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Ms. Clara Robinson
8 Tidal Court
Portsmouth, VA 23703
(850) 341-1672

Current Inspector: Arlene Agustin (804) 629-7519

Inspection Date: Feb. 4, 2020

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Documentation of menu substitutions was discussed with the provider.

Comments:
An unannounced, mandated renewal inspection was conducted today. The inspector arrived at 12:35 PM and departed at 2:30 PM. Three children, totaling 6 points, were in care with the caregiver. It was reported that no medication has been administered to children in care. An injury record was reviewed. Two caregiver and four children's records were reviewed.

An exit meeting was conducted with the provider prior to closure of the inspection.

Violations:
Standard #: 22VAC40-111-800-B
Description: Based upon review of the emergency preparedness plan and provider interview, the provider has not ensured that the emergency preparedness plan is reviewed annually and the review is documented.
Evidence:
1. There is no date on the provided emergency preparedness plan and no documentation that it has been reviewed in the past year.
2. The provider verified that there is no documentation of an annual review of the emergency preparedness plan.

Plan of Correction: The provider responded with the following:
The emergency preparedness plan will be reviewed, any necessary changes made and dated.

Standard #: 22VAC40-111-840-B
Description: Based upon review of an injury record and provider interview, the provider has not ensured that the documentation of injuries includes either the parent and caregiver signature or two caregiver signatures.
Evidence:
1. An injury record provided for child 3, dated 02/03/2020, did not include any signatures.
2. The provider verified that the injury record was not yet signed.

Plan of Correction: The provider responded with the following:
In the future, written documentation of children's injuries will be signed by the provider and the parent and two caregivers the same day as the injury occurred.

Standard #: 22VAC40-111-60-B
Description: Based upon review of four children's records and provider interview, the provider has not ensured that each child's record includes the first date of attendance and documentation of the annual review of the child's emergency information.
Evidence:
1. The record provided for child 3 did not include documentation of the child's first date of attendance.
2. The record provided for child 2 did not include documentation of the parent's annual review of the child's emergency information.
3. The provider verified that the above documentation was not in the ecords pprovided.

Plan of Correction: The provider responded with the following:
All parents will be required to update and document the emergency information in the child's record annually. The provider will enter the child's first day of attendance in the child's record.

Standard #: 22VAC40-111-250-A
Description: Based upon observation, the provider has not ensured that children are protected from strangulation hazards.
Evidence:
Child 3, two years old, was placed on a bed upstairs. There was a floor lamp with a very long electrical cord that was on the floor of the room.

Plan of Correction: The provider responded with the following:
The child was sleeping upstairs where it is warmer. The child had a bump on the head yesterday and I wanted her to be able to sleep. Children will not be taken upstairs unless the entire area has been made safe.

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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