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Ms. Janet Ward
1118 Baskerville Lane
Portsmouth, VA 23701
(757) 800-3518

Current Inspector: Kimberly Sampson (757) 354-7307

Inspection Date: Dec. 5, 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.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Comments:
An announced initial monitoring inspection was conducted from 1:15 pm to 1:50 pm. The home is a one story home located in Portsmouth. The applicant has two years college and the required childcare and first aid/CPR training which meets the qualification requirements to be a licensed family day home provider. At the time of inspector's arrival there were 4 children in care. Children were observed during nap. The records sample size consisted of 4 children's records and 2 provider records. The areas of noncompliance are detailed on the violation notice and were discussed with the provider at the conclusion of this inspection. The first unannounced inspection will be conducted within 60 days from the date the license is issued. Please contact the inspector at (757) 354-7307 if there are any questions.

Violations:
Standard #: 22VAC40-111-920
Description: Based on observation and interview it was determined the provider did not ensure that when meals and snacks are provided by the family day home the menu for the current one-week period was posted.
Evidence:
1. The provider stated they provide all food for the children in care with exception of infant food. There was no menu posted.
2. The provider confirmed that there was no posted menu.

Plan of Correction: Provider will post a menu.

Standard #: 22VAC40-111-100-A
Description: Based on record review and interview it was determined the provider did not ensure each child had documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.
Evidence:
1. The record for child #4(enrolled 4/5/19) did not contain documentation of physical examination. Child #4 was in care during the inspection.
2. The provider confirmed the record for child #4 did not contain documentation of physical examiniation.

Plan of Correction: Provider will request physical examination documentation from the parent at pick up.

Standard #: 22VAC40-111-60-B
Description: Based on record review and interview it was determined the provider did not ensure that each child's record contained all of the required components.
Evidence:
1. The record for child #1(enrolled 12/5/19) did not contain the medical insurance information, signed receipt of the information for parents, liability insurance, and emergency preparedness plan.
2. The record for child #2(enrolled 3/18/19) did not contain the medical insurance information, emergency medical authorization, and signed receipt of the information for parents.
3. The record for child #3(enrolled 3/12/19) did not contain signed receipt of the information for parents.
4. The record for child #4(enrolled 4/5/19) did not contain the medical insurance information and signed receipt of the information for parents.
5. Provider confirmed that the children's records were missing information.

Plan of Correction: Provider will request the missing documentation from parents at pick up.

Standard #: 22VAC40-111-90-A
Description: Based on record review and interview it was determined the provider did not ensure before a child may attend the family day home, the provider obtained documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.
Evidence:
1. The record for child #4(enrolled 4/5/19) did not contain documentation of immunizations. Child #4 was in care during the inspection.
2. The provider confirmed the record for child #4 did not contain documentation of immunization.

Plan of Correction: Provider will request immunization documentation from parent at pick up.

Standard #: 22VAC40-111-350-E
Description: Based on measurement it was determined the provider did not maintain hot water taps available to children within a range of 105?F to 120?F.
Evidence:
The hot water temperature was measured at 131.4?F.

Plan of Correction: Provider will have hot water tank temperature is adjusted to a range of 105?F to 120?F.

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. To find programs participating in Virginia Quality, click here.

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