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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: Feb. 26, 2019

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
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Technical Assistance:
None

Comments:
An unannounced renewal inspection was conducted on February 26, 2019 from approximately 10:10 AM to 12:45 PM to determine the provider's compliance with licensing standards. In attendance were six children totaling 12 points being supervised by the provider. The children were observed interacting with the provider, washing hands, and having lunch. Lunch today consisted of hot dogs, green beans, applesauce, 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. The emergency preparedness plan was reviewed. There is no medication being administered at this time. Five children's records and the provider'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 #: 22VAC40-111-800-B
Description: Based on record review, the provider did not update the emergency plan annually. Evidence: The licensing inspector observed the emergency plan was last reviewed by the provider in February 2017. The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

Plan of Correction: The provider will review and update the emergency plan and document the record.

Standard #: 22VAC40-111-810
Description: Based on record review, the provider did not ensure the evacuation and relocation procedures contained the required elements. Evidence: The licensing inspector observed the emergency plan did not contain information to include the relocation site; methods to ensure children are evacuated and transported to the relocation site; methods to account for children at the relocation site; methods to ensure essential documents are taken to the relocation site; and methods of communication with parents after relocating.

Plan of Correction: The provider will update the emergency plans evacuation and relocation procedures.

Standard #: 22VAC40-111-820
Description: Based on record review, the provider did not ensure the emergency plan contained the required elements for shelter-in-place procedures. Evidence: The licensing inspector observed the emergency plan did not contain complete information for shelter-in-place procedures to include designated secondary routes to a safe location, methods to ensure all children are moved to a safe location, methods to ensure essential documents and supplies are taken to a safe location, and method of communication with parents and first responders.

Plan of Correction: The provider will update the shelter-in-place procedures in the emergency plan.

Standard #: 22VAC40-111-880
Description: Based on observation, the provider did not follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: The licensing inspector observed the lunch provided in the home during the inspection consisted of hot dogs, green beans, applesauce, and milk. The provider did not offer a grain or bread component.

Plan of Correction: The provider will ensure menu and meal requirements are met for children in care.

Standard #: 22VAC40-111-920
Description: Based on observation, the provider did not meet the requirements for the menu posted for the current one-week period. Evidence: The licensing inspector observed the lunch menu for the day of the inspection listed the following lunch items: hot dogs, french fries, corn, carrots, applesauce, and milk. The licensing inspector observed the provider served the following for lunch: hot dogs, green beans, applesauce, and milk. The menu shall list any substituted food.

Plan of Correction: The provider will ensure food substitutions are noted on the menu when necessary.

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

Plan of Correction: The provider will request documentation from parents and update records.

Standard #: 22VAC40-111-60-A
Description: Based on review of five children's records, three records did not contain the required information. Evidence: The record for Child #2 (start date 7/27/18), Child #4 (start date 9/24/18)and Child #5 (start date 9/20/18) did not contain complete insurance information. The record for Child #5 did not contain a second emergency contact.

Plan of Correction: The provider will request information from parents and update records.

Standard #: 22VAC40-111-70-A
Description: Based on a review of five children's records, one record 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.

Plan of Correction: The provider will provide parent with required information and update record.

Standard #: 22VAC40-111-80-A
Description: Based on review of five children's records, one record did not contain documentation of verification of identity and age of the child. Evidence: The record for Child #1 (start date 8/29/17) 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 request documentation from parents and update the record.

Standard #: 22VAC40-111-210-A
Description: Based on provider record review, the provider did not obtain a minimum of 16 clock hour training annually in areas relevant to their job responsibilities. Evidence: The licensing inspector observed the provider record contained documentation of having obtained ten hours of annual training.

Plan of Correction: The provider has enrolled in additional training and will update records once complete.

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 been conducted; however the documentation could not be located. Wood burning stoves and fireplaces and associated chimneys shall be inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Documentation of the inspection and cleaning shall be maintained by the provider.

Plan of Correction: The provider reports the inspection has been completed. The documentation will be located and the record will be updated.

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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