, the licensee looked through the file for a copy of the birth certificate but could not positively confirm that proof of identity had been viewed for child #2.

Plan of Correction: The licensee will ask that the parent bring documentation verifying child #2's age and identity by the end of the week and will document having viewed it in the record.

Standard #: 22VAC40-111-90-A
Description: Based on a review of records, the licensee did not obtain documentation that each child has been adequately immunized according to the requirements of the Code of Virginia, before attending the family day home. Evidence: Two children's records were reviewed. The record for child #1 did not contain an immunization record or documentation that the child had been adequately immunized. The enrollment date documented for child #1 was 4/24/15.

Plan of Correction: The licensee was unaware that the documentation was not present in the file and will follow up with child #1's parent today to request a copy of the immunization record no later than August 12, 2015.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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