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Ms. Pamela Johnson
3005 Redbud Court
Virginia beach, VA 23452
(757) 486-4687

Current Inspector: Trisha Brown (757) 404-2601

Inspection Date: March 11, 2016

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
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced, mandated monitoring inspection was conducted. The inspector arrived at 10:00 AM and departed at 11:45 AM. Eight children, ages 4 months - 2 years, totaling 26 points, were in care with two caregivers. Morning activities, outdoor play and lunch service were observed. It was reported that no medication is administered to children in care and no children's injuries were reported. A sampling of eight children's records and two caregiver records were reviewed. An exit meeting was conducted with the provider, during which the provider's plans of correction for the cited violations were obtained, prior to closure of the inspection. Please contact the inspector if there are any questions.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based upon review of eight children's records, the provider has not obtained documentation of physical examinations by or under the direction of physicians prior to the children's attendance or within 30 days after the first day of attendance. Evidence: 1. According to the record provided, child 3 began attending on 01/11/2016. There is no documentation that child 3 has obtained a physical examination. 2. According to the record provided, child 7 began attending on 01/04/2016. There is no documentation that child 7 has obtained a physical examination. 3. The provider was unable to provide documentation that either child 3 or child 7 has had a physical examination. Bothe children have attended over 30 days and both children were in care during today's inspection.

Plan of Correction: The provider responded with the following: The health information (physicals) will be obtained from the parents of child 3 and child 7.

Standard #: 22VAC40-111-60-B
Description: Based upon review of eight children's records, the provider has not ensured that each child's record contains the names, addresses and telephone numbers of two designated persons to contact in case of an emergency if the parent cannot be reached and written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection to provision of medical treatment on religious or other grounds. Evidence: 1. The record for child 5 contains the name address and telephone number of only one person to be contacted in case of emergency. 2. The record for child 4 contains incomplete street addresses for both of the two emergency contact persons listed. There is no telephone number listed for one of the two emergency contact persons. 3. The record for child 3 contains the name, address and telephone number for only one emergency contact person. 4. The record for child 8 contains the name, address and telephone number for only one emergency contact person. 5. The record for child 3 does not contain the parent's written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.

Plan of Correction: The provider responded with the following: Parents will be required to provide required information fpr two emergency contact persons. The parent will be required to sign the permission for emergency medical treatment.

Standard #: 22VAC40-111-90-A
Description: Based upon review of eight children's records and provider interview, the provider has not ensured that documentation that the child has been adequately immunized before the child is allowed to attend. Evidence: 1. According to the child's record, child 3 began attending care on 01/11/2016. The provider was unable to provide documentation of the child's immunizations. 2. Child 3 was in attendance during the inspection. 3. The provider was unable to produce a record of immunizations for child 3.

Plan of Correction: The provider responded with the following: The required health information will be obtained from the parent.

Standard #: 22VAC40-111-690-E
Description: Based upon observation, the provider did not ensure that soiled diapers and wipes are disposed in a storage system that is either foot operated or used in such a way that the caregiver's hands do not touch the exterior surface of the storage system during disposal. Evidence: Caregiver 1 was observed disposing of a child's soiled diaper by lifting the lid of the diaper disposal system with her hands.

Plan of Correction: The provider responded with the following: The diaper pail will be operated correctly.

Standard #: 22VAC40-191-40-D-1-c
Description: Based upon review of two caregiver records, the provider has not ensured that a criminal history record check for caregivers is obtained before three years since the dates of the most recent criminal history record check report. Evidence: 1.The most recent criminal history record check report for caregiver 1 and caregiver 2 are both dated January 2013. 2. The provider was unable to locate more recent criminal history record check reports for the above caregivers.

Plan of Correction: The provider responded with the following: The records have been obtained and will be placed in the files.

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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