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Inspection · 2024-07-09

Date

2024-07-09

Complaint Related

Licensing Inspector

Molly Muscat
(804) 588-2367

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 Early Childhood Care and Education
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced monitoring inspection was conducted on 07/09/2024. Two licensing staff were on site from approximately 8:55am until 1:10pm. There were 94 children present with 18 staff supervising. There was a total of 9 classrooms visited, ranging in ages from infant to school age. Children were observed playing with magnet tiles, preparing for water activities outside and playing with blocks. Licensing staff interacted with staff and children in care. Staff interacted with children in a positive manner.

The licensing staff reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 10 child records and 10 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, please reach out to the licensing inspector.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 8/5/2024. A POC submitted after this date will not appear on the public website.

Molly Muscat
Licensing Inspector
Office of Child Care Health and Safety
Division of Early Childhood Care and Education

Violations

Standard 8VAC20-780-130-A

Based on a review of children?s records, the center did not ensure that each child?s record contained documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
Evidence:
1. The record for child #7 (enrolled 4/8/2024) contained immunizations that were received and signed by a physician on 4/19/2024.
2. Administration acknowledged they thought the immunizations could be received within 30 days of enrollment.

Plan of Correction: Moving forward we will ensure all documents are obtained prior to the first day of enrollment. Moving forward we will conduct monthly file audits to ensure paperwork is current.

Standard 8VAC20-780-130-E

Based on a review of children?s records, the center did not ensure that each child?s record contained documentation of additional immunizations once every six months for children under the age of two years.
Evidence:
1. The record for Child #6 did not contain an updated immunization. The last immunization record received was dated 7/7/2023.

Plan of Correction: Moving forward we will conduct monthly fire audits to ensure paperwork is current.

Standard 8VAC20-780-150-B

Based on a review of children?s records, the center did not ensure that each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department.

Evidence:
1. The record for child #8 (enrolled 6/1/2021) did not contain a physical examination signed by a physician, his designee, or an official of local health department.
2. Administration acknowledged the record did not contain a physical and a request would be made to the child?s parent for an up-to-date physical.

Plan of Correction: Child #8 was enrolled under previous management, we are auditing all child files monthly to ensure student files are current.

Standard 8VAC20-780-160-C

Based on a review of staff records, the center did not ensure that each staff?s record contained documentation of a tuberculosis screening at least every two years from the date of the initial screening or testing.
Evidence:
1. The record for staff #7 did not contain an up-to-date tuberculosis screening. The most recent tuberculosis screening was dated for 6/6/2022.

Plan of Correction: The employee in question was immediately informed and has a tuberculosis screening scheduled. Moving forward we will conduct monthly file audits to ensure paperwork is up to date.

Standard 8VAC20-780-510-L

Based on the observation, the center did not ensure that medication, except for those prescriptions designated otherwise by written physician?s order, including refrigerated medication and staff?s personal medication, shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1. Upon inspecting the center?s first aid kit, two packets of Tylenol were found in the container.
2. The first aid kit was not kept in a locked place.

Plan of Correction: The center's first aid kit is always kept locked in the Directors office. During the licensing visit the Director removed the Tylenol from the prepacked first aid kit and disposed of the medication.

Standard 8VAC20-780-60-A

Based on a review of children?s records, the center did not ensure that each child?s record contained documentation of viewing proof of the child?s identity and age.
Evidence:
1. The record for child #4 and child #8 did not contain documentation of viewing proof of the child?s identity.
2. Administration acknowledged the documentation missing from the records.

Plan of Correction: A copy of child #4 proof of child's identity was submitted within 24 hours of licensing's visit. The children were enrolled under previous management, we are auditing all child files monthly to ensure student's files are current.

View original record on Virginia Department of Social Services