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Ms. Sherri Walker
6220 Claypoint Road
Chesterfield, VA 23832
(804) 316-5368

Current Inspector: Kelly Adriazola (804) 662-9760

Inspection Date: Feb. 27, 2020

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
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.

Technical Assistance:
n/a

Comments:
An unannounced monitoring inspection was conducted on February 27, 2020 from 9:11am to 12:45pm to determine the center?s compliance with licensing standards. The children were napping upon the inspector?s arrival and they were later observed eating breakfast, playing in the playroom and singing in circle time. The caregivers were observed diapering, feeding children, singing songs and teaching Spanish. Today there were 10 children present, totaling 32 points with two caregivers.

Interviews were held with the provider and caregiver throughout the inspection. The inspector interacted with children in care when appropriate. The provider and caregiver were observed having positive verbal interactions with the children. The designated areas for childcare were deemed appropriate and are equipped with age appropriate toys to meet the needs of the children.

Breakfast consisted of waffles, sausage, peaches and pears, and milk. The menu was posted.
The kitchen, bathroom, and designated childcare areas were inspected during today's inspection. The inspector observed the required postings. Five children?s records and three caregiver?s records were reviewed during the inspection.

Per the provider, medication is not administered and transportation is not provided at this time.
Per the provider, there were no injury reports to review.

The center's first aid kit and emergency supplies were inspected and found complete.
Last emergency drill: 2/5/20
Last shelter-in-place drill: 2/5/20
Emergency Plan Reviewed: 1/17/19

Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Your plan of correction must 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, Kelly Adriazola, at (804) 662-9760.

Violations:
Standard #: 22VAC40-111-790
Description: Description: Based on observation on February 27, 2020, the provider did not ensure to post all the required telephone numbers.
Evidence: The posted telephone numbers did not contain the responsible person for emergency backup care as required in 22VAC40- 111-800 A 3.

Plan of Correction: Names have been added to the list

Standard #: 22VAC40-111-920
Description: Description: Based on observation on February 27, 2020, the provider did not ensure the menu contained all required information.
Evidence: The menu was not dated.

Plan of Correction: Dated

Standard #: 22VAC40-111-60-A
Description: Description: Based on review of children's records on February 27, 2020, the provider did not maintain an up-to-date record for each enrolled child.
Evidence: 1. The record of Child #1 did not contain documentation of the policy number of the child's medical insurance.
2. The record of Child #4 contained documentation of immunizations dated 04/17/18, 01/24/19, 5/23/19, and 10/28/19, which were not updated every 6 months for a child under 2 years.
3. The record of Child #5 did not contain documentation of authorized persons to to pick up the child.
4. The records of Child #1 (DOE 12/2/19), Child #2 (DOE 7/15/19), Child #3 (DOE 7/15/19), Child #4 (DOE 10/5/18, and Child #5 (DOE 3/19/18) did not contain documentation of a physical examination.

Plan of Correction: Requested physicals of all children. Immunizations requested.

Standard #: 22VAC40-111-250-E
Description: Description: Based on observation on February 27, 2020, the provider did not ensure Latex gloves, balloons, and empty plastic bags large enough for a child's head to fit inside shall be inaccessible to children under five years of age.
Evidence: Plastic bags are stored in an old wipe container on a low shelf, accessible to children in their play area.

Plan of Correction: Removed

Standard #: 22VAC40-111-280
Description: Based on observation, the provider did not ensure potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food in areas inaccessible to children.
Evidence: 1. Hand sanitizer, Lysol, and Glade spray were located on a shelf in the playroom that was accessible to children. Each label contains the language "keep out of reach of children."

Plan of Correction: Moved to new location

Standard #: 22VAC40-111-480-D
Description: Description: Based on observation on February 27, 2020, the provider did not ensure equipment used by children shall be assembled, maintained, and used in accordance with the manufacturer's instructions.
Evidence: 1.Two children were observed sleeping on boppy pillows in a crib.
2. The label on the boppy pillow states "warning" not to be used for sleep.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-510-A
Description: Description: Based on observation and interview on February 27, 2020, the provider did not ensure a child be provided with an individual crib, cot, rest mat, or bed for resting or napping.
Evidence: 1. Two children were observed co-sleeping in a crib.
2. Staff #3 and the provider stated the children's parents requested they sleep in the same crib.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-530-A
Description: Description: Based on observation and interview on February 27, 2020, the provider did not ensure 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: 1. Not all cots were observed to have a bottom cover.
2. The provider acknowledged she did not know they needed a top and bottom cover.

Plan of Correction: Placed on cots

Standard #: 22VAC40-111-570-A
Description: Based on observation on February 27, 2020, the provider did not ensure that a caregiver does not exceed 16 points by using the point system to determine if an additional caregiver is needed.
Evidence: 1. Upon arrival for the inspection there was one caregiver observed caring for 10 children totaling 32 points.
2. Staff #3 stated the provider was running an errand.
3. Upon the return of Staff #1 she stated she had to go to the bank and was only gone 10 minutes.

Plan of Correction: I have three people to cover the needs of my 30 points which only require two people. However, my third person had the flu and I need it to pay my mortgage. I chose to leave when my children were asleep. If you had NOT awaken my children they would have still been asleep when I returned.

Standard #: 22VAC40-111-640-1
Description: Description: Based on observation on February 27, 2020, the provider did not ensure physical punishment including, but not limited to, striking a child, roughly handling or shaking a child, biting, pinching, restricting movement through binding or tying, forcing a child to assume an uncomfortable position, or exercise as punishment.
Evidence: Staff #3 was observed picking a child up out of a high chair by one arm, while holding another child.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-640-2
Description: Description: Based on observation on February 27, 2020, the provider did not ensure children are not enclosed in a small, confined space or any space that the child cannot freely exit himself; however, this does not apply to the use of equipment such as cribs, play pens, high chairs, and safety gates when used for their intended purpose with children preschool age or younger.
Evidence: Staff #3 was observed putting children in their high chairs and strapping them in to contain them because she was the sole caregiver for nine children.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-680-A
Description: Description: Based on observation on February 27, 2020, the provider did not ensure that staff wash their hands hands with liquid soap and warm running water after diapering a child and before eating.
Evidence: 1. Staff #3 was observed to put on gloves to diaper two children. After removing the gloves Staff #3 used hand-sanitizer.
2. It was observed that Staff #3 did not wash her hands prior to assisting children with feeding.

Plan of Correction: Hand washing is in place and has been in place for years before eating, after eating, before diapering, and after diapering for 6 months +

Standard #: 22VAC40-111-680-B
Description: Description: Based on observation on February 27, 2020, the provider did not ensure that children's hands are washed with liquid soap and warm running water after diapering a child and before eating.
Evidence: 1. Staff #3 was observed using baby wipes to wipe children's hands after diapering.
2. The children in care were observed eating morning snack. Their hands were not washed prior to eating snack.

Plan of Correction: Hand washing is in place and has been in place for years before eating, after eating, before diapering, and after diapering for 6 months +

Standard #: 22VAC40-111-690-D
Description: Description: Based on observation and interview on February 27, 2020, the provider did not ensure that staff use a diapering surface that is 1. Separate from the kitchen, food preparation areas, or surfaces used for children's activities; 2. Nonabsorbent and washable; and 3. Cleaned and sanitized after each use.
Evidence: 1. Staff #3 was observed diapering two children on Staff #3's lap, while sitting in a rocking chair, in the children's play area.
2. Staff #3 confirmed this is their normal diapering procedure.

Plan of Correction: Using changing table

Standard #: 22VAC40-111-690-E
Description: Description: Based on observation and interview on February 27, 2020, the provider did not ensure that soiled disposable diapers and wipes 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: 1. Staff #3 was observed disposing of soiled diapers and wipes in a large, black trash bag in the garage, which required Staff #3's hand to touch the exterior surface.
2. Staff confirmed this is their normal disposal system.

Plan of Correction: Not available online. Contact Inspector for more information.

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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