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Jo Anne Turner
31211 Cherokee Drive
Franklin, VA 23851
(757) 653-1522

VDSS Contact: Anita Drewry (757) 404-5261

Inspection Date: April 2, 2024

Complaint Related: No

Areas Reviewed:
8VAC20-850 PROVIDER REGISTRATION AND GENERAL PROCEDURES
8VAC20-850 HEALTH AND SAFETY CHECKLIST
20 Access to minor?s records
22.1 Background Checks Code; storage of firearms
63.2 Child abuse and neglect
8VAC20-770 Background Checks

Technical Assistance:
Today we discussed the outdoor play equipment located in the fenced area of the yard. Children were not observed using this equipment today. As a reminder, stationary equipment with riding components or moving parts (swings, slides, seesaws etc.) or designed for climbing(steps. ladders, monkey bars etc.) must not be located over a hard surface. Compacted dirt or sand can be a safety hazard for children if they fall or jump from the equipment. Sand may be tilled, grass may be grown to soften the surface, resilient surfacing material such as mulch or loose fill sand may be installed to soften the surface. It is also not a requirement that Play equipment be present. Activities using balls, hoops, riding toys, water tables, bubbles, sidewalk chalk, prop, buckets and shovels, toys are all alternatives that may allow children to enjoy outdoor time safely.

If the kitchen is gated (latched) then the area is considered to be inaccessible to the children and individual cabinets will not require safety latches. However, the gate would need to be secured when children are in care for this to apply.

Comments:
An unannounced Renewal Inspection was conducted on 4/2/2024 from12:45 pm - 2:05 pm. At the time of entrance, 4 children were in care with the provider. The sample size consisted of 4 Children?s records and 2 Provider / Household Member records. Children were observed having applesauce and cereal bars for afternoon snack, participating in a group learning activity, and engaged in free play. Restroom procedures, handwashing and food service were observed. Medication is not administered to children in care and children are not 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:
Standard #: 22.1-289.036-A
Description: **** REPEAT VIOLATION ****
Based on a review of records and interview, the provider did not ensure that any individual who is or will be alone with, in control of, or supervising one or more of the children; and any adult living in such child day center or family day home shall undergo updated background checks every five years following their initial background checks.
Evidence: Two Provider / household Member Records were reviewed. The record for provider #1 and household member #2 contained the most recent documented results of a Search of the Central Registry that were dated 4/5/2018. The provider stated that she did not have more recent results of the Search of the Central Registry.

Plan of Correction: The requests for updated search of the Central Registry for Provider #1 and Household Member #2 were submitted on 4/3/2024.
Upon receipt of the results, the provider will forward a copy to the inspector and place a copy in the records for future review. Background checks will be updated every 5 years, well in advance of the date of the most recent results.

Standard #: 8VAC20-850-110-C
Description: **** REPEAT VIOLATIONS ****
Based on observation, record review and interview, the provider did not meet all criteria on the health and safety checklist at the time of monitoring visit.

**** The provider did not have a copy of the physical examination results obtained on each child before or within 30 days after enrollment. The record for child #1 (enrolled 1/17/2022), child #2 (enrolled 9/12/2022), and child #4 (enrolled 8/7/2023) did not contain documentation of results of a physical examination.

**** The provider was unable to provide additional documentation to meet this requirement.
The provider did not have proof of adequate immunization received on the date of admission (or prior to admission) for each child. The record for child #1 (enrolled 1/17/2022) and child #4 (enrolled 8/7/2023) did not contain documentation of immunizations. The provider was unable to provide additional documentation to meet this requirement.

**** The provider did not ensure that any adult (18 years of age or older), including any adult household member, who comes in contact with children or will provide care to children has a current tuberculosis (TB) test or screening. The record for provider #1 did not contain the results of a TB screening. The provider was unable to provide documentation to meet this requirement.

**** The provider was unable to demonstrate compliance with ? 63.2-1809.1 of the Code of Virginia by providing written notification of the fact that the family day home business is covered by liability insurance, along with amount, or that the family day home is not covered by liability insurance to the parents or guardians of all enrolled children. Four children's records were reviewed. The record for child #4, enrolled since 8/7/2023, did not contain documentation demonstrating that the parents were provided this disclosure. The provider was unable to provide additional documentation to meet this requirement.

The provider was unable to demonstrate that emergency evacuation drills are practiced monthly with the children in care. The evacuation log had drills documented for January, August, September, October and November in 2023 and no drills were documented for the current year (2024). The provider was unable to provide additional documentation to demonstrate compliance with this requirement.

Plan of Correction: The provider will request that parents submit all missing documentation from the children?s records by the end of the month, to include a copy of the physical examination results, documentation of immunizations and signed written notification of the fact that the family day home business is covered by liability insurance, along with amount, or that the family day home is not covered by liability insurance to the parents or guardians of all enrolled children.
Provider #1?s results of a TB screening were obtained 4/12/2024.
The provider will conduct an emergency evacuation drill by the end of this month and ensure that they are conducted each month following. The drills will be documented on a log at the time of completion to ensure there is evidence for review.

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.


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