VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Grandma's Daycare
1184-1186 Big Bethel Road
Hampton, VA 23666
(757) 251-7255

Current Inspector: Tiffany Jones (757) 403-3045

Inspection Date: Nov. 29, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Physical Plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies 8VAC20-780 Special Services. 8VAC20-820 The License. 8VAC20-820 The Licensing Process. 8VAC20-820 Hearing Procedures. 8VAC20-770 Background Checks 20 Access to minors records 22.1 Early Childhood Care and Education 63.2 Child Abuse & Neglect

Technical Assistance:

Discussed in detail attendance records related to 8VAC20-780-80 and the requirement for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs Additionally, clarified the requirements for 8VAC20-780-380. daily activities for toddlers and preschoolers as it relates to outside time, feeding and rest period.

Comments:

An unannounced monitoring inspection was started in the center on November 29, 2023 from 2:30 PM until 4:35 PM and concluded on November 29, 2023. At the time of entrance, 12 children were in care with 4 staff members. The sample size consisted of 5 children?s records and 5 staff records. Children were observed during rest period, dancing with a video, playing freely and infants were observed eating. 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. Please contact the Licensing Inspector, Christine Mahan (757) 404-0568 with any questions.

Violations:

Standard #:	8VAC20-780-60-A
Description:	Repeat Violation Based on record review and staff interviews, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which contained all required information. Evidence: Center Director verified the following items were missing from the children?s records. 1.Records for Child #1, #2, #3, #4, and #5 did not include the previous childcare / school attended. 2. The records for Child #1 did not include home address, employment location or employment phone number for one parent and no employment phone number for the 2nd parent. 3. The record for Child #2 did not include home address, home phone number, employment location or employment phone number for one parent and the address for the second emergency contact listed. 4. The record for Child #3 did not include the employment phone numbers for both parents and the addresses for both emergency contacts listed
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	Based on record review and staff interviews, the licensee did not ensure each staff record contained all required documentation. Evidence: Center Director verified the following items were missing from the staff records; 1.Staff #1, #4 and #5 did not have documentation of any health-related problems that my interfere with the job. 2. Staff #2 did not have documentation of two references conducted prior to hire. 3. Staff #4 date of hire was not documented
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-B
Description:	Based on observation and staff interviews, the licensee did not ensure hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: In the infant room in an unlocked cabinet there were containers of disinfectant spay and wipes. These hazardous chemicals were observed, and they were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-B
Description:	Based on observation and staff interviews, the licensee did not ensure the required procedures were followed for diapering. Evidence: The diaper pad/ surface was not cleaned with soap and at least room temperature water and sanitized after each use. Staff #3 was observed conducting diaper changes fand only wiped down the diaper pad with a sanitizing wipe. Soap and water were not used to clean the surface and it was not sanitized as required. Sanitized is defined as sprayed with a disinfectant /sanitizing solution and allowed to air dry or wiped down after two minutes.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-G
Description:	Based on observations and staff interviews, the licensee did not ensure medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: Center Director confirmed medication (Epi-Pen) belonged to Child #1 and it was not labeled with the child's name, the dosage amount, and the time or times to be given.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-L
Description:	Based on observation and staff interviews, the licensee did not ensure, medication, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: In the toddler room there were 1 medication (Epi-Pen) observed stored in an unlocked first aid box attached to the wall.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-560-J
Description:	Based on observation and provider interviews, the licensee did not ensure that tables and highchair trays shall be sanitized before and after each use for feeding. Evidence: Child #3 and Child #2 were observed eating snack in their highchairs and center staff were observed only wiping down the high tray with a sanitizing wipe. The highchairs were not sanitized as required. Sanitized is defined as sprayed with a disinfectant /sanitizing solution and allowed to air dry or wiped down after two minutes.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-570-E
Description:	Based on observation and provider interviews, the licensee did not ensure that prepared infant formula shall be refrigerated, dated and labeled with the child's name. Evidence: Child #3? was observed drinking a bottle and it was not labeled or dated.
Plan of Correction:	Not available online. Contact Inspector for more information.