VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Deborah King
205 Chesterfield Avenue
Colonial heights, VA 23834
(804) 247-7172

Current Inspector: Heather Dapper (804) 625-2304

Inspection Date: July 22, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 8VAC20-800 Household Members 8VAC20-800 Physical Health of Caregivers and Household members 8VAC20-800 Caregiver Training 8VAC20-800 Physical Equipment and Environment 8VAC20-800 Care of Children 8VAC20-800 Preventing the Spread of Disease 8VAC20-800 Medication Administration 8VAC20-800 Emergencies 8VAC20-800 Nutrition 8VAC20-820 THE LICENSE 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced monitoring inspection was conducted on July 22, 2022 from approximately 11:03 am to 1:00 pm. There were 6 children in attendance for a total of 19 points, with one staff. The provider record and 7 children?s records were reviewed. All areas of the home were observed and areas where the children are cared for were inspected. Interviews were held with the provider throughout the inspection. The inspector interacted with children in care when appropriate. The designated areas for childcare were deemed appropriate and are equipped with age appropriate toys to meet the needs of the children. Children were observed watching television, drinking bottles, getting diapers changed, and eating lunch while the licensing inspector was on site. The license was posted. Evacuation drills were conducted monthly. The most recent evacuation drill was on 07/18/22. Shelter in place drills were conducted two times with the most recent on 04/15/22. The menu was posted. Per the provider, medication is not administered. The center?s first aid kit was inspected and found complete. The home had a working flashlight and battery operated radio. There were violations cited as a result of this inspection. If you have any questions about this inspection, please contact the licensing inspector, Molly Muscat, at (804)588-2367. Molly Muscat, Licensing Inspector Office of Child Care Health and Safety Division of Early Childhood Care and Education Phone# 804-588-2367 molly.muscat@doe.virginia.gov

Violations:

Standard #:	8VAC20-800-900-B
Description:	Based on observation, the provider did not ensure children are not allowed to eat or drink while walking, running, or playing. Evidence: The provider handed a toddler who was standing and walking around in a crib a bottle to drink.
Plan of Correction:	Per the provider this has been "corrected."
Standard #:	8VAC20-800-40-A
Description:	Based on observation, the provider did not ensure that the total number of children receiving care at any one time did not exceed the maximum licensed capacity of the home. Evidence: 1) Upon the arrival of the inspector on July 22, 2022, at approximately 11:03 am there were six children in care, exceeding the licensed capacity of five children. 2) The attendance log for the week stated that every day during the current week an additional child was also cared for, for a total of 7 children in care.
Plan of Correction:	Per the provider "there will be only five children."
Standard #:	8VAC20-800-50-A
Description:	Based on a review of records, and interview, the provider did not keep a written record of children in attendance each day. Evidence: There were six children in attendance but only four children were signed in. When asked, the provider stated that she hadn?t made an attendance sheet for the two children enrolled 7/18/22, because they just started this week.
Plan of Correction:	Per the provider "both children have sign in sheets."
Standard #:	8VAC20-800-210-A
Description:	Based on observation and interview, the provider did not ensure to obtain a minimum of 16 hours of annual training in addition to CPR First Aid. Evidence: The provider?s training hours totaled 8 hours for the year. When asked, the provider stated that she didn?t realize that she needed 16 hours per year.
Plan of Correction:	Per the provider " I knew I needed 16 hours but the way they had been counted I had enough."
Standard #:	8VAC20-800-520-A
Description:	Based on observation, and interview, the provider did not ensure a crib was provided for all children from birth through 12 months. Evidence: Two infants (age 7 months) were in bouncy seats. Two cribs contained toddlers. When asked where the infants sleep the provider stated that she is waiting for the other cribs to come in, and that right now they sleep in their bouncy seats.
Plan of Correction:	Per the provider "I ordered a crib on 07/10/22 that didn't come so I purchased another one. They don't sleep in the bouncy seats. They have cribs and toddler beds."
Standard #:	8VAC20-800-520-B
Description:	Based on observation and interview, the provider did not ensure that a crib was not used as a play space. Evidence: Upon the arrival of the inspector at 11:03 am there were two toddler children (age 13 months and age 14 months) in separate cribs awake and standing up. There were toys in the cribs with each child. The provider did not remove one child until approximately 12:00 pm to feed a bottle, then placed him back in the crib after only a few minutes. The other child was not removed until approximately 12:30 pm to be fed lunch. When asked the provider stated that one child was in the crib because of ?a runny nose? and because ?she didn?t want the child to make the other children sick.? She stated the other child was in the crib because of a peanut allergy and because she could smell peanut butter on another child and she was scared to let the children get close to each other.
Plan of Correction:	Per the provider "the interview lasted over 2 hours. The space is small so everyone can't be on the floor at the same time. I had to put to save his life. He is allergic to peanuts. I had just put him in to clean the area and the child with peanuts. All the children came in around the same time. So, yes they were in there for the safety of the other children. I couldn't watch them and do everything for the inspection. Once the 2 hour interview was over I could properly attend to the children."
Standard #:	8VAC20-800-570-A
Description:	Based on observation, and interview, the provider did not ensure that she did not exceed 16 points to determine if a second caregiver was needed. Evidence: There were 6 children in attendance for a total of 19 points.
Plan of Correction:	Per the provider "there was a second caregiver in training."
Standard #:	8VAC20-800-600-B
Description:	Based on observation, 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 equipment. Evidence: Upon the arrival of the inspector at 11:03 am there were 2 infants (age 7 months) in bouncy seats. The provider did not remove one of the infants from the bouncy seat until approximately 12:30 pm.
Plan of Correction:	Per the provider "normally they are put on the floor two at a time because of the small space. I monitor them so that they don't get hurt. Couldn't do that on 07/22/22 because I was busy with the interview."
Standard #:	8VAC20-800-680-A
Description:	Based on observation, and interview, the provider did not ensure to wash her hands with liquid soap and warm running water after diapering a child. Evidence: The provider changed a diaper and then immediately changed another child. She did not leave the room to wash her hands. When asked, the provider stated that she put on hand sanitizer.
Plan of Correction:	Per the provider "I changed 4 pampers I washed my hands 4 times."
Standard #:	8VAC20-800-680-B
Description:	Based on observation, the provider did not ensure that children?s hands were washed with liquid soap and running water, before eating, or after diapering. Evidence: 1) 4 out of 4 diaper changes observed the children?s hands were not washed afterwards. When asked, the provider stated that she usually just wipes their hands with a baby wipe. 2) The children sat down to eat lunch without first washing their hands.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the provider did not ensure that the diapering surface was cleaned and sanitized after each use. Evidence: The provider was observed only wiping the diapering surface with ?Clorox? wipes after each diaper change. This was observed in 4 out of 4 diaper changes. When asked, the provider stated that her other Inspector gave her special permission to only use sanitizing wipes.
Plan of Correction:	Per the provider "I used Clorox wipes and spray for the diapering surface after each diaper change."