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Tots and Company Childcare

Inspection · 2024-06-04

Date
2024-06-04
Complaint Related
No
Licensing Inspector
Rebecca Forestier
(540) 309-2835
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
8VAC20-770 BACKGROUND CHECKS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE

Inspector Notes

An unannounced renewal inspection was conducted on 06/04/2024. There were 75 children, ages 4 months-11 years, and 16 staff members were present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, physical plant, and staffing and supervision. The children were observed in the following: participating in self-guided activities, having lunch and during rest time. Infants were observed sleeping and being fed on demand. A total of 8 children?s records, 8 staff records, and 3 applicant records were reviewed. The inspector arrived for the inspection at 9:30 am and departed at 12:50 pm.

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

Violations

4
Standard 22.1-289.035-A
Based on record review and discussion with staff, the center failed to ensure that every employee of a licensed child day center shall undergo a background check in accordance with the Code of Virginia prior to issuance of a license and every five years thereafter.

Evidence:
1. The most recent sworn statement for Staff 4 was dated 12/15/2018; there was not a 5 year follow-up obtained by 12/15/2023.
2. The most recent search of the central registry for Staff 4 was dated 01/04/2019; there was not a 5 year follow-up obtained by 01/04/2024.
Plan of Correction: Will request today.
Standard 8VAC20-780-160-A
Based on record review, the center failed to obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children and that documentation shall have been completed within the last 30 calendar days of the date of employment.

Evidence: The record for Staff 8 contained a documented hire date of 05/06/2024. The tuberculosis screening was dated 08/28/2023; the screening was not completed within the last 30 calendar days of employment.
Plan of Correction: In the future will not accept TB screenings more than 30 days old.
Standard 8VAC20-780-245-A
Based on record review, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training.

Evidence:
1. The record for Staff 1 contained documented hire date of 04/10/2023; the record contained a total of 2 training hours in 2023.
2. The record for Staff 2 contained documented hire date of 10/15/2018; the record contained a total 5 of training hours in 2023.
3. The record for Staff 3 contained documented hire date of 06/28/2021; the record contained a total 5 of training hours in 2023.
4. The record for Staff 4 contained documented hire date of 01/11/2019; the record contained a total of 2 training hours in 2023.
Plan of Correction: Trainings will be documented on a training documentation form and kept in a binder in the office. Staff will document their training in the binder.
Standard 8VAC20-780-40-M
Based on observation and interviews, the center failed to ensure that the center maintains, 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 documented in the allergy plan; this list shall be dated and kept confidential in each room or area where children are present.

Evidence: Applicant 2 verified that the list of children?s allergies was maintained in the kitchen only, not in each room or area where children are present.
Plan of Correction: Will use the model form and put it in each class.