VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Pamela Brown
5909 Dunkirk Street
Portsmouth, VA 23703
(757) 292-6639

Current Inspector: Trisha Brown (757) 404-2601

Inspection Date: April 9, 2024

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 8VAC20-800 Transportation 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

Technical Assistance:

Technical assistance was provided in the following areas: recommendations for water temperature and first aid kit.

Comments:

A renewal inspection was conducted on April 9, 2024, from 2:15pm- 4:00pm. There were seven children present and one provider. The children ranged in age from two to four years old and counted for a total of 14 points. The inspector reviewed three children?s records, a pet?s record, one provider record, and a household member. Children were observed during play activities, music and movement, snack, handwashing and diapering. Required postings, emergency items, and emergency evacuation drills were also reviewed. The provider reports that children are transported and that there is not any medication being administered. The information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice and discussed during the exit meeting.

Violations:

Standard #:	8VAC20-800-870-G
Description:	Based on observation the provider failed to ensure that tables and high chair trays are cleaned after each use. Evidence: The tables and high chair trays were not cleaned after p.m. snack. Immediately following the snack, children engaged in play activities on the tables. The tables and trays were never cleaned during the inspection.
Plan of Correction:	Ensure cleaning table and trays IMMEDIATELY after each Feeding 4/10/24
Standard #:	8VAC20-800-880
Description:	Based on observation the provider failed to ensure that children were allowed second helpings of food listed in the child care food program patterns. Evidence: 1. Children were offered one additional cling peach section when they finished their first helping and requested a second helping. A single cling peach section does not equal a helping in the child care food program patterns.
Plan of Correction:	Ensure if serving second helping of snack it's equal amount of the first serving.4/10/2024
Standard #:	8VAC20-800-920
Description:	Based on observation and interview the provider did not ensure that when snacks are provided the menu list any substituted food. Evidence: 1. The children were served pretzels and peaches for pm snack. However, the posted menu listed American cheese and wheat crackers for the pm snack. 2. The provider confirmed that the pm snack given was not listed as a substitution on the menu provided to parents.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-960-C
Description:	Based on observation the provider failed to ensure that high chairs are used for children under 12 months and the safety straps are fastened when in use. Evidence: 1. Three two-year-old children were sitting in high chairs without the safety straps fastened. a. The label on the back of the three high chairs used for children in care today clearly states ?stay near and watch child during use.?
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-980-A
Description:	Based on record review the provider failed to obtain general written permission to take children off the premises of the family day home. Evidence: 1. The records for Child #2 and Child #3 did not contain written general permission to take children off the premises of the family day home. 2. The provider stated that she does transport children regularly.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-B
Description:	Based on record review the provider did not ensure children?s records contained all the required information. Evidence: 1. The record for Child #1 did not contain one of two required emergency contacts information. 2. The record for Child #2 did not contain one parent work number, medical insurance number, one of two required emergency contacts or documentation of annual update. 3. The record for Child #3 did not contain the telephone number and address of the child?s physician or persons authorized to pick-up.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-70-A
Description:	Based on record review, the provider did not ensure that parents are provided all required written information before the child?s first day of attendance. Evidence: 1. The record for Child #1 did not contain any documentation that any of the required written parent information was provided to the parent. 2. The record for Child #3 did not contain documentation of policies for medication administration.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-90-A
Description:	Based on record review the provider did not obtain required immunization documentation prior to the child?s first day of attendance. Evidence: 1.Child #3 (enrollment date 4/4/24) did not have immunization documentation in their record. a.The child was in care during the inspection.
Plan of Correction:	A Ensure all documents are sign/Availability prior to first day attending daycare, child(ren) will not be allow to attend- also intensive screen will be in place prior to first day. This child was terminate by me at the end of the business day due to child needing one on one care 4/09/24
Standard #:	8VAC20-800-240-A
Description:	Based on observation and interview the provider did not ensure that areas of the family day home are maintained in a safe condition. Evidence: 1. A vertical plank on the wooden fence was broken, leaving an area of splitting, jagged edge accessible to children in care. 2. The provider confirmed that the vertical plank had an area of broken wood that was accessible to children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-390-A
Description:	Based on observation and interview the provider failed to ensure that each child has access to an individual location to keep belongings. Evidence: There was a pile of coats and items stacked near the front door of the home. As children left the provider retrieved children?s personal items from the pile.
Plan of Correction:	Children items are place in their own individual cubbyhole 4/10/2024
Standard #:	8VAC20-800-560-A
Description:	Based on observation the provider failed to ensure that a caregiver is physically present, provide direct care, supervise, and be near, aware, and responsible for each child in care. Evidence: 1. Upon arrival the provider was outside the home getting car seats from the vehicle while seven children were inside the home alone. a. The provider was the only caregiver present during the entire inspection. 2. Child #1 began to climb out the high chair. The high chair tripped and fell over with the child hanging from the side of the chair. a. The provider was not present in the child care room when this occurred.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-680-B
Description:	Based on observation the provider failed to ensure that children wash their hands when their hands are dirty. Evidence: Children did not wash their hands after eating finger food for snack and were observed using their fingers to self-feed cling peaches during snack.
Plan of Correction:	B Ensure to was each child Hands IMMEDIATELY after for at least 20 sec even if use if utensil 4/10/24
Standard #:	8VAC20-800-690-D
Description:	Based on observation the provider failed to ensure that the diapering surface is a nonabsorbent surface. Evidence: The provider used absorbent quilted under pads to change each child?s diaper on the floor of the bathroom.
Plan of Correction:	Not available online. Contact Inspector for more information.