VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Letitia Paige
2216 Parker Avenue
Portsmouth, VA 23704
(757) 397-1100

Current Inspector: Kimberly Sampson (757) 354-7307

Inspection Date: March 24, 2023

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 Emergencies 8VAC20-800 Nutrition 8VAC20-800 Nighttime Care 8VAC20-820 THE LICENSE 8VAC20-820 THE LICENSING PROCESS 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child abuse and neglect

Comments:

An unannounced monitoring inspection was conducted from 11:00 am to 12:20 pm. At the time of entrance, 9 children were in care with the provider and assistant provider. The record sample size consisted of 5 children's records and the provider's record and the assistant's record. The children in care were observed engaging with the provider, participating in educational activities and free play, eating lunch, and handwashing. There have been no injuries since the last inspection and no medications are being administered at this time. Areas of noncompliance are noted in the violation narrative and were discussed with the provider during the exit meeting at the conclusion of the inspection.

Violations:

Standard #:	22.1-289.058
Description:	Based on observation and interview it was determined the provider did not ensure the home had at least one carbon monoxide detector. Evidence: 1. There was no carbon monoxide detector in the home. 2. Provider confirmed that there was no carbon monoxide detector present during this inspection.
Plan of Correction:	Provider will install a carbon monoxide detector.
Standard #:	8VAC20-800-830-C
Description:	Based on record review and interview it was determined the provider did not ensure that documentation of emergency evacuation and shelter-in-place drills was maintained. Evidence: 1. The last shelter in place drill recorded was July 2021. 2. Provider and assistant reported that the drill had been completed but not recorded.
Plan of Correction:	Provider will document all emergency drills.
Standard #:	8VAC20-800-140-B-3
Description:	Based on record review and interview it was determined the provider did not ensure that the assistant provider had current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: 1. The record for assistant provider did not contain documentation of current certification in cardiopulmonary resuscitation (CPR). The documentation available expired 10.23.21 2. The assistant provider confirmed that their certification had expired.
Plan of Correction:	Assistant will get current CPR certification.
Standard #:	8VAC20-800-140-B-4
Description:	Based on record review and interview it was determined the provider did not ensure that the assistant provider had current certification in first aid, as appropriate to the age of the children in care. Evidence: 1. The record for assistant provider did not contain documentation of current certification in first aid. The documentation available expired 10.23.21 2. The assistant provider confirmed that their certification had expired.
Plan of Correction:	Assistant will get current first aid certification.
Standard #:	8VAC20-800-240-A
Description:	Based on observation it was determined the provider did not ensure that all areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: 1. There are small of broken, exposed plaster and peeling paint in the main childcare room. 2. One of the components of the play kitchen rocked when pulled on, presenting a potential tip hazard.
Plan of Correction:	Provider will repair broken plaster, peeling paint, and anchor play kitchen component.
Standard #:	8VAC20-800-430-A
Description:	Based on observation and interview it was determined 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. There was no barrier preventing access to the stairs to the second floor. 2. Provider confirmed that they had not installed the gate to prevent access to the stairs.
Plan of Correction:	Provider will install gate at base of stairs.