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Exceptional Learning Center LLC

Inspection · 2024-06-26

Date
2024-06-26
Complaint Related
No
Licensing Inspector
Heather Dapper
(804) 625-2304
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
63.2 Child Abuse & Neglect

Inspector Notes

A renewal inspection was initiated on June 26, 2024, and concluded on June 28, 2024. The inspector was on site on June 26, 2024, from approximately 4:00 PM to 5:46 PM, 18 children were present with three staff. The inspector was on site to complete the renewal inspection on June 28, 2024, from approximately 11:15 AM to 1:20 PM, 20 children were present. 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 five child records and three 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.

Please complete the plan of correction and the date to be corrected for each violation listed on the violation notice and return it to the department within 5 business days from receipt. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s); 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names, list staff by positions only.

Heather Dapper
Licensing Inspector
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
Phone # (804) 625-2304
heather.dapper@doe.virginia.gov

Violations

13
Standard 22.1-289.035-B-4
Based on record review and interview, the center did not ensure one staff record contained documentation of out of state child abuse and neglect search.

Evidence:
1. The record of staff #3 (employed: 3/27/24) did not have documentation of an out of state child abuse and neglect search request.
2. The Sworn Statement or Affirmation for staff #3 indicated that the staff member has lived in New York within the past five years.
3. A member of management verified that the record check had not been submitted within the required time frame.
Plan of Correction: Provided all additional information to staff #3. Staff #3 is in the process of obtaining all required doc.
Standard 8VAC20-780-160-C
Based on a review of staff records, the center did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening.

Evidence:
The records for staff #1 and staff #2 did not contain updated TB screening results.
A member of management stated that the TB screenings had not been updated.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-240-B
Based on record review and interview, the facility did not ensure that staff received all required training prior to working alone with children and no later than seven days of the date of assuming job responsibilities.

Evidence:
The record for staff #3 (employed: 3/27/24) did not contain documentation of orientation training.
Plan of Correction: Will ensure all staff document training.
Standard 8VAC20-780-245-A
Based on record review and interview, two staff members did not complete annually a minimum of 16 hours of training appropriate to the age of children in care.

Evidence:
The record for staff #1 (employed: 5/27/21) contained four hours of annual training.
The record for staff #2 (employed: 9/29/21) contained four hours of annual training.
Plan of Correction: Both staff are in the process of completing their training.
Standard 8VAC20-780-245-L
Based on record review, the center did not ensure there was always at least one staff member on duty who has obtained, within the last three years, instruction in performing the daily health observation of children.

Evidence:
There was no documentation that at least one staff member on duty had obtained the daily health observation within the last three years.
Plan of Correction: Hiring another staff and waiting on background checks. Provided this email 6/28/24 at 1:39PM.
Standard 8VAC20-780-350-C
Based on observation, the facility did not ensure compliance with ratios of staff to children as required.

Evidence:
In room #1, there were two staff to 20 children. Two of the 20 children in attendance in room #1 were two years of age, age was verified in children?s records. The center did not maintain the ratio of one staff for every eight children.
Plan of Correction: Hired another staff waiting for background check
Standard 8VAC20-780-40-D
Based on observation the center did not ensure the license was posted in a place conspicuous to the public.

Evidence: The license was not posted at the center.
Plan of Correction: Currently Posted.
Standard 8VAC20-780-540-C
Based on observation and interview, the first aid kit did contain the minimum required supplies.

Evidence:
1. The first aid kit did not include two triangular bandages.
2. The director stated that the two triangular bandages were not in the first aid kit.
Plan of Correction: Ordered two triangular bandages.
Standard 8VAC20-780-550-D
Based on interview, it was determined that the licensee did not ensure that a monthly practice evacuation drill was documented.

Evidence:
Staff #1 stated that there was no written documentation of the 2023 emergency evacuation drills.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-E
Based on interview, the licensee did not ensure there was a minimum of two shelter-in-place practice drills, yearly.

Evidence:
Staff #1 stated that there was no written documentation of the 2023 shelter in place practice drills.
Plan of Correction: We will ensure we doc practice drills however the drills were completed.
Standard 8VAC20-780-550-F
Based on interview, the licensee did not ensure that there was a minimum of one lockdown drill practiced, yearly.

Evidence:
Staff #1 reported that there was no written documentation of a lockdown drill for 2023.
Plan of Correction: Will ensure that I document all drills
Standard 8VAC20-780-560-J
Based on observation, the center did not ensure that the surface of tables were sanitized using a spray disinfectant solution before and after each use for feeding.

Evidence:
In room #5 children finished eating their meals and transitioned to the other activities. Staff #1 used disinfecting wipes to sanitize the tables used after feeding.
Plan of Correction: Use the required chemicals to clean tables
Standard 8VAC20-780-60-A
Based on a review of children's records, the center did not ensure that each record contains all required information.

Evidence:
The record for child #1 (enrolled: 7/11/23) did not contain the name, address, and phone number for each custodial parent. The record did not contain the work phone number and place of employment for each custodial parent.
The record for child #2 (enrolled 3/11/24) indicated that the child had an egg and peanut allergy. The document did not contain the child?s name on the written care plan.
The records for child #3 (enrolled: 3/14/22), child #4 (enrolled: 3/14/22), and child #5 (enrolled: 9/10/21) did not have documentation of annual updates.
Plan of Correction: Child #1 input updated information. Child #2 updated information. child #1, child #2, child #3 waiting on the annual updates by parents.
View original record on Virginia Department of Social Services