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Lisa Brooks
717 Graystone Way
Portsmouth, VA 23704
(757) 399-2292

Current Inspector: Emily Walsh (757) 404-2575

Inspection Date: Aug. 6, 2021 and Aug. 25, 2021

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
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interview and a virtual tour of the program.

A monitoring inspection was initiated on 8/6/2021 and concluded on 8/25/2021. The provider was contacted by telephone to initiate the inspection. There were 3 children present, totally 8 points, in the care of the provider. The inspector emailed the provider a list of items required to complete the inspection. The Inspector reviewed 2 children?s records and 2 caregiver/household record, along with requested program records submitted by the provider to determine if required documentation was complete.

Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:
Standard #: 22VAC40-111-60-B
Description: Based upon review of two children's records and provider interview, the provider has not ensured that each child's record includes all required information.
Evidence:
1. The records provided for child 1 and child 2 do not include the name, address and telephone number of a second person to be contacted in an emergency when a parent cannot be reached.
2. The records provided for child 1 and child 2 do not include the name, address and telephone number of the father's place of employment.
3. The records provided for child 1 and child 2 do not include the parent's signed acknowledgement of the receipt of whether or not the provider has liability insurance.
4. The provider verified that the above information was not in the records for child 1 and child 2.

Plan of Correction: The provider responded with the following:
This is the second day of attendance for child 1 and child 2 (siblings). All missing required information has been highlighted to obtain from the parent at the end of today. In the future all required information will be obtained prior to the child's first day of attending.

Standard #: 22VAC40-111-430-A
Description: Based upon observation and provider interview, the provider has not ensured that children under two years of age do not have access to stairs.
Evidence:
1. The gate mounted at the bottom of the stairs leading to the second story of the home was not latched during the inspection and does not securely latch.
2. The provider stated that the gate does not latch securely.

Plan of Correction: The provider responded with the following:
The inspector was shown a gate that was [purchased for the stairs, however that gate cannot be tightly secured either. A method to secure the gate while children are in care will be found and installed.

Standard #: 22VAC40-111-530-A
Description: Based upon observation, the provider has not ensured that cots used for sleeping and napping children consist of a top cover and a bottom cover or a one-piece covering that is open on three edges.
Evidence:
1. Child 1 was observed sleeping on a cot. The cot did not have any linens - no top or bottom cover.
2. Child 3 was observed sleeping on a cot with only a top cover.

Plan of Correction: The provider responded with the following:
Each child will sleep with bottom linen on the cot and a top linen as a cover or with a one-piece covering that is open on three sides.

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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