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Tuckaway-Barony Child Development Center

Inspection · 2025-05-21

Date
2025-05-21
Complaint Related
No
Licensing Inspector
Cindy Horne
(804) 297-4469
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
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 HEARINGS PROCEDURES.
8VAC20-770 Background Checks

During the inspection, the inspector reviewed the areas listed above. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated on 5/21/2025 and completed on 5/27/2025. The on-site inspection began at 2:10 p.m. and ended at approximately 4:30 p.m. on 5/21/2025. The on-site inspection began at 1:48 p.m. and ended at approximately 3:00 p.m. on 5/27/2025. The inspector reviewed compliance in the areas listed above. There were 46 children present and eight staff on 5/21/2025. The inspector reviewed 10 children?s records and seven staff records on site. This inspection included document review (i.e. daily schedule, menu, license, previous inspection, attendance records, injury reports, emergency drill logs, medication administration logs, and authorization forms), tour of the facility, interviews, and observations.

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five business days from today, which will be the close of business on 6/24/2025. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 22.1-289.018-A
Licensees shall at all times afford the Superintendent reasonable opportunity to inspect all of their facilities, books and records, and to interview their agents and employees and any person under their custody, control, direction, or supervision. On 5/21/2025, this licensing inspector was denied entry to the building that houses the school aged children?s program by Regional Staff. The inspection was later completed on 5/27/2025.
Plan of Correction: We would like to clarify the circumstances surrounding the recent licensing visit. At the time, the Center Director was off, and although the Assistant Director was present, she did not have access to staff files or some administrative systems. She explained this to the inspector and requested to reschedule the visit for a time when the Director could be available to fully support the process.

The Assistant Director was also actively managing school-age bus arrivals for safety reasons, which limited her ability to accompany the inspector immediately. While the inspector was not denied entry, she chose to proceed independently, interacting with staff and touring the preschool building with a classroom teacher.

At the end of the preschool building inspection, the Assistant Director asked the inspector to return at a later time to walk through the school-age building, as she was unable to leave the preschool building due to it being 4:30 PM and families had begun arriving for pickup.

We fully understand the importance of supporting inspections and remain committed to transparency, cooperation, and ensuring that appropriate leadership is always available to assist during visits.
Standard 8VAC20-780-245-J-3
Any child for whom emergency medications (such as albuterol, glucagon, and
epinephrine auto injector) have been prescribed shall always be in the care of a
staff member that is trained in medication administration. The staff member trained in medication administration left the center from approximately 2:25 p.m. until 3:00 p.m. on 5/21/2025 to pick up children attending the afterschool program. This left Child #11, who has allergies that require an epi pen, in the care of staff that were not trained in medication administration for approximately 35 minutes.
Plan of Correction: A MAT-certified staff member (the Assistant Director) was on-site at our adjacent building, which is part of the same campus. She was actively overseeing operations and was available to respond in the event of an emergency.

?The Assistant Director was on-site at our adjacent school age building, which is on the same property, getting children off the buses. She was in close proximity and could have been contacted immediately if needed. Our adjacent buildings share communication systems, and protocols are in place to notify key personnel quickly.
?There were teachers that were present that had completed the first part of AMAT training and only needed to complete the hands-on training, which was completed the following week. Child #11 was not unsupervised at any time and remained under the care of responsible staff members who were fully aware of the child's emergency medication needs and would have taken immediate action to notify the MAT-certified Assistant Director had a need arisen.
?Since the time of inspection: all lead teachers and a few assistant teachers have been enrolled in an AMAT class.
Standard 8VAC20-780-270-A
Equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include rusting or breakage of any equipment. A play structure on the playground was observed to have multiple areas with rust where the thick, outer paint coating was worn away. The Program Director acknowledged that the children climb on the play structure.
Plan of Correction: We would like to clarify that, at the time of the inspection, the equipment in question was not in use by the children, although it was not roped off to clearly indicate that it was off- limits. We acknowledge that this may have led to a misunderstanding regarding its accessibility and usage. The Director took immediate action to address the concern. Caution tape was added to the structure to clearly restrict access and ensure the safety of all children until appropriate repairs can be completed.
Standard 8VAC20-780-350-B-4
The required ratio for children ages 3- 5 years is one staff per ten children. Staff #8 was observed supervising 11 children while they were eating snacks after their nap time.
Plan of Correction: We would like to offer clarification regarding the circumstances at the time of the observation. The children were in transition from nap to snack, and the staff member who was scheduled to escort the 11th child back to their classroom had briefly gone to the school-age building to relieve the Assistant Director so that she could accompany the licensing inspector.

While there was a brief moment when 11 children were in the care of Staff #8, the teacher who was present with the inspector promptly took the additional child back to their classroom, as witnessed during the inspection. At no time was the child left unsupervised, and the situation was addressed immediately to minimize the impact on ratio compliance.
Standard 8VAC20-780-40-E
The operational responsibilities of the licensee include ensuring that the center?s activities, services, and facilities are maintained in compliance with their own policies and procedures that are required by these standards. The center did not follow its own medication policies by not obtaining written authorization from a parent to administer the medication that was on site for Child #12.
Plan of Correction: Child #12 is the child of a staff member who was present in the building and available at all times during the period in question. The medication was not administered, nor was there any intent to administer it without proper documentation. The medication remained securely stored on site in accordance with center policy and state regulations.

The original written authorization for the medication had recently expired, and the parent (who is also a staff member) was actively awaiting updated documentation from the child's physician. In the meantime, the staff member filled out the short-term medication form on the day of the inspection.
View original record on Virginia Department of Social Services