VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Children's Harbor - Ghent
1900 Llewellyn Avenue
Norfolk, VA 23517
(757) 622-0900

Current Inspector: Nanette Roberts (757) 404-2322

Inspection Date: March 22, 2022

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. 8VAC20-790 SUBSIDY REGULATIONS. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 SANCTIONS. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks (22VAC40-191) 20 Access to minor?s records 22.1 Early Childhood Care and Education 32.1 Report by person other than physician 63.2 Child Abuse & Neglect

Technical Assistance:

The following was discussed with the program director: -When opening new containers of dry infant formula, it is recommended the container is labeled with the open date to ensure its freshness according to the manufacturer's instructions. -Required emergency postings were discussed

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and an in-person component. A monitoring inspection was conducted on 03/22/2022. The director was initially contacted by telephone to initiate the inspection. The inspector emailed the director/provider a list of items required to complete the inspection. The Inspector reviewed 5 children?s records and 4 staff records, along with any requested program records submitted by the facility to determine if required documentation was complete. An in-person tour of the facility was also conducted. Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	8VAC20-780-270-A
Description:	Based on observation the center did not ensure all areas and equipment of the center were maintained in a safe condition. Evidence: 1. In the infant room, there were two unsecured wooden cubby shelves in the play space where babies were observed crawling and pulling up on a play bar, posing a tipping hazard. In the pre-k room there was an unsecured wooden dress-up station in the middle of the room, posing a tipping hazard. 2. The baseboard in the hall before entering the infant room was separated from the wall. 3. In the waddler room there was peeling paint in the windowsill, in reach of children. 4. The bathroom outside the waddler room had cracks in the flooring.
Plan of Correction:	The following corrective action was provided by the director during the exit interview: Maintenance tickets will be placed for each item listed. the director will follow-up to ensure the tickets are received and repairs are done in a timely manner.
Standard #:	8VAC20-780-280-G
Description:	Based on observation the center did not ensure substitute containers indicated its contents. Evidence: In the pre-k room there was a spray bottle in the windowsill that contained a liquid inside. The bottle was not labeled in any way that indicated its contents.
Plan of Correction:	The following corrective action was provided by the director during the exit interview: The director will remind all staff that all containers that contain a substance must be labeled in a way that indicates its contents.
Standard #:	8VAC20-780-330-B
Description:	Based on observation the center did not ensure where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99. Evidence: The poured-in-place resilient surfacing, underneath the play structure outside of the waddler room, had cracks and holes in it.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-370-5
Description:	Based on observation and interview, the center did not ensure infants, who cannot turn themselves over and are awake, were placed on their stomachs a total of 30 minutes each day Evidence: Infant staff reported they provide tummy time to infants for as much as they feel they can tolerate.
Plan of Correction:	The following corrective action was provided by the director during the exit interview: The director will retrain infant staff on tummy time and related infant care procedures.
Standard #:	8VAC20-780-370-5
Description:	Based on observation and interview, the center did not ensure infants, who cannot turn themselves over and are awake, were placed on their stomachs a total of 30 minutes each day Evidence: Infant staff reported they provide tummy time to infants for as much as they feel they can tolerate.
Plan of Correction:	The following corrective action was provided by the director during the exit interview: Maintenance will be notified to have these areas repaired.
Standard #:	8VAC20-780-570-C
Description:	Based on a record review and interview the center did not ensure there was a record of each child on formula and the required components. Evidence: Infant staff reported they do not have a written record of children on formula, instead they verbally communicate with each other.
Plan of Correction:	The following corrective action was provided by the director during the exit interview: The director will retrain infant staff on what is required for each infant on formula.