Inspection · 2022-03-02

Based upon review of staff records, the facility has not ensured that employees undergo a background check prior to employment.
Evidence:
The record provided for staff 3 indicated a date of employment of 2/1/2022. Results of a fingerprint check were not obtained until 2/9/2022.

Based upon review of staff records, the facility has not ensured that they obtain a copy of the results of a criminal history record information check and a sex offender registry check from any state in which the individual has resided in the preceding five years.
Evidence:
The sworn disclosure statement for staff 2 dated 10/14/2021 indicated that the applicant lived in Illinois within five years prior to employ. results of a criminal record check and a sex offender search were not obtained for staff 2 who was hired on 1/17/22 and was on duty with a child during the inspection.

Based upon review of staff records and staff interview, the facility did not obtain documentation of a negative tuberculosis screening completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.
Evidence:
1. Staff 1 indicated a hire date in the record for staff 2 as 1/17/22. The results of a tuberculosis screening are dated 10/17/21.
2. Documentation of a hire date in the record for staff 3 was indicated as 1/28/22. The results of a tuberculosis screening were not obtained until 2/10/22.
3. Staff 1 verified the timing of the tuberculosis screenings for staff 2 and 3.

Based upon review of staff records and staff interview, the facility has not ensured that program leaders meet the qualifications for the position.
Evidence:
1. Staff 1 identified staff 2 as a program leader. Staff 2 was on duty alone with an infant during the inspection. There was no documentation in the record of staff 2 to verify program leader qualifications.
2. Staff 1 identified staff 3 as a program leader. There was no documentation in the record of staff 3 to verify program leader qualifications.
3. Staff 1 acknowledged that there was insufficient documentation in either record to verify qualifications.

Based upon review of staff records, the facility has not ensured that staff complete orientation training prior to staff working alone with children and no later that seven days of assuming job responsibilities.
Evidence:
1. The record provided for staff 2 indicated a hire date of 1/17/22. The orientation training for staff 2 was dated as having been conducted on 2/15/2022. Staff 2 was on duty alone with a child during the inspection.
2. The record provided for staff 3 indicated a hire date of 2/1/22. The orientation training for staff 3 was dated as having been conducted on 2/14/22.

Based upon observation and staff interview. the facility has not ensured that hazardous substances that are not kept in the original containers are clearly labeled to indicate their contents.
Evidence:
1. There was a spray bottle of blue liquid in the infant room that was not labeled as to the contents of the spray bottle.
2. Staff 1 verified that the spray bottle was not labeled as to the contents in the bottle.

Based upon observation, the facility has not ensured that where playground equipment is provided, resilient surfacing complies with minimum safety standards described by the American Society for Testing and Materials standard F1292-99 for loose fill materials depth and use zones for equipment is under equipment with moving parts or climbing apparatus.
Evidence:
1. Mulch is used as the resilient surfacing under the climbing structure to include swings. In several places, the landscape fabric under the mulch was visible. The deepest area of mulch measured at any point under the equipment was three inches in depth.
2. Inadequate fall zones:
a. The fencing to along both ends of the climbing structure was only 4 1/2 feet from the structure.
b. The fencing at the foot of the 4 foot slide was only 3 feet from the exit chute of the slide.

Based upon observation and interviews, the Licensee has not demonstrated operational responsibility for ensuring that the center's
activities, services, and facilities are maintained in compliance with the standards and the center's own policies and procedures that are required by these standards.
Evidence:
Violations were found in five out of the eight areas of the standards for licensed child day centers to include administration, staff qualifications and training, physical plant, special care provisions and emergencies, and special services. Also cited were background check requirements. Violations cited require the authority ,resources or supervision of a licensee and impact the care, safety and wellbeing of the children enrolled.
Violations cited in the areas of administration, staff qualifications and training, special services, background checks and Code of Virginia and require a level of responsibility, knowledge, skills, and/or abilities beyond those of the direct care staff or aides.

Based upon observation and staff interview, the facility has not ensured that changing table are sanitized after each use.
Evidence:
1. Diapers are changed at a changing table in the infant room. Sanitizing wipes were available for sanitizing the changing table. Sanitizing wipes do not meet the definition of sanitized (re: sprayed with a sanitizing agent and allowed to air dry).
2. Staff 1 verified the use of sanitizing wipes.

Based upon review of one infant record and staff interview, the facility has not ensured that infant records include all required feeing information.
Evidence:
1. The record for child 2 did not include the child's brand of formula and the feeding schedule.
2. Staff 1 verified that the record for child 2 did not include the required feeding information.

Based upon observation, the facility has not ensured that prepared infant formula is dated and labeled with the child's name.
Evidence:
There was a prepared bottle of infant formula in the infant room that was not labeled with the date and the child's name.

Based upon review of children's records and staff interview, the facility has not ensured that a separate record is kept for each child that contains all required information.
Evidence:
1. The record provided for child 1 did not include the street addresses for the two persons to be contacted if a parent cannot be reached.
2. The record provided for child 2 did not include complete street addresses (to include cities and states) for the two persons to be contacted in an emergency when a parent cannot be reached.

Based upon review of two staff records and staff interview, the facility has not ensured that all staff records include the required documentation.
Evidence:
1. The record provided for staff 2 did not have a clearly indicated date of hire and documentation of two or more references as to character and reputation as well as competency were checked before employment.
2. The record provided for staff 3 did not have a clearly indicated date of hire and documentation of two or more references as to character and reputation as well as competency were checked before employment.
3. Staff 1 verified that the required documentation was not in the records of staff 2 or 3.