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Two By Two Learning Center, Inc.

Inspection · 2022-09-01

Date
2022-09-01
Complaint Related
No
Licensing Inspector
Stephanie Reed
(540) 272-6558
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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

A monitoring inspection was conducted on September 1, 2022 from 10:00 A.M.-2:00 P.M. There were 58 children present, ranging in ages from 4 months to 4 years of age, with 10 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of six child records and eleven staff records were reviewed.

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.

If you have any questions or concerns please contact the Licensing Inspector at 540-430-9257.

Violations

3
Standard 8VAC20-780-160-A
Based on a review of staff records, the center failed to ensure that the tuberculosis screening on file was within the correct timeframe.

Evidence:
1. Staff #3's date of hire was 04/12/2022. The tuberculosis screening/test on file was dated 10/01/2021. The requirement is that documentation of a tuberculosis screening/test being completed must be within 30 days of employment.
2. Staff verified the date of hire for Staff #3, and the date on the tuberculosis screening/test on file.
Plan of Correction: Administration misunderstood the standard since the change in requirement in October 2021. The staff member will be requested to obtain an updated tuberculosis screening/test.
Standard 8VAC20-780-550-P
Based on a review of injury reports, the center failed to ensure that all required information was in the injury report.

Evidence:
1. An injury report dated 08/24/2022 was missing the time the parent was notified.
2. An injury report dated 08/10/2022 was missing the time and date the parent was notified.
3. Staff verified that the reports were missing the required information.
Plan of Correction: Administration will review and retrain staff on completing accident/injury reports.
Standard 8VAC20-780-570-E
Based on observation, the center failed to ensure that prepared infant formula was labeled with the child's name.

Evidence:
1. In Classroom #1 there were three prepared infant bottles in the refrigerator that were not labeled with the child's name. They were on a shelve in the refrigerator with the shelf labeled with the child's name.
2. Staff verified that the individual bottles were not labeled with the child's name.
Plan of Correction: Staff labeled the bottles with the child's name. In the future all bottles will be labeled with the child's name and date. Administration will do spot checks to ensure that all requirements are being completed.
View original record on Virginia Department of Social Services