VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mary Carter
3631 Luckylee Crest
Chesterfield, VA 23234
(804) 837-2845

Current Inspector: Heather Dapper (804) 625-2304

Inspection Date: July 23, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-111 Administration 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 22VAC40-665 Building or home maintenance.

Technical Assistance:

N/A

Comments:

An unannounced monitoring inspection was conducted on Tuesday, July 23, 2019 to determine compliance with licensing standards. The inspector arrived at 11:45 AM and concluded the inspection at 1:15 PM. Today, there were eight children, totaling 15 points, present with one caregiver. During the inspection, children were watching a television program, eating lunch, washing hands, and napping. Transportation is not provided. Children?s equipment, learning materials, indoor space and restrooms were inspected. Five children's records, two provider records, one household record, daily attendance records, fire drill and shelter in place drill logs, first aid kit and non-medical emergency supplies and all required postings were reviewed. The provider was available for the inspection and was present at the exit interview at which time inspection findings were reviewed and an Acknowledgement of Inspection form was signed and left with the licensee. Violations were cited and are documented on the violation notice. Please complete the ?plan of correction? and ?date to be corrected? for each violation listed on the violation notice and return it to me within 5 business days from receipt. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s); 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only. If you have any questions about this inspection, please contact the licensing inspector, Heather Dapper, at (804) 662-7014.

Violations:

Standard #:	22VAC40-111-870-G
Description:	Based on observation, the provider did not ensure that the tables were cleaned after each use. Evidence: 1. The tables used for eating were not cleaned after eating lunch. 2. Eight children used two tables to eat lunch. 3. Children left the table and went to the bathroom and into the play area to watch TV.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-880
Description:	Based on observation, the provider did not ensure that when food is provided 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) shall be followed. Evidence: 1. Two children were eating noodles with a serving of milk. 2. Three children were eating ravoli and applesauce with a serving of milk. 3. One child was eating cheese pizza with a serving of milk. 4. One child was eating a peanut butter and jelly sandwich and applesauce with a serving of milk. 5. The food served does not meet all of the 5 components required by the USDA.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-920
Description:	Based on an interview and observations, the provider did not ensure that when meals are provided, the menu for the current one-week period shall list substituted food. Evidence: 1. The posted lunch menu for Tuesday was tuna fish, crackers, plums and milk. 2. Based on observation, the children did not eat what was on the posted menu. 3. The menu changes were not marked on the posted menu. 4. The provider stated that the children did not eat what was on the posted menu.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-60-B
Description:	Based on a review of children's records, the provider did not ensure all required information was obtained. Evidence: 1. The records for child #4 (date of enrollment 11/18/17) and child #5 (date of enrollment 7/16/18) did not have documentation of the name, address and telephone number for one emergency contact. 2. The record for child #4 (date of enrollment 11/18/17) did not have the name and policy number for child's medical insurance.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-70-A
Description:	Based on a review of children's records, the provider did not ensure all required documentation was provided to parents in writing before the child's first day of attendance.. Evidence: 1. The records for child #1 (date of enrollment 7/23/18) and child #4 (date of enrollment 11/18/17), did not have documentation of liability insurance declaration. 2. The record for child #3 (date of enrollment 7/17/17) did not have documentation of acknowledgment of the emergency preparedness and response plan.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-320-B
Description:	Based on observation, the provider did not ensure that child-resistant protective covers shall be installed on all unused electrical outlets accessible to children under five years of age. Evidence: 1. The electrical outlet was not covered in the kitchen. A 22 month old was sleeping next to the uncovered outlet. 2. The electrical outlet was not covered in the restroom that children in care use. 2. There were four children in care under five years of age.
Plan of Correction:	Not available online. Contact Inspector for more information.