Inspection · 2024-06-03
(757) 439-6816
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
8VAC20-800 Nighttime Care
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor's records
22.1 Early Childhood Care and Education
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
Inspector Notes
An unannounced Renewal inspection was conducted on 6/3/2024 from 10:45am-12:45pm. At the time of entrance, 8 children, ages 5 months to 5 years old, were in care with 2 caregivers present. The sample size consisted of 5 children?s records and 2 caregiver records. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. Children were observed engaged in free play with a variety of toys and construction materials, socializing, toddling and crawling, sleeping in a crib, being held and cuddled, eating lunch which consisted of ham, mashed potatoes, grapes, wheat bread and milk. Children were observed settling onto their cots for rest time after lunch. Medication is not currently being administered to children in care and children are not routinely transported in a vehicle while in care. 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. Repeat violations were found and are identified within this report.
Violations
2Evidence:
Five children's records were reviewed.
The record for child #3, whose enrollment date was documented as 5/8/2024, and child #4, whose enrollment date was documented as 6/13/2022, each contained a physical form and immunization record which had been printed, but was not signed or stamped by a licensed physician, the physician's designee, or an official of a local health department.
The licensee will review children's paperwork as it is submitted to ensure that physicals and immunizations are signed or stamped as required.
Based on temperatures taken during the inspection, the provider did not maintain hot water taps available to children within a range of 105?F to 120?F..
Evidence:
The hot water at the handwashing sink in the restroom utilized by children in care measured 124.8 degrees Fahrenheit when measured with a digital thermometer after allowing the water to run for about 2 minutes.