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Ms. Lateisha Harvey
3307 Oxnard Road
Henrico, VA 23223
(804) 929-1994

Current Inspector: Sharon Curlee (804) 662-9758

Inspection Date: Sept. 20, 2017

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 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced monitoring inspection was conducted today, September 20, 2017 to determine the providers' compliance with the Licensing standards. The inspector arrived at approximately 3:00 pm and concluded the inspection at 6:00 pm. Upon the inspectors arrival, two school age family day home children and two of the provider's own children were arriving. The public school bus dropped the children off at the provider's home and the provider met them in the yard. A total of three family day home children and four of the provider's own children were in attendance during today's inspection for a 14 point value. Children were observed having snack that consisted of oranges and wheat crackers. Children played with play-dough and cookie cutters, colored activity sheets and played with toys. Later children watched a children's video and had an additional snack of yogurt. All areas of the home used for child care were observed. The family day home has age and stage appropriate materials and supplies. The first aid kit and non medical emergency supplies were inspected. The family day home had the daily schedule, menu, License, and emergency numbers posted. A smoke detectors and fire extinguisher were observed. One caregiver record and three children's records were reviewed during today's inspection (see violation notice). Medication is not being administered. The provider has current CPR and first aid training. The last documented emergency evacuation drill was held on 02/14/2017 (see violation notice). The two required shelter-in-place drills were completed on 01/23/2017 and 02/22/2017. Per the provider: no pets , no transportation. If you have any questions regarding this inspection, please contact the licensing inspector at (804)662-9758.

Violations:
Standard #: 22VAC40-111-760-A-1
Description: Based on inspection, the provider did not ensure the first aid kit contained all required items. Evidence: The first aid kit did not have a second triangular bandage.

Plan of Correction: Per the Provider: I will get a second triangular bandage for the kit.

Standard #: 22VAC40-111-830-A
Description: Based on review of emergency drill logs, the provider did not ensure emergency evacuation procedures were practiced monthly. Evidence: The most recent evacuation drill was documented on 02/14/2017. There was no documentation of an evacuation drill for the months of March, April, May, June, July, or August of 2017.

Plan of Correction: Per the Provider: I will practice the evacuation drill every month and document them.

Standard #: 22VAC40-111-900-A
Description: Based on observations, the provider did not ensure children under four years of age were not served hard candy in order to reduce the risk of choking. Evidence: The inspector observed the provider giving child #1, age 23 months, a blow pop (lolly pop with bubble gum in the middle) as a treat while the child was sitting in a chair watching a movie.

Plan of Correction: The provider removed the blow pop from the child when the inspector told her of the standard. Per the Provider: I didn't realize the blow pops posed a risk. I will not give the children and hard candy for now on.

Standard #: 22VAC40-111-100-A
Description: Based on review of children's records, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: The record of child #3, enrolled 05/25/2017, did not have documentation of a physical examination on file.

Plan of Correction: Per the Provider: I will ask the parent to provide a copy of the child's physical for the record.

Standard #: 22VAC40-111-50-A
Description: Based on review of attendance sheets and interview, the provider did not keep a written record of children in attendance each day. Evidence: 1. The most recent attendance sheet was dated 12/12/2016. 2. There was no attendance sheet for today, 09/20/2017 when three children were in care. 3. The provider stated she had not kept an attendance sheet.

Plan of Correction: Per the Provider: I will have an attendance sheet and document each child every day.

Standard #: 22VAC40-111-60-B
Description: Based on review of children's records, the provider did not obtain all required information for each child's record. Evidence: 1. The record of child #1 did not contain the address for the two emergency contacts listed; and and written authorization for emergency medical care should an emergency occur and the parent cannot be reached. 2. The record of child #2 did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be reached; address of second emergency contact; and physicians name, office address and telephone number. 3. The record of child #3 did not contain the name, office address and telephone number of the child's physician; the name, address and telephone number of a second emergency contact; name and policy number of the child's medical insurance, if applicable;

Plan of Correction: The provider asked the parents as they arrived for pick up to complete the missing information for each child's record.

Standard #: 22VAC40-111-80-A
Description: Based on review of children's records, the provider did not obtain verification of the identity and age of the child. Evidence: The record of child #1, enrolled 09/11/2017 did not have documentation of verification of age and identity.

Plan of Correction: Per the Provider: I will ask the parent to provide a copy of the child's birth certificate.

Standard #: 22VAC40-111-90-A
Description: Based on review of children's records, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of the Code of Virginia and applicable State Board of Health regulation. Evidence: 1. The record of child #2, enrolled 09/11/2017, did not have documentation of immunizations on file. 2. The record of child #3, enrolled 05/25/2017, did not have documentation of immunizations on file.

Plan of Correction: Per the Provider: I will ask the parents to provide me with a copy of the children's immunization records.

Standard #: 22VAC40-111-180-A
Description: Based on review of caregiver records, the provider did not obtain a current report of tuberculosis screening form every two years from the date of the first screening. Evidence: The most current tuberculosis screening for caregiver #1 was dated 05/21/2015, exceeding the two year allowance to obtain an updated tuberculosis screening.

Plan of Correction: Per the Provider: I will obtain a updated tuberculosis screening by Saturday.

Standard #: 22VAC40-111-240-A
Description: Based on observations, the provider did not ensure all areas of the family day home, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. Chair cushions on the deck were torn and exposed the foam interior material, posing a chocking risk. 2. The deck on the rear of the house had multiple spindles missing creating a space that children could fall through. 3. The deck on the rear of the house had multiple spindles that were loose at the bottom, exposing nails that could puncture the skin of child. 4. The clothes line in the back yard had a thin rope that stretched across, however the rope sagged down enough to be reached by children in care and pose a risk of entanglement.

Plan of Correction: Per the Provider: 1. I will remove the cushions from the deck. (Immediately) 2 and 3. I will buy new spindles and repair the deck. Children will not use the deck. We will use the front door and walk around to the back yard to play. 4. I will remove the rope from the clothes line. (immediately)

Standard #: 22VAC40-111-500-D
Description: Based on observations, the provider did not ensure S-hooks on outdoor play equipment were tightly closed. Evidence: Eight s-hooks connecting the swings to the frame of the swing set were open enough to allow the chains to slide off. 2. The opening of the s-hooks exceeded the width of a dime.

Plan of Correction: Per the Provider: I will close all the s-hooks on the swing set before the children play on it.

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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