Inspection · 2023-11-06
(540) 270-0057
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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was conducted 11/6/2023 from 10:05am through 1:45pm. There were 62 children directly supervised by 13 staff and all classrooms were in ratio. The physical plant, outdoor playground area, programming, menus, 6 staff records, 6 children?s records, emergency drills, injury reports, emergency supplies, and policies were inspected. The center reported they had no medications on site. Children were observed completing crafts, playing with blocks, playing outside on the playground, reading books, playing in centers, and napping. Infant care including feeding and diapering was also observed. Positive interactions between children and staff were observed during this inspection. There was an adequate supply of age appropriate materials for the children. There was an adequate number of CPR/First Aid, Daily Health Observation, and MAT trained staff on site at the time of inspection. Areas of non-compliance are identified in the Violation Notice.
Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the Violation Notice, and then return a signed and dated copy to the licensing office by 5pm on 11/28/2023. Please email me at morgan.bryson@doe.virginia.gov with any questions.
Violations
14Evidence: The most recent inspection summary and violation notice was not posted at the center.
Evidence: Staff #6's (Date of Hire: 5/4/09) most recent fingerprints on file were completed 5/1/18 and the most recent Central Registry results were dated 8/2/17.
Based on record review, the center did not obtain a signed Sworn Disclosure Statement for all staff by the first day of employment.
Evidence: Staff #2 (Date of Hire: 10/3/23) had a Sworn Disclosure Statement on file dated 10/16/23.
Based on record review, the center did not obtain the results of a Virginia Child Abuse and Neglect Central Registry Search within 30 days of employment for all staff.
Evidence: Staff #5 (Date of Hire: 9/6/22) had Central Registry results on file dated 12/21/22.
SYSTEMIC DEFICIENCY
Based on record review, the center did not obtain documentation the each child has received the immunizations required by the State Board of Health before the child can attend the center.
Evidence: Child #1 (Start Date: 7/17/23) did not have immunizations on file.
SYSTEMIC DEFICIENCY
Based on record review, the center did not obtain a physical examination for each child within 30 days after the child's first day of attendance.
Evidence: Child #1 (Start Date: 7/17/23), Child #2 (Start Date: 8/21/23), Child #4 (Start Date: 7/27/23), Child #5 (Start Date: 7/14/21) and Child #6 (Start Date: 1/18/22) did not have documentation of a physical examination on file.
Evidence: Staff #6's most recent tuberculosis test was completed 5/2/21.
Evidence: On the Toddler and 2's playground, the white paint on the building's wood siding is chipped and peeling in large sections in several areas and is within reach of children playing on the playground.
Evidence: One of the bathrooms in the 3's and 4's classroom did not have toilet paper.
Based on observation, the center did not maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions that is dated and kept confidential in each room or area where children are present.
Evidence:
1. The allergy list was not posted in the Toddler classroom.
2. The posted allergy list in the 3's and 4's classroom, the 3's classroom, and the Preschool classroom was not dated.
3. Child #3 has a diagnosed food allergy and the information was not documented on the posted allergy list.
Evidence: In the 3's and 4's classroom, two children were observed laying on cots during naptime without top or bottom covers. In the Preschool class, one child was observed laying on a cot during naptime with no bottom cover.
Evidence: In the 3's and 4's classroom, one lunchbox was not labeled or dated and one lunchbox was not dated. In the Infant classroom, one food container was not dated and two food containers were not labeled or dated.
Evidence: In the Infant classroom, 7 infant bottles stored in the refrigerator were not dated and 1 infant bottle stored in the refrigerator was not dated or labeled.
SYSTEMIC DEFICIENCY
Based on record review, the center did not ensure that children's records contain all required information.
Evidence: Child #1's record did not contain documentation of the center viewing the child's proof of age and identity. Child #6's record was missing 1 of 2 required emergency contact addresses.