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Donna Loving
3955 Turner Woods Road
Richmond, VA 23231
(804) 795-5853

Current Inspector: Lynn Powers (804) 840-8260

Inspection Date: Oct. 29, 2018

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
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
None

Comments:
An unannounced monitoring inspection was conducted on October 29, 2018 from approximately 9:45 AM to 12:30 PM to determine the provider's compliance with licensing standards. In attendance were seven children totaling 15 points being supervised by the provider. Children were observed interacting with the provider, using the restroom, preparing for and eating lunch, and playing with toys. Lunch today consisted of pizza bagel bites, green beans, corn, apple sauce, and milk. Children's books, toys, and equipment were inspected and found to be age appropriate and in operable condition. The children's restroom was inspected with the required supplies present. The family day home had the required postings displayed. The first aid kit and emergency supplies were inspected with the required items found. There is no medication being administered at this time. The provider's record, along with five children's records were inspected. The following was also inspected: emergency drill logs, parent agreements, and other pertinent information. If you have any questions regarding today's inspection, contact the licensing inspector at (804) 662-9092.

Violations:
Standard #: 22VAC40-111-940-B
Description: Based on observation, the provider did not ensure an operable thermometer was available to monitor refrigerator temperatures. Evidence: During this inspection, an operable thermometer was not observed by the licensing inspector in the refrigerator to monitor the temperature. The provider shall have an operable thermometer.

Plan of Correction: Provider will replace the thermometer in the refrigerator.

Standard #: 22VAC40-111-100-A
Description: Based on review of five children's records, two children's records did not contain documentation of a physical within thirty days after the first day of attendance. Evidence: The records for Child #2 (start date 7/27/18) and Child #4 (start date 9/24/18) did not contain documentation of a physical.

Plan of Correction: The provider will speak to parents and update records.

Standard #: 22VAC40-111-60-B
Description: Based on review of five children's records, three records did not contain the required information. Evidence: The record for Child #1 (start date 1/28/16) and Child #3 (start date 8/28/17) did not contain documentation of an annual update. The record for Child #5 (start date 9/20/18) did not contain a second emergency contact.

Plan of Correction: Provider will speak to parents and update records.

Standard #: 22VAC40-111-70-A
Description: Based on a review of five children's records, four records did not contain the required documentation of written information for parents. Evidence: The record for Child #4 (start date 9/24/18) did not contain the hours of operation, schedule of fees, check in and check out procedures, daily schedule, provision of food policies, information on pets in the home, discipline policies, substitute and/or assistant information, or the policies for termination of care. The record for Child #4 will require a corrected medication administration policy. The records for Child #2 (start date 7/27/18), Child #3 (start date 8/29/17), and Child #5 (start date 9/20/18) did not contain a signed medication administration policy.

Plan of Correction: The provider will speak to parents and update children's records accordingly.

Standard #: 22VAC40-111-80-A
Description: Based on review of five children's records, three records did not contain documentation of verification of identity and age of the child. Evidence: The records for Child # 2 (start date 7/27/18), Child #3 (start date 8/28/17), and Child #4 (start date 9/24/18) did not contain documentation of the identity and age of the child. The provider shall obtain verification of identity and age of children in care within seven business days of the child's first day of attendance.

Plan of Correction: The provider will speak with parents and update records.

Standard #: 22VAC40-111-90-A
Description: Based on review of five children's records, one child's record did not contain documentation of immunizations prior to the first day of attendance. Evidence: The records for Child #2 (start date 7/27/18) did not contain documentation of immunizations.

Plan of Correction: The provider will speak to parents and update records.

Standard #: 22VAC40-111-140-B-3
Description: Based on review of provider records and discussion with the provider, the home did not ensure there was documentation of CPR certification for the provider. Evidence: The licensing inspector observed the provider's most recent CPR certification showed an expiration date of 3/2/18. The provider stated the certification had expired and had not been renewed.

Plan of Correction: Provider will schedule.

Standard #: 22VAC40-111-140-B-4
Description: Based on review of provider records and discussion with the provider, the home did not ensure there was documentation of first aid certification for the provider. Evidence: The licensing inspector observed the provider's most recent first aid certification showed an expiration date of 3/2/18. The provider stated the certification had expired and had not been renewed.

Plan of Correction: The provider will schedule the re-certification.

Standard #: 22VAC40-111-320-G
Description: Based on discussion with provider, the provider did not ensure the wood burning stove or fireplace would be inspected annually by a knowledgeable inspector. Evidence: When speaking with the provider, the licensing inspector requested to review the annual inspection of the home's wood burning fire place. The provider informed the licensing inspector that the fireplace inspection had not been conducted.

Plan of Correction: The provider will schedule the fireplace inspection.

Standard #: 63.2-1721.1-B-2
Description: Based on a review of the provider's record, the home did not ensure the record had fingerprint check results by the required deadline of 9/30/2018. Evidence: The record for Provider #1 did not contain documentation of fingerprint check results. Fingerprint result requirements were initiated 1/22/2018. Provider #1, the home's applicant prior to 1/22/2018, was required to obtain fingerprint check results prior to the deadline of 9/30/2018.

Plan of Correction: The provider reports having submitted fingerprints more than one month prior to the deadline. The provider will follow up with the correct agency to inquire about results and update record.

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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