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Mrs. Ebony Fayton
806 Lex Street
Norfolk, VA 23505
(757) 648-0645

Current Inspector: Chris Robinson (757) 404-2322

Inspection Date: Jan. 28, 2016

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Emergencies

Technical Assistance:
Today we discussed training hours, diaper changing, infant bottles, and emergency radio.

Comments:
An unannounced renewal inspection was conducted from 11:30am through 2:15pm. There were seven children in care ages 3 months through 22 months with the provider and one assistant. Total points present equaled 29. One assistant record and two household records were reviewed. The family day home inside and outside were inspected. Children were observed in provider and self-directed activities including lunch, hand washing, nap, infant care and play. Violations were observed in the following areas of standards and will appear on the violation notice; administration, preventing the spread of disease, physical environment and equipment, and emergencies. Upon receipt of the inspection documentation, the licensee must develop a plan of correction for each violation. The plan of correction must include the following: ? The steps to correct noncompliance with the standard(s); ? Measures to prevent reoccurrence of noncompliance; ? Person(s) responsible for implementation and monitoring of preventive measure(s); ? Date by which noncompliance will be corrected. The licensee will have ten calendar days from receipt of the inspection documentation to complete the section titled Plan of Correction, sign each page of the documentation and return it to the Licensing Office by 2/8/16. The licensee should retain a copy to be posted at the facility (Supplemental Information is not to be posted due to confidentiality). Results of the inspection documentation are subject to public disclosure and will be posted on the VDSS web site within 15 calendar days, regardless of whether the Plan of Correction section is completed.

Violations:
Standard #: 22VAC40-111-770
Description: Based on observation and interview the provider failed to ensure that a working portable battery-operated weather band radio and extra batteries are kept in a designated area and is available to caregivers at all times. Evidence: 1 - The provider produced a hand held radio. However, she was unable to demonstrate how the radio worked. A second radio was obtained. However, there were not any batteries for that radio. 2 - The provider confirmed that she did not have a working battery-operated weather band radio and extra batteries.

Plan of Correction: The provider put batteries in the handheld radio to ensure it works when it is not plugged into the wall. The provider has extra batteries for the handheld radio.

Standard #: 22VAC40-111-100-B
Description: Based on record review and interview the provider failed to ensure that if physical examinations are conducted prior to attendance they will be conducted within the allotted time frames. Evidence: 1 - The record for child 3 contains a physical examination that is dated 7/31/12. The child has a documented date of enrollment as 6/24/15. More than 24 months has pasted between the date of the physical and the date of enrollment. 2 - The provider confirmed that physical documentation was not within the allowed time frame.

Plan of Correction: The provider called the parent for child 3 on 1/28/16 for an updated physical examination document. The provider will ensure all records are updated within the proper time frame.

Standard #: 22VAC40-111-120-B
Description: Based on record review and interview the provider failed to ensure that assistants' and substitute providers' records contain all required information. Evidence: 1 - The record for assistant 1 contains only one completed reference check. The reference check does not contain the signature of the person who made the call. 2 - The provider confirmed that the reference check was not signed.

Plan of Correction: Assistant 1 reference check signed on 01/29/16. The provider will ensure all required records are completed.

Standard #: 22VAC40-111-60-B
Description: Based on record review and interview the provider failed to ensure that children's records contain all required information. Evidence: 1 - 1 of 2 emergency contacts in the record for child 2 does not contain an address as required. 2 - The record for child 2 does not contain documentation that proof of identity was viewed or obtained. 3 - The provider confirmed that the information was not in the children's records.

Plan of Correction: The provider contacted the parent. The parent provided an address bought child 2 birth certificate to the provider. The provider will ensure all children?s birth certificate and address are contained first day of attendance.

Standard #: 22VAC40-111-240-A
Description: Based on observation and interview the provider failed to ensure that areas are maintained in safe operable condition. 1 - The door to the master bed was standing open during the inspection. The provider stated that she was not sure that the room was child proofed. 2 - There is a lower kitchen cabinet and a kitchen drawer that have child proof latches that have failed and no longer latch. In the lower cabinet there is a bottle of an adult beverage. In the drawer there are two butane lighters. 3 - The gate leading to the outside play space has a broken slat with pointed, jagged edges. The area that is broken begins approximately six inches off the ground and is within reach of children.

Plan of Correction: The provider closed and locked the master bedroom door. The provider will ensure the master bedroom door stays closed and locked during daycare hours. The provider will replace and ensure all childproof locks are in working condition and sealed tight through the day. The provider repaired the broken slat on the gate leading to the outside play space.

Standard #: 22VAC40-111-280
Description: Based on observation and interview the provider failed to ensure that potentially poisonous substances are stored in areas inaccessible to children. Evidence: 1 - The cabinets under the sink in the bathroom is unlocked and contain one bottle each of rubbing alcohol, hydrogen peroxide, nail polish remover and baby powder. a. The child proof latch on the cabinet was not engaged. b. The warning label on these items include "keep out of reach of children and hazardous." 2 - There is a lower, circular cabinet in the kitchen that is unlocked. Inside the cabinet there is a bottle of an adult beverage. The shelf is within reach of children in care.

Plan of Correction: The provider replaced childproof locks on the bathroom and kitchen cabinet to ensure proper working order to protect children from potentially poisonous substances. The provider and her assistant will check childproof locks throughout the day.

Standard #: 22VAC40-111-430-A
Description: Based on observation the provider failed to ensure that children under two years of age do not have access to stairs. Evidence: 1- During the inspection child 1, age 14 months was toddling around the nap room and headed toward the stars which lead down to the child care room. 2 - The gate was standing open at the time the child walked over to it. Upon arrival at 11:30am the gate was standing open. The gate remained open until after the children were resting or sleeping after 12noon.

Plan of Correction: The provider closed and locked the gate. The provider and assistant will ensure closer as long as the children were in care.

Standard #: 22VAC40-111-430-B
Description: Based on observation and interview the provider failed to ensure that accordion expansion gates are not used as protective barriers at stair openings. Evidence: 1 - There is an accordion expansion gate installed at the top and the bottom of the stairs leading from the child care room. 2 - The provider confirmed that the gates were accordion type gates.

Plan of Correction: The provider removed the accordion gate and will use a barrier downstairs and close the door at the top of the stairs when the children are in care upstairs.

Standard #: 22VAC40-111-690-D
Description: Based on observation and interview the provider failed to clean and sanitize the diaper changing surface as required. Evidence: 1 - The provider sprayed a solution on the diaper changing surface then walked away. The provider returned to the table after a few minutes and wiped the changing table surface dry. The provider did not first clean then sanitize the changing table surface. 2 - The provider stated that it was unnecessary to complete the process after each diaper.

Plan of Correction: The provider sanitized the diaper-changing surface after diaper changing but will ensure use of soap and water on the surface to clean before sanitizing from this point forward. The assistant will do the same to ensure proper cleaning and sanitizing.

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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