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Tick...Tock...Around the Clock, LLC

Inspection · 2024-04-12

Date
2024-04-12
Complaint Related
No
Licensing Inspector
Tiffany Jones
(757) 403-3045
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)
22.1 Background Checks Code, Carbon Monoxide

Inspector Notes

A monitoring inspection was initiated on April 12, 2024 from 1:17 pm until 4:28 pm and concluded on April 15, 2024. There were 65 children in care and 14 staff supervising including administrative staff on site. The inspector completed observations of the children in care napping on cots, completing bathroom/handwashing breaks, asleep in cribs, eating, diapering by staff, transportation drop offs, interacting with peers and staff, and parent pick ups. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, special care and emergencies and nutrition. A total of 6 children records and 6 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 there are any questions regarding the inspection please contact inspector, Tiffany Jones at 757-403-3045.

Violations

8
Standard 22.1-289.035-A
Based on review of staff records and interview, the center did not ensure to obtain all background checks every five years thereafter.

Evidence:
1. In Staff#1's record (date of hire: 10/08/18), the criminal check was dated 09/13/18.
2.In Staff#2's record (date of hire: 05/30/19), the criminal check was dated 03/29/19.
3. In Staff#4's record (date of hire: 10/02/18), the criminal check was dated 09/21/18.
4. Interview with staff confirmed available documentation for review during the inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-150-B
Based on records and interview, the center did not ensure all physical examination documentation is signed by a physician, his designee, or an official of local health department.

Evidence: In Child#6's record (start date: 08/28/23), there was no documentation of a physical signature found.
Interview with staff confirmed the documentation available for review during the inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Based on review of staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis screening.

Evidence: In Staff#6's record (date of hire: 12/04/23) there was no documentation of a tuberculosis screening found.
Interview with staff confirmed there was no documentation available for review during the inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-C
Based on review of staff records and interview, the center did not ensure to obtain documentation of a tuberculosis screening at least every two years from the date of the first initial screening.

Evidence: In Staff#4's record (date of hire:10/02/18) the last dated TB results was 06/26/13.
Interview with staff confirmed the documentation available during the inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-260-A
Based on review of documentation and interview, the center did not ensure to obtain an annual fire inspection report.

Evidence: 1. The fire inspection report reviewed was dated 02/15/2023.
2. Interview with center's staff confirmed the annual fire inspection was not complete for this year at this time.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-260-B
Based on review of documentation and interview, the center did not ensure to obtain an annual approval from the health department.

Evidence: 1. The annual health report was dated 02/16/2023.
2. Interview with center's staff confirmed the annual health report had not been completed for this year at this time.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-280-B
Based on observation, the center did not ensure all hazardous substance are kept in a locked place using a safe locking method that prevents access by children.

Evidence: In the Tiny Tots room, there was disinfectant wipes with the labels "keep out of reach of children" and "caution" on the countertop unlocked.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Based on review of children's record and interview, the center did not ensure to maintain all information in each enrolled child's record.

Evidence: In Child# 3's record (start date: 08/28/23), there was no documentation of viewing proof of the child's identity and age found.

Interview with staff confirmed information not being available for review during the inspection.
Plan of Correction: Not available online. Contact Inspector for more information.