VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Babette Mayfield
467 Wyatt's Mill Road
Jarratt, VA 23867
(434) 535-8159

Current Inspector: Sydney Emory (804) 807-3277

Inspection Date: June 4, 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 8VAC20-820 THE LICENSE 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication.

Technical Assistance:

Reviewed the following with the provider: *Safe Sleep *Requirements for outdoor play equipment *Requirements for lockdown and shelter-in-place practice drills *Use of contract caregivers for special needs children *VDOE website and on-line portal for submitting renewal application - https://www.childcare.virginia.gov/home-childcare 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.

Comments:

An unannounced renewal inspection was initiated on 06/04/2024 at 12:32 pm and completed on 06/04/2024 at 2:30 pm. At the time of entrance there were ten children in care with two caregivers. The ages of the children in care counted for a total of 26 points. Children were observed during afternoon play time in the child care room with the assistant. Outdoor play was observed with the provider. One infant was observed napping and one diaper change was reviewed. A sample size of 2 caregiver and 6 children's 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 provider. These violations were reviewed with the provider at the conclusion of the inspection.

Violations:

Standard #:	8VAC20-800-730-D
Description:	Based on observation, the provider failed to ensure that Medication, except for those prescriptions designated otherwise by a written physician's order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A tube of prescription topical corticosteroid ointment was observed placed on the counter of a storage cabinet near the children's bathroom that is open to the nap room.
Plan of Correction:	The medication was locked up during the inspection.
Standard #:	8VAC20-800-780-B
Description:	Based on record review and interview, the provider failed to annually, review with the parent the emergency contact information required in 8VAC20-800-60-B 2 to ensure the information is correct, and obtain the parent's signed acknowledgment of the review. Evidence: 1. There was no written documentation to demonstrate that the provider had reviewed and updated the emergency contact and enrollment information for child 1 and child 2 who were in care during the inspection. a. Both children have been enrolled for over a year. 2. The provider confirmed that she had not requested an annual update and review for each parent.
Plan of Correction:	The provider stated that the records will be reviewed with each parent and the annual review will be noted in each child's record.
Standard #:	8VAC20-800-920
Description:	Repeat Violation Evidence: Based on review and interview, the provider failed to ensure that when meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated. Evidence: 1. The posted menu was dated March 2024. 2. The provider confirmed that the posted menu did not indicate the current date and month.
Plan of Correction:	The menu will be updated to include the current date.
Standard #:	8VAC20-800-100-A
Description:	Repeat Violation / Systemic Deficiency Based on record review and interview, the provider failed to obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: 1. Documentation of a physical exam was not on file for child 1 who has an enrollment date of 02/20/2023, and was in care during the inspection. 2. Documentation of a physical exam was not on file for child 2 who has an enrollment date of 09/06/2022,and was in care during the inspection. 3. Documentation of a physical exam was not on file for child 3 who has an enrollment date of 02/03/2024, and was in care during the inspection. 4. Documentation of a physical exam was not on file for child 4 who has an enrollment date of 04/03/2024, and was in care during the inspection. 3. The provider verified that she did not have documentation of a physical exam on file for child 1, child 2, child 3 and child 4.
Plan of Correction:	The provider stated the each parent will be asked to provide documentation of a physical exam.
Standard #:	8VAC20-800-480-D
Description:	Based on observation, the provider failed to ensure that equipment used by children shall be used in accordance with the manufacturer's instructions. Evidence: 1. A two- year old child, child 5, was observed playing on an outdoor play structure with affixed manufacturer label stating, "This swing set is intended for children ages 3 - 10. 2. The provider stated this was a new piece of equipment and she was not aware of the age limitation placed by the manufacturer label.
Plan of Correction:	The provider stated that children under the age of 3 years will not be allowed to play on this piece of equipment and that preschool children will not be allowed to climb on areas exceeding 4 feet.
Standard #:	8VAC20-800-500-B
Description:	Based on observation, the provider failed to ensure that the highest climbing rung or platform on outdoor climbing equipment or top of a slide shall not exceed six feet for school age children and four feet for preschool children. Evidence: 1. The inspector observed child 5, age 2 years, climbing and playing on an outdoor play structure that has areas that exceed the four foot height requirement for preschool children. a. The top of the slide measures 4 feet 10 inches; b. The ladder and rock climbing wall measure 4 feet 5 inches; c. The top of the enclosed banana slide measures five feet. 2. Child 5 was observed climbing up the ladder and sliding down the slide when outdoor play was reviewed.
Plan of Correction:	The provider stated that preschool children will no longer be allowed to play on the areas of the play structure that exceed 4 feet.
Standard #:	8VAC20-800-530-F
Description:	Based on observation, the provider failed to ensure that no soft bedding of any kind shall be used under or around infants including, but not limited to, pillows, quilts, comforters, sheepskins, or stuffed toys. Evidence: 1. Child 7, age 6 months, was observed napping in a crib with a fiber filled blanket/sleeping bag. a. The blanket was placed so that the child's face was up against the blanket.
Plan of Correction:	The blanket was removed from the crib during the inspection. Soft bedding of any type will no longer be provided for infants when napping.
Standard #:	8VAC20-800-540-B
Description:	Based on observation and interview, the provider failed to ensure that Infant walkers shall not be used. Evidence: 1. Child 6, age 8 months, was observed in an infant walker at 1:00 pm. 2. Caregiver 2 stated she was not aware that infant walkers were not allowed for use in FDH's.
Plan of Correction:	Child 6 was removed from the infant walker during the inspection. Infant walkers will no longer be used.
Standard #:	8VAC20-800-680-B
Description:	Based on observation, the provider failed to ensure that caregivers shall ensure that children's hands are washed with liquid soap and warm running water after diapering. Evidence: 1. Caregiver 2 did not wash the hands of child 4 with soap and water after completion of a diaper change at approximately 12:50 pm. a. Child 4's hands were cleaned with a disposable wipe.
Plan of Correction:	The provider stated she would review correct hand washing and diapering procedures with caregiver 2.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the provider failed to ensure that the diapering surface shall be cleaned and sanitized after each use. Evidence: 1. Caregiver 2 failed to clean the diaper changing pad after changing the diaper of child 4 at approximately 12:50 pm. a. Cleaned means that the surface is washed with soap and water . 2. Caregiver 2 used a disinfectant wipe to sanitize the diaper changing pad after changing the diaper of child 4 at approximately 12:50 pm. a. Sanitized means the surface is sprayed with the sanitizing solution and then allowed to air dry.
Plan of Correction:	The provider stated she would review correct hand washing and diapering procedures with caregiver 2.