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Charlena Thompson
2423 Barre Street
Norfolk, VA 23504
(757) 625-0864

Current Inspector: Kimberly Sampson (757) 354-7307

Inspection Date: July 28, 2017

Complaint Related: No

Areas Reviewed:
VENDHOM-000 INTRODUCTION.
VENDHOM-000 Administration
VENDHOM-000 Caregiver Qualifications and Training
VENDHOM-000 Physical Plant
VENDHOM-000 Caregivers and Supervision
VENDHOM-000 Programs
VENDHOM-000 Special Care Provisions & Emergencies
VENDHOM-000 Special Services

Technical Assistance:
Today we looked at the requirements for safe sleep procedures and crib requirements for infants as a review since an infant has recently enrolled for care. The requirements related to the enrollment of children with food allergies were reviewed today. There are currently no enrolled children with diagnosed food allergies.

Comments:
An unannounced Annual Subsidy Health and Safety inspection was conducted from 10:00 a.m. until 1:20 p.m. There were 9 children, ages 3 months to 7 years old, for a total of 19 points, in care at the time of arrival with the vendor and one assisitant. The records sample size consisted of 5 children?s records and all (2) caregiver / household member records. Children were observed watching a children's program on television, playing with toys, being read to, being bottle fed, and eating lunch which consisted of breaded chicken nuggets, french fries, apple sauce and milk. Hand washing, food service, table sanitizing and restroom procedures were also observed today. Medication administration was not observed. The vendor states that no medication is administered to children in care at this time and that children are not routinely transported in a vehicle. There have been no accidents or injuries requiring first aid or medical treatment incurred by children in care since the last inspection. There are no children currently enrolled who have diagnosed food allergies. Thank you for your time during today's inspection. Please do not hesitate to contact me if I may be of assistance. A licensing monitoring inspection was also conducted on the same date which may have resulted in different violations being cited.

Violations:
Standard #: VENDHOM-000-012-D
Description: Based on a review of the written documentation, the vendor did not ensure that all of the required areas of orientation were completed and documented in the record to include: Responsibilities for reporting suspected child abuse or neglect; Playground safety procedures; Confidentiality; Supervision of children, including arrival and dismissal procedures; Procedures for action in the case of lost or missing children, ill or injured children, medical and general emergencies; Medication administration procedures, if applicable; Emergency preparedness plans; Procedures for response to natural and man-made disasters; Prevention of shaken baby syndrome/abusive head trauma including coping with crying babies, fussy or distraught children; Caregivers who work with children that have food allergies shall receive training in preventing exposure to food(s) to which the child is allergic, preventing cross-contamination, recognizing and responding to any allergic reactions; and Transportation. The record for care assistant #2 contained an orientation check off sheet listing the areas reviewed as part of the orientation. The orientation check off sheet included general statements about Job Responsibilities, Requirements for parental notifications, general licensing requirements, evacuation and shelter in place procedures, confidentiality and child abuse and negelct reporting requirements. It did no address Prevention of shaken baby syndrome/abusive head trauma including coping with crying babies, fussy or distraught children; Caregivers who work with children that have food allergies shall receive training in preventing exposure to food(s) to which the child is allergic, preventing cross-contamination, recognizing and responding to any allergic reactions; and Transportation, Supervision of children, including arrival and dismissal procedures; Procedures for action in the case of lost or missing children, ill or injured children, medical and general emergencies; Medication administration procedures, if applicable; Emergency Lockdown procedures.

Plan of Correction: The vendor states that she will review this additional information with her assistant and add the documentation to that already outlining the original items reviewed for orientation. She states that she will complete this by Monday 7/31/17.

Standard #: VENDHOM-000-029-B-5
Description: Based on a review of the written Emergency Procedures available at the inspection and interview of the vendor, the written plan does not address Lockdown Procedures which addresses caregiver responsibility and home readiness, the most likely to occur emergency scenario or scenarios, including but not limited to intruders or violence on or near the premises. Evidence: The written emergency plan included emergency procedures for Evacuating and Sheltering in Place but did not include procedures for Lockdown in the case of intruders or violence on or near the premises.

Plan of Correction: The vendor states that she will add a section to her current written emergency plan which will include the required components of a Lockdown Procedure. in addition, once completed, the vendor will practice these procedures at least annually. She states that will complete this by Monday 7/31/17.

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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