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Ms. Jacqueline Hitchcock
1118 Joyce Lee Circle
Hampton, VA 23666
(757) 224-8488

Current Inspector: Anita Drewry (757) 404-5261

Inspection Date: Nov. 18, 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 Emergencies
22VAC40-111 Nutrition
63.2 Licensure and Registration Procedures

Technical Assistance:
600-B Infants and toddlers shall spend no more than 30 minutes of consecutive time during waking hours, with the exception of mealtimes, confined in a crib, play pen, high chair or other confining piece of equipment. The intervening time period between confinements shall be at least one hour.

Comments:
An unannounced monitoring inspection was conducted on November 18, 2019 from approximately 9:40 am to 1:20 pm. Provider was present with six children, for a total of seventeen points at the onset of inspection. Assistant arrived at approximately 11:20 am. Five children records and two caregiver records were reviewed.

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on review and interview, provider did not ensure 3 of 5 children have documentation of annual review of emergenct contact information.

Evidence: The records for child #1 (start date August 29, 2018), child #3 (start date June 14, 2018) and child #4 (start date September 4, 2018) did not have parent's signed acknowledgment of the annual review of emergency contact information. Provider verbally confirmed missing information.

Plan of Correction: Provider will have parents review information and update records.

Standard #: 22VAC40-111-900-A
Description: Based on observation, provider did not ensure children under four years of age are not served food that is hard, round, small, thick and sticky, or smooth and slippery unless the food is served in a manner that will reduce the risk or choking, i.e., cut lengthwise or cut in small pieces.

Evidence: Apple slices were served to four children, ranging in age from seventeen months to three years, for a morning snack. Apple slices measured 2" in length and 1.25" in width at the thickest portion. This poses a potential choking hazard.

Plan of Correction: Provider will make sure food is cut smaller and thinner to prevent choking potential.

Standard #: 22VAC40-111-920
Description: Based on observation and review, provider did not ensure the menu notes any substituted foods served.

Evidence: Children were served veggie straws, pretzels, apple slices and milk for the morning snack. The menu stated crackers and juice were to be served.

Plan of Correction: Provider will change menu to show what was served.

Standard #: 22VAC40-111-100-A
Description: Based on review and interview, provider did not ensure 1 of 5 children's records has documentation of a physical examination within thirty days after the first day of attendance.

Evidence: The record for child #4 (start date September 4, 2018) did not have a physical. Provider verbally confirmed missing information.

Plan of Correction: Parent was contacted and she will bring a copy.

Standard #: 22VAC40-111-60-B
Description: Based on review and interview, provider did not ensure 1 of 5 children's records have documentation of required information.

Evidence: The record for child #1 (start date August 29, 2018) did not have father's employment phone number, insurance policy number and second emergency contact. Provider verbally confirmed missing information.

Plan of Correction: Provider left a message for the mother asking for the information.

Standard #: 22VAC40-111-180-A
Description: Based on review and interview, provider did not ensure 1 of 2 caregivers has an updated TB test or screening every two years from the date of the first screening or more frequently a recommended by a physician or the local health department.

Evidence: The record for caregiver #1 has a most recent TB test dated October 3, 2017 which is more than two years old. Provider verbally confirmed missing information.

Plan of Correction: Provider will get the test done.

Standard #: 22VAC40-111-570-A
Description: Based on observation and review, provider did not ensure that a caregiver does not exceed sixteen points by using the point system to determine if an additional caregiver is needed.

Evidence: Caregiver #1 was present with six children, for a total of seventeen points. There were two children present that were age three years, three children present from sixteen months up to age two years and one child child from birth up to sixteen months old. This was observed from approximately 9:40 am until 11:20 am when caregiver #2 arrived to the home.

Plan of Correction: Provider will get someone else as a back up substitute just in case regular assistant gets sick or has to leave.

Standard #: 22VAC40-111-680-B
Description: Based on observation, provider did not ensure children wash their hands with liquid soap and warm running water before eating.

Evidence: Five children did not wash their hands before eating their morning snack.

Plan of Correction: Provider will take children to wash their hands immediately before they sit down to eat.

Standard #: 63.2-1720.1-B-2
Description: Based on review, provider did not ensure caregiver has a completed Office of Background Investigations (OBI) national fingerprinting determination letter prior to beginning employment.

Evidence: The record for caregiver #2 had an OBI national fingerprinting determination letter dated August 26, 2019. Provider stated orientation date was noted on the staff information sheet. The staff information sheet documented orientation was completed by caregiver #2 on August 9, 2019. Orientation training was completed prior to the date of the OBI national fingerprinting determination letter.

Plan of Correction: Provider will make sure anyone that is hired has the fingerprint check done and letter is received.

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.

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