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Ms. June Lee
5704 Dendron Drive
Henrico, VA 23223
(804) 326-9573

Current Inspector: Ali Metzger (804) 662-9092

Inspection Date: Nov. 12, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Technical Assistance:
None

Comments:
The inspector conducted an announced monitoring inspection on November 12, 2019 from approximately 10:20 AM to 11:45 AM to examine previous areas of noncompliance. The center's policies and procedures were reviewed, observations were conducted and records were reviewed. There were repeat violations cited. If you have any questions about this inspection, please contact your licensing inspector at 804-662-9092.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on a review of five children?s records, one record did not contain documentation of a physical examination prior to the child?s attendance or within 30 days after the first day of attendance. Evidence: The record for Child #5 (start date 9/19/19) did not contain documentation of a physical examination.

Plan of Correction: The provider has spoken with the child's parents and there is a physical examination scheduled.

Standard #: 22VAC40-111-30-A
Description: Based on a record review, caregiver interviews, and observations; the provider did not ensure compliance with relevant federal, state, or local laws. Evidence: 1. The licensing inspector observed that the licensee's zoning permit does not authorize the licensee to employ a caregiver who is not a resident of the home. 2. The licensing inspector observed no personal belongings for Caregiver #2 in the bedroom indicated. 3. Caregiver #2 reported having no proof of residency to include mail addressed to the home or identification showing the home's address.

Plan of Correction: The provider will ensure that Caregiver #2 is able to provide licensing with proof of residency.

Standard #: 22VAC40-111-60-B
Description: Based on a review of five children's records, three records did not contain the required documentation. Evidence: 1. The record for Child #2 (start date 2/19/19) did not contain a medical insurance policy number. 2. The record for Child #3 (start date 9/17/19) did not contain a medical insurance policy name or number. 3. The record for Child #4 (start date 9/9/19) did not contain a medical insurance policy name or number.

Plan of Correction: The provider will speak with parents to request the required documentation for the children's records.

Standard #: 22VAC40-111-70-A
Description: Based on a review of five children's records and an interview, the provider did not provide the required written information to parents prior to attendance for five children Evidence: 1. The records for Child #1 (start date 8/26/19), Child #2 (start date 2/19/19), Child #3 (start date 9/17/19), Child #4 (start date 9/9/19), and Child #5 (start date 9/19/19) did not contain the following documentation: Information for Parents, Policy for the Administration of Medication, Liability Insurance Declaration, or the Provisions of the Home's Emergency Preparedness and Response Plan. 2. During an interview with the licensing inspector, the provider reported that the information was not provided to parents.

Plan of Correction: The provider will ensure parents have the required written information and obtain signed acknowledgements.

Standard #: 22VAC40-111-330-A
Description: Based on observation and interview, the provider did not ensure that there was a landline telephone available, operable, and accessible that does not require electricity to operate. Evidence: The licensing inspector observed no landline telephone in the family day home. The provider stated the home did not have a landline phone that does not require electricity to operate.

Plan of Correction: The provider states that she will contact the phone company again to determine how to obtain a landline telephone line. The provider reports being advised in the past that there was not a landline phone option available in her service area.

Standard #: 22VAC40-111-430-A
Description: Based on observation, the provider did not ensure that children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision shall not have access to stairs. Evidence: The licensing inspector observed no protective barrier to prevent access to the stairs.

Plan of Correction: The provider will ensure the safety gate is replaced at the stairs.

Standard #: 22VAC40-191-60-C-2
Description: Based on a review one caregiver record and an interview, the provider did not obtain a central registry finding within 30 days of employment for the caregiver and the caregiver is still working. Evidence: 1. The licensing inspector observed the record for Caregiver #1 (hire date 8/21/19) did not contain a central registry finding. 2. During an interview with the licensing inspector, the provider reported that Staff #2 had not completed the Central Registry search. Central registry findings are required to be requested within seven days of being hired and must be obtained within 30 days of hire. If the provider does not have a central registry finding for a staff within 30 days of employment, the center must deny continued employment until the finding is received.

Plan of Correction: The provider will ensure the background check is mailed within 10 days. The provider will send documentation of the background check request to the licensing inspector within 10 days.

Standard #: 63.2-1720.1-B-2
Description: Based on a review of one caregiver record, the record did not contain documentation of a national fingerprint-based criminal history record check prior to employment. Evidence: The record for Caregiver #1 (hire date 8/21/19) contained documentation of a national fingerprint-based criminal history record check dated 8/27/19.

Plan of Correction: The provider will ensure that background checks are obtained within the required timeframes.

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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