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Marietta Parham
5937 Sentry Hill Court
North dinwiddie, VA 23803
(804) 862-9110

Current Inspector: Lauren Bickford (540) 280-0742

Inspection Date: Aug. 2, 2022

Complaint Related: No

Areas Reviewed:
8VAC20-800 Administration
8VAC20-800 Personnel
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 Emergencies
8VAC20-800 Nutrition
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks
20 Access to minors records
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

Comments:
An unannounced monitoring inspection was initiated and concluded on 08/02/2022. The inspector was on site from 9:14 am-11:20 am. There were 9 children in care ranging in age from 1-12 years with 2 caregivers. The inspector reviewed compliance in the areas of administration, personnel, household members, physical environment and equipment, care of children, emergencies, caregiver training, preventing the spread of disease and nutrition. A total of 5 child records and 2 caregiver records were reviewed.

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

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. Just writing the word corrected is not
acceptable. 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.

Violations:
Standard #: 8VAC20-800-800-B
Description: Based on record review and interview, the provider did not ensure to document in writing each annual review and update of the emergency preparedness and response plan.

Evidence:
1. The last documented update was 4/13/2021.
2. The provider acknowledged that the 2022 annual review had not been documented in writing.

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

Standard #: 8VAC20-800-90-A
Description: Based on a review of 5 children's records and interview, the provider did not ensure that 3 records contained documentation that the child had been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of
Health regulations prior to the first date of enrollment as required.

Evidence:
1. The record of child #1 (DOE:7/25/2022) contained an immunization record dated 7/26/2022. The record of child #2 (DOE:4/25/2022) contained an immunization record dated 4/28/2022. The record of child #3 (DOE: 4/26/2022) contained an immunization record dated 4/28/2022.
2. The provider acknowledged that the immunization records were obtained after the first date of enrollment.

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

Standard #: 8VAC20-800-90-C
Description: Based on a review of 5 children's records and interview, the provider did not ensure that 2 children had documentation of the required additional immunizations. Additional immunizations are required once every six months for children under the age of two years.

Evidence:
1. The record of child #4 (DOE: 8/5/2019) and child #5 (DOE: 8/5/2019) did not contain updated immunizations every 6 months while the children were under the age of 2.
2. The provider acknowledged that the updates were not received.

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

Standard #: 8VAC20-800-280
Description: Based on observation and interview, the provider did not ensure that potentially poisonous substances were stored in areas inaccessible to children.

Evidence:
1. A can of insecticide was observed in an unlocked lower cabinet in the kitchen. The kitchen is a room utilized by the children in care.
2. The provider acknowledged that the insecticide was not in an inaccessible place.

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

Standard #: 8VAC20-800-570-A
Description: Based on observation and interview, the provider did not ensure that a caregiver did not exceed 16 points by using the point system.

Evidence:
1. On 8/2/2022, 1 caregiver was observed with 9 children ranging in age from 1-12 years. The point system determined the caregiver had 18 points. The second caregiver returned after approximately 15 minutes.
2. The provider stated that caregiver #2 had stepped out to go to the store.

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.

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