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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:

Complaint Related: No

Violations:
Standard #: 22VAC40-111-830-A
Description: Based on caregiver interviews, the provider did not ensure the emergency evacuation procedures shall be practiced monthly. Evidence: Caregivers #1 and #2 reported no emergency evacuation drills had been practiced any month that children have been in care.

Plan of Correction: Per provider: "I didn't know where they were but I have found them and placed them in the area where the children are."

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 children were served a meat component, a grain component, a vegetable component, and a dairy component at lunch. Two vegetables or two fruits or a vegetable and one fruit are required to be served for lunch.

Plan of Correction: Per provider: "I was not home at time of lunch but staff are aware of the policy. I will make sure all components are being met."

Standard #: 22VAC40-111-900-A
Description: Based on observation, the provider did not ensure that food that is prepared for children under four years of age shall be served in a manner that will reduce the risk of choking. Evidence: The licensing inspector observed that three children under the age of four were served whole corn dogs for lunch. Three children under the age of four were served corn dogs cut into rounds that were approximately 1/2 inch in length.

Plan of Correction: Per provider: "Staff member has been properly trained to cut food for children under four years old."

Standard #: 22VAC40-111-920
Description: Based on observation and interview, the provider did not ensure the menu requirements were met for the current one-week period. Evidence: The licensing inspector observed there was no menu posted for the current one-week period. 2. During interviews, Caregivers #1 and #2 reported there was no menu available for the current one-week period.

Plan of Correction: Per provider: "Menu was posted the same day."

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: Per provider: "Staff member does have personal belongings in the home, in both restrooms and I will make sure staff member brings more clothes. Zoning has already signed off and approved staff member, and documentation was on site at time of inspection."

Standard #: 22VAC40-111-60-A
Description: Based on a review of five children's records, two records did not contain the required documentation. Evidence: 1. 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: Per provider: "I have received all policy names and numbers for the children."

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 four children Evidence: 1. The records for Child #1 (start date 8/26/19), 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 on 1/6/2020, Caregiver #1 reported that the information was not provided to parents.

Plan of Correction: Per provider: "False. The information on all policies were emailed to parents during the first day of attendance and some prior to attendance."

Standard #: 22VAC40-111-150-C
Description: Based on a review of records, observation and interview, the provider did not ensure that an assistant 18 years of age or older shall not be left alone with children in care for more than two hours per day. Evidence: The licensing inspector observed Caregiver #2 as the sole provider from approximately 11:10 AM to 2:20 PM during the inspection. There were 10 children present, ranging from 7 months old to 4 years old, totaling 29 points. 2. Caregiver #2 reported that Caregiver #1 left the home at approximately 10:50 AM. 3. The licensing inspector observed the job title of Caregiver #2 listed as assistant in the caregiver's record. 4. Caregiver #2 identified her job title as Assistant during an interview with the licensing inspector. Caregiver #2 reported being the sole caregiver in the home for periods of time less than 2 hours regularly when children are in care. Caregiver #2 reported being instructed by Caregiver #1 that she was not to be left alone with children in care for more than 2 hours a day in her role as an assistant.

Plan of Correction: Per provider: "Caregiver #2 is a substitute provider and not an assistant."

Standard #: 22VAC40-111-150-D-1
Description: Based on record review, observation and interview, the provider did not ensure that an assistant 18 years of age or older who is left alone with children in care shall have a current certification in cardiopulmonary resuscitation (CPR). Evidence: 1. The licensing inspector observed Caregiver #2 as the sole provider from approximately 11:10 AM to 2:20 PM during the inspection. There were 10 children present, ranging from 7 months old to 4 years old, totaling 29 points. 2. Caregiver #2 reported that Caregiver #1 left the home at approximately 10:50 AM. 3. The licensing inspector observed no CPR certification documentation in the record for Caregiver #2. 4. Caregiver #1 reported that Caregiver #2 had participated in a CPR training, however the certification has not been issued due to non-payment of the training fee.

Plan of Correction: Per provider: "I will add the certification to her file."

Standard #: 22VAC40-111-150-D-2
Description: Based on record review, observation and interview, the provider did not ensure that an assistant 18 years of age or older who is left alone with children in care shall have a current certification in first aid. Evidence: 1. The licensing inspector observed Caregiver #2 as the sole provider from approximately 11:10 AM to 2:20 PM during the inspection. There were 10 children present, ranging from 7 months old to 4 years old, totaling 29 points. 2. Caregiver #2 reported that Caregiver #1 left the home at approximately 10:50 AM. 3. The licensing inspector observed no first aid certification documentation in the record for Caregiver #2. 4. Caregiver #1 reported that Caregiver #2 had participated in a first aid training, however the certification had not been issued due to non-payment of the training fee.

Plan of Correction: Per provider: "I will add the certification to her file."

Standard #: 22VAC40-111-200-B
Description: Based on observation and interview, the provider did not ensure that staff orientation cover all job responsibilities and the location of emergency numbers. Evidence: 1. Caregiver #2 was the sole caregiver for 10 children for approximately 3.5 hours on 1/6/2020, and could not locate the records for 4 children during the inspection. 2. Caregiver #2 reported she did not know how to access any information on the children to include their emergency contact information and the parent's written authorization for emergency medical care. 3. Caregiver #2 reported she would not know who to contact in case of an emergency for any of the 4 children. 4. Caregiver #1 was able to locate records for the four children upon arrival at approximately 2:20 PM. Caregiver #1 acknowledged that Caregiver #2 did not have knowledge of the location of emergency contacts and the records for emergency purposes during her absence from the home.

Plan of Correction: Per provider: "I will make sure staff have access to files in the event of my absence."

Standard #: 22VAC40-111-240-A
Description: Based on observation, the provider did not ensure that areas and furnishings of the family day home shall be maintained in a clean, safe, and operable condition. Evidence: The licensing inspector observed a drawer in the kitchen that was in reach of the children in care, had been broken leaving areas of broken, splintered wood.

Plan of Correction: Per provider: "I will have the drawer repaired."

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: 1. The licensing inspector observed no landline telephone in the family day home. 2. The provider stated the home did not have a landline phone that does not require electricity to operate.

Plan of Correction: Per provider: "The phone company does not provide land line service. The modem has back up battery power in case of a power outage. This was explained on site."

Standard #: 22VAC40-111-340-C
Description: Based on observation and interview, the provider did not ensure the bathroom shall contain toilet tissue and paper towels. Evidence: 1. The licensing inspector observed the restroom being used by the children in care during the inspection did not contain paper towels or toilet paper. 2. The licensing inspector discussed the lack of toilet tissue and paper towels with Caregiver #1 and Caregiver #2 during the inspection. Caregiver #1 reported the bathroom usually contained toilet tissue and paper towels, however these items were not provided during the inspection.

Plan of Correction: Per provider: "I have restocked the bathrooms with toilet paper and paper towels."

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: 1. The licensing inspector observed no protective barrier to prevent access to the stairs. 2. The licensing inspector observed five children under the age of two in care during the inspection.

Plan of Correction: Per provider: "The gate was knocked down at the time of inspection. It was corrected after the inspector left."

Standard #: 22VAC40-111-520-A
Description: Based on observation and interview, the provider did not ensure that a crib shall be provided for children from birth through 12 months of age and for children over 12 months of age who are not developmentally ready to sleep on a cot, rest mat, or bed. Evidence: 1. The licensing inspector observed one crib in the family day home but there was a 7-month old, an 11-month old, and a 12-month old present who reportedly wasn't developmentally ready for a mat. 2. The inspector observed 11-month old Child #6 fall asleep in a bouncy seat at approximately 12:45 PM during the inspection. Caregiver #2 moved Child #6 to the couch at approximately 1:35 PM to continue napping. Caregiver #2 reported that Child #6 falls asleep in the bouncy seat daily and then is moved to sleep on the couch because there isn?t a crib available for the child. 3. Caregiver #2 reported that 12-month old Child #8 is not developmentally ready to use a cot, and did not have an available crib or cot for use. Caregiver #2 reported that instead, Child #8 sleeps in the play pen daily.

Plan of Correction: Per provider: "I have gotten the other crib from storage and all children are resting on cots or in cribs. I also purchase additional cots."

Standard #: 22VAC40-111-530-A
Description: Based on observation, the provider did not ensure that cribs, cots, rest mats, and beds when being used for sleeping or napping by children other than infants shall have linens consisting of a top cover and a bottom cover or a one-piece covering that is open on three edges. Evidence: The licensing inspector observed six preschool children sleeping on cots during the inspection. Five cots did not have a bottom cover.

Plan of Correction: Per provider: "I will make sure staff are putting on bottom covers."

Standard #: 22VAC40-111-530-B
Description: Based on observation, the provider did not ensure that cribs when being used by infants shall have a tight-fitting bottom cover. Evidence: The licensing inspector observed a seven month old child occupying a crib during the inspection. The crib mattress was covered with a flat sheet which was loose and had areas of bunching.

Plan of Correction: Per provider: "I was not aware that was put on until I arrived back home. I removed the sheet and put on a crib sheet."

Standard #: 22VAC40-111-530-F
Description: Based on observation, the provider did not ensure that no soft bedding of any kind shall be used under or around infants including, but not limited to, pillows, quilts, comforters, sheepskins, or stuffed toys. Evidence: 1. The licensing inspector observed a stuffed animal in the crib with seven month old child #7 while awake and while asleep. 2. The licensing inspector observed a stuffed animal in the play pen with 12-month old child #8 while awake and while asleep. 3. The licensing inspector observed that 11-month old child #6 was moved to sleep on the couch and two pillows were placed against his side while sleeping on the couch.

Plan of Correction: Per provider: "I have retrained the staff member on having no items in the cribs or play pens."

Standard #: 22VAC40-111-550
Description: Based on observation and interview, the provider did not ensure that play pens are not used for a designated sleeping area. Evidence: 1. The licensing inspector observed Child #8 (12-months old) sleeping in a play pen. Caregiver #2 reported that Child #8 was not developmentally ready to use a cot, and did not have an available cot for use, so the child sleeps in the play pen daily.

Plan of Correction: Per provider: "All children will use cribs or cots from now on."

Standard #: 22VAC40-111-570-A
Description: Based on observation and interview, the provider did not ensure that caregivers do not exceed 16 points. Evidence: 1. The licensing inspector observed Caregiver #2 as the sole provider from approximately 11:10 AM to 2:20 PM during the inspection. There were 10 children present, ranging from 7 months old to 4 years old, totaling 29 points. 2. Caregiver #2 reported that Caregiver #1 left the home at approximately 10:50 AM and would be expected to return no later than 12:50 PM (2 hours). Caregiver #1 arrived at 2:20 PM.

Plan of Correction: Per provider: "I will make sure that points are not exceeded and I am not away more than two hours."

Standard #: 22VAC40-111-580-A
Description: Based on observation, the provider did not ensure that, in order to promote the child's physical, intellectual, emotional, and social well-being and growth, caregivers shall provide needed help, comfort and support. Evidence: 1. The licensing inspector observed Caregiver #2 was not providing responsive care while left as the sole provider for 10 children, totaling 29 points from the inspector's arrival at approximately 11:10 AM until Caregiver #1's arrival at approximately 2:20 PM. 2. The licensing inspector observed that the children were watching a movie upon arrival. Three children were seated in feeding chairs, Child #6 (11 months old) was in a bouncy seat, Child #7 (7 months old) was in the crib, Child #8 (12 months old) was asleep in the play pen, and four children were seated in the living room. The children in the chairs and the child in the crib were all crying on and off. Caregiver #2 reported the children are in this seating arrangement daily for no more than 45 minutes for movie time before lunch; and states this is necessary "for some control" during the movie and while preparing lunch. 2. The licensing inspector observed lunch was served to the oldest seven children at approximately 11:45 AM at which time Child #7 in the crib and Child #6 in the bouncy seat were still crying on and off. The licensing inspector observed that Caregiver #2 had not comforted the two crying children since arrival. 3. At approximately 11:52 AM Caregiver #2 picked up Child #6 and diapered him, returned him to his bouncy seat, and gave him a bottle. Child #6 finished his bottle and began to cry on and off. At 12:10 PM, a four year old child in care attempted to comfort Child #6 by rocking the seat from her napping cot as he cried. At 12:30 PM, Caregiver #2 reported she was letting Child #6 cry until he falls asleep, and this is the daily routine. Caregiver #2 reported that Child #6 usually does not cry as much, but is missing his pacifier due to his parent forgetting to bring it this day. Child #6 fell asleep at approximately 12:45 PM in the bouncy seat. 4. The licensing inspector observed that both Child #7 and Child #8 were not comforted when crying. Caregiver #2 was observed to interact with the Child #7 and Child #8 in order to diaper them and feed them, and then returned them to the plan pen and crib at 1:00 PM. At approximately 1:40 PM, Child #8 fell in the play pen and began crying loudly. Caregiver #2 stated "I saw what happened to you. You're fine." Caregiver #2 remained seated on the couch and did not provide any help or comfort. Both children cried on and off until approximately 2:00 PM when they fell asleep.

Plan of Correction: Per provider: "This is usually not the case. I will provide additional training for comforting and will make sure staff know our policies on this."

Standard #: 22VAC40-111-590-B
Description: Based on observation and interviews, the provider did not ensure that an infant was promptly moved to his designated sleeping space after falling asleep in a space other than his own crib. Evidence: 1. The licensing inspector observed Child #6 (11 months old) fall asleep in a bouncy seat at approximately 12:45 PM. Caregiver #2 moved Child #6 to sleep in her lap on the couch at approximately 1.35 PM. Caregiver #2 then placed Child #6 on the couch while sleeping at approximately 1:45 PM with two pillows placed against his side. 2. During an interview, Caregiver #2 reported that Child #6 is left in the bouncy seat to fall asleep each day and is then moved to the couch to complete his nap.

Plan of Correction: Per provider: "That is false about Child #6 being left to fall asleep in high chair daily. When I am present all children are on cots, cribs or bouncy seats. I will make sure all children are in cribs or cots."

Standard #: 22VAC40-111-600-B
Description: Based on observation and interview, the provider did not ensure that 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, and that the intervening time period between confinements shall be at least one hour. Evidence: 1. The licensing inspector observed that upon arrival at 11:10 AM, the infants and toddlers present were as follows: Child #9 (18 months old) and Child #10 (18 months old) were seated in feeding chairs, Child #6 (11 months old) was in a bouncy seat, Child #7 (7 months old) was in the crib, Child #8 (12 months old) was asleep in the play pen. Caregiver #2 reported the children are in this seating arrangement daily for no more than 45 minutes for movie time before lunch; and states this is necessary "for some control" during the movie and while preparing lunch. 2. At approximately 11:45 AM, Child #9 and Child #10 were moved, in their feeding chairs, to the kitchen to eat lunch while Child #7 and Child #6 continued to cry in the crib and bouncy seat on and off. 3. At approximately 11:52 AM Caregiver #2 picked up Child #6 and diapered him, returned him to his bouncy seat, and gave him a bottle. Child #6 finished his bottle and began to cry on and off. At 12:30 PM, Caregiver #2 reported she was letting Child #6 cry until he falls asleep, and this is the daily routine. Child #6 fell asleep at approximately 12:45 PM in the bouncy seat. 4. The licensing inspector observed that Child #7 cried in the crib from arrival at approximately 11:10 AM, with Caregiver #2 reporting he had just woke up from a nap. Child #7 remained awake and crying off and on in the crib until approximately 12:06 PM when he fell asleep. Child #7 was awake, diapered and fed at approximately 12:35 PM. Child #7 was returned to the crib, awake, at approximately 1:05 PM where he played and cried on and off until approximately 2:00 PM when he fell asleep. 5. Child #8 was observed to be asleep in the play pen at arrival, and woke up crying at approximately 11:45 AM. Child #8 was diapered at approximately 12:08 PM and was placed in the high chair to eat lunch. Child #8 was moved from the high chair back to the play pen at approximately 1:00 PM where she played and cried on and off until approximately 2:00 PM when she fell asleep.

Plan of Correction: Per provider: "repeat violation basically the same wording as the previous one. I will make sure staff are retrained on all policies."

Standard #: 22VAC40-111-680-A
Description: Based on observation, the provider did not ensure that caregivers shall wash their hands with liquid soap and warm running water after diapering a child and before feeding or helping children with feeding. Evidence: The licensing inspector observed Caregiver #2 not washing hands after diapering children 5 times, before bottle feeding one child, and before helping two children with feeding in high chairs.

Plan of Correction: Per provider: "Staff know to wash hands after each transaction with children. I will make sure staff follow proper procedure."

Standard #: 22VAC40-111-680-B
Description: Based on observation, the provider did not ensure that children's hands are washed with liquid soap and warm running water before eating, and after diapering. Evidence: 1. The licensing inspector observed that children's hands were not washed after diapering in seven instances of diapering during the inspection. 2. The licensing inspector observed that children's hands were not washed before eating in 3 instances during the inspection.

Plan of Correction: Per provider: "Again, I will make sure staff know the proper procedure for handwashing."

Standard #: 22VAC40-111-690-D
Description: Based on observation, the provider did not ensure the diapering surface shall be cleaned and sanitized after each use. Evidence: The licensing inspector observed the diapering surface was not cleaned or sanitized after diapering five children during the inspection.

Plan of Correction: Per provider: "I will make sure staff are cleaning and sanitizing diapering stations."

Standard #: 22VAC40-111-690-E
Description: Based on observation, the provider did not ensure that soiled diapers and wipes shall be disposed of in a leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. Evidence: The licensing inspector observed soiled diapers were disposed of in a loose trash bag sitting on the floor in the kitchen during the inspection.

Plan of Correction: Per provider: "There was no bag on the floor in the kitchen. I have a foot touching can in the kitchen. I will make the diapers are put in there."

Standard #: 22VAC40-191-60-C-2
Description: Based on a review of two caregiver records and an interview, the provider did not obtain a central registry finding within 30 days of employment for one caregiver and the caregiver is still working. Evidence: 1. The licensing inspector observed the record for Caregiver #2 (hire date 8/21/19) did not contain a central registry finding. 2. During an interview on 1/6/2020, Caregiver #1 reported that the Central Registry search request for Caregiver #2 had been mailed "a few days ago." If the central registry finding for a staff is not received within 30 days of employment, the facility must deny continued employment until the finding is received.

Plan of Correction: Per provider: "I will continue to check on the document and I also mailed a new central registry for the staff member."

Standard #: 22VAC40-80-120-E-2
Description: Based on observation, the provider did not ensure that the findings for the most recent inspection of the family day home was posted on the premises. Evidence: 1. The licensing inspector observed that the last inspection notice posted in the family day home was dated 9/18/19. 2. The most recent inspection was completed on 11/12/19 .

Plan of Correction: Per provider: "The last inspection was on site, couldn't be found at the time of inspection but was posted after inspector left."

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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