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Grace Children's Learning Center

Inspection · 2024-04-09

Date
2024-04-09
Complaint Related
No
Licensing Inspector
Anansa Archer-Hicks
(703) 537-6757
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 (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 on 4/9/24 from 8:20 a.m. to 10:00 a.m. with the Director. There were 26 children in care, ranging in age from 10 months to five-years-old, supervised by seven staff. The children were observed free play. Five child records and five staff records were reviewed. Two medications and authorization forms were reviewed, and the center has eight staff current in Medication Administration Training (MAT). Required postings were observed. The attendance, menu, and emergency drill log were reviewed. The first aid kit, flashlight, and battery-operated radio were observed. Areas of non-compliance are identified in the Violation Notice. If you have questions regarding this inspection, please contact the Licensing Inspector, Beth Velke, at beth.velke@doe.virginia.gov or 804-629-8302.

Please complete the "Plan of Correction" and "Date to be Corrected" areas on the Violation Notice for each violation cited and return to me by 5 p.m. on 4/24/24.

Violations

9
Standard 22.1-289.035-B-2
Repeat Violation

Based on review of six staff records, the center did not obtain documentation of the results of a national fingerprint background check prior to date of hire.

Evidence: The record for Staff #3, with a start date of 6/20/22, the results of a national fingerprint background check was dated 9/2/22.
Plan of Correction: Moving forward staff will not start until fingerprint background check is complete.
Standard 8VAC20-770-60-C-2
Repeat Violations

Based on review of five staff records; the center did not obtain documentation of the results of a central registry search within 30 days of employment for all staff members.

Evidence: The record for Staff # 3 with a start date of 6/20/22, the results of the central registry search background check was dated 12/1/22.
Plan of Correction: Moving forward we will ensure to have the CRS search within 30 days. After three weeks we will email the CRS office.
Standard 8VAC20-780-130-A
Based on review of five child records, the center did not obtain documentation of immunizations for a child prior to the first day of attendance.

Evidence:
1. The record for Child #1, with a start date of 7/5/23, contained documentation of immunizations dated 9/18/23.
2. The record for Child #2, with a start date of 5/18/23, contained documentation of immunizations dated 11/2/23.
3. The record for Child #4, with a start date of 7/11/23, contained documentation of immunizations date 8/21/23.
4. The record for Child #5, with a start date of 8/24/22, did not contain documentation of immunizations.
Plan of Correction: Moving forward we will ensure to have the child's immunization record before they can start school.

Sent paperwork to show start date and date of immunization.
Standard 8VAC20-780-140-A
Based on review of five child records, the center did not obtain documentation of a physical in each child record within 30 days after the first day of attendance.

Evidence:
1. The record for Child #2, with a start date of 5/18/23, did not contain documentation of a physical.
2. The record for Child #4, with a start date of 7/11/23, had a physical dated 9/8/23.
3. The record for Child #5, with a start date of 8/24/22, had a physical dated 5/25/23.
Plan of Correction: Will ensure that all paper work is complete and on time.

Reached out to parents of Child #2 to get a copy of their physical.
Standard 8VAC20-780-210-A
Based on record review and staff interviews, the center did not ensure that all program leaders had documentation of high school program completion or equivalent on file.

Evidence: The record for Staff #3 and Staff #4, with a title of teacher, did not contain documentation of education.
Plan of Correction: Will send copy when we receive.
Standard 8VAC20-780-330-B
Repeat Violation Based on observation, the facility did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards.

Evidence: There was less than one inch of mulch observed at the base of the composite play structure and fall zones. Six inches of resilient surfacing is required based on the height of the play equipment and the type of resilient surfacing.
Plan of Correction: Mulch was ordered and spread around climbing structure.
Standard 8VAC20-780-340-F
Repeat Violation Based on observation the center did not ensure that children under 10 years of age, were within actual sight and sound supervision of staff at all times.

Evidence: The Licensing Inspector (LI) observed the teacher working in the Pre-K class, ages four to five-years-old, step into the hallway to speak to someone in another classroom. The teacher?s back was turned away from the group and there was no other staff member in the classroom at the time she walked out of the class.
Plan of Correction: Teacher was counsled.
Standard 8VAC20-780-530-A-1
Based on review of documentation and interview, the center did not ensure that current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council was maintained, and the training included an in-person competency demonstration.

Evidence: Staff #1, Staff #2, Staff #3, and Staff #4 have CPR certifications from an online-only course that does not include an in-person competency demonstration.
Plan of Correction: Working with a company to have staff complete skills assessment.
Standard 8VAC20-780-80-A
Based on review of the written attendance record, the center did not ensure they maintained a written record of daily attendance for each group of children documenting arrival and departure of each child in care as it occurs.

Evidence:
1. In the Toddler class, ages 16 months to 24 months, there were six children present in the classroom, the written record reflected there were four.
2. In the Pre-K class, ages four-years-old, there were eight children present in the classroom, the written record reflected there were seven.
Plan of Correction: A roster was made for morning and afternoon care. To eliminate needing two rosters. Teacher was counseled in regards to checking in students.
View original record on Virginia Department of Social Services