VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Nicole Watson-Lawrence
2248 Humphreys Drive
Suffolk, VA 23435
(757) 794-4185

Current Inspector: Melinda Popkin (757) 802-5281

Inspection Date: June 18, 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 8VAC20-800 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

Technical Assistance:

**** The licensee must send evidence to the licensing inspector that the background checks have been requested no later than 10 days of this notification dated 6/30/2023. The applicant must also then forward the results to the licensing inspector upon receipt. **** Effective January 1, 2025, the VDOE will begin determining compliance with ? 22.1-289.057 of the Code of Virginia, which is legislation passed by the General Assembly in 2020. The law requires all licensed child day programs, religious exempt child day centers that serve preschool age children, and certified preschools to test potable drinking water. The law requires that programs submit their plans and test results to the Virginia Department of Health Office of Drinking Water (VDH ODW) and the Superintendent. If the results of the testing indicate elevated lead levels, the program shall remediate, retest, and resubmit results to VDH ODW and the Superintendent. There is an additional alternative bottled water option that comes with additional requirements. The statutory requirement can be found online at https://law.lis.virginia.gov/vacode/title22.1/chapter14.1/section22.1-289.057/. Resources are now available for providers on the "What's New" webpage on the ChildCareVA website at https://www.childcare.virginia.gov/providers/what-s-new. Annual Safety Update Training is due September 2024 and the link to complete it was emailed to the provider at her request.

Comments:

An unannounced monitoring inspection was conducted on 6/18/2024 from 3:45pm- 5:05pm. At the time of entrance, 4 children, ages 1 month to 2 years old, for a total of 13 points, were in care with the licensee. The sample size consisted of 5 children?s records and 3 Provider / Household Member 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 eating an afternoon snack, playing with toys, toddling, crawling and sitting in an infant bouncy seat.y time. Medication is not 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

Violations:

Standard #:	22.1-289.036-A
Description:	Based upon a review of documentation and interview, the licensee did not ensure that each caregiver and household member (14 years of age or older) who is or will be involved in the day-to-day operations of the family day home, or living in such family day home shall undergo a background check in prior to issuance of a license as family day home, and every five years thereafter. Evidence: Three provider / household member records were reviewed. The record for household member #2 , who is an adult living in the home, did not contain the result s of a Search of the Central Registry.
Plan of Correction:	The licensee inadvertently obtained the "portability" check in error instead of the Search of the Central Registry background check for household member # 2. The documentation of the portability results were in the record. Several attempts to correct the error were made at the time. The licensee will contact the Office of Background Investigations (OBI) again, to try to resolve the issue. The necessary steps will be taken to ensure that a central registry search is conducted and results documented in household member #2's record.
Standard #:	8VAC20-800-800-B
Description:	Based on a review of documentation and interview, the licensee did not review the emergency plan at least annually, update the plan, as needed and document each review and update to the emergency plan. Evidence: The written emergency plan did not contain documentation that it had been reviewed annually or updated as needed. The provider acknowledged that she had not updated / reviewed and documented the review of the emergency plan and stated that she was unaware of this requirement.
Plan of Correction:	The emergency plan will be reviewed, updated as needed and documented as such by the end of the week.
Standard #:	8VAC20-800-320-B
Description:	Based on observation, the licensee did not always ensure that child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: At the time of inspection, there was a plugged in surge protector strip located on the kitchen floor, next to the low table where children sit to eat snacks and meals. Four of the outlets on the surge protector were not in use and were not covered by a protective cover. The licensee confirmed that the uncapped outlets were accessible to children when they are in the gated kitchen eating snacks and meals.
Plan of Correction:	The licensee relocated the power strip back behind the piece of furniture where it is normally kept, inaccessible to the children in care.