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Lady L's Little Angels Daycare

Inspection · 2022-05-24

Date
2022-05-24
Complaint Related
No
Licensing Inspector
Lynn Powers
(804) 840-8260
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
8VAC20-770 Background Checks (8VAC20-770)

Inspector Notes

An unannounced non-mandated monitoring inspection was conducted on May 24, 2022. The director was available during the inspection. There were 22 children present, ranging in ages from 16 months to 4 years, with 5 staff supervising. 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 5 child records and 4 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 ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. 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.

Violations

8
Standard 22VAC40-185-60-A
Based on a review of children's records and interview, the provider did not ensure that each child's record contained the required information.
Evidence: 1. The records of child #4 (enrolled 5/2/22) and child #5 (enrolled 5/23/22) did not contain documentation of two people to call in an emergency. 2. The records of child #3 (enrolled 5/13/22), child #4 (enrolled 5/2/22) and child #5 (enrolled 5/23/22) did not contain documentation of parent agreements. 3. The record of child #5 (enrolled 5/23/22) did not contain documentation of doctor's name and phone number and did not contain documentation of immunizations.
Plan of Correction: I will make sure all children records have emergency contacts, doctor's number and shot record and physical forms and parent agreements.
Standard 22VAC40-185-70-A
Based on a review of records and interview, the center did not ensure that two or more references were checked before employment and that the telephone references contained all the required information.
Evidence: 1. The records of staff #1 (hired 5/2/22) and staff #3 (hired 5/2/22) did not contain documentation that references were completed. Administration confirmed the references were not completed. 2. The records of staff #2 (hired 5/2/22) and staff #4 (hired 5/2/22) contain documentation of only one reference and that reference was not dated or signed. Administration confirmed only one reference was completed and that it was not dated or signed.
Plan of Correction: I will call all my staff's two references and I will sign and date.
Standard 8VAC20-770-40-D-6
Based on a review of records and interview, the center did not ensure to obtain a fingerprint based national criminal record check that is not more than 90 days prior to the date of employment.
Evidence: The record of staff #2 (hired 5/2/22) contained documentation of fingerprints that were more than 90 days old dated 12/14/21. Administration acknowledged the fingerprints were more than 90 days old.
Plan of Correction: I will make sure all my staff background is current and not over 90 days.
Standard 8VAC20-780-160-A-1
Based on a review of staff records and interview, the center did not ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.
Evidence: The records of staff #1 (hired 5/2/22) and staff #3 (hired 5/2/22) did not contain documentation of a tuberculosis screening. Administration confirmed the staff did not have tuberculosis screenings.
Plan of Correction: I will have my two staff get the TB test immediately.
Standard 8VAC20-780-250-C
Based on observation and interview, the center did not ensure a notice regarding the presence and location of asbestos containing materials and advising that the asbestos inspection report and management plan are available for review shall be posted.
Evidence: The asbestos plan for the center was not posted. Administration acknowledged the asbestos plan was not posted.
Plan of Correction: I will post my asbestos.
Standard 8VAC20-780-340-D
Based on a review of staff records and interview, the center failed to ensure that there is a qualified program leader regularly present in each grouping of children.
Evidence: Four classrooms were observed with 1 staff in each classroom of children. Staff #1 was in the 2 year old class, staff #2 was in the 3 year old class, staff #3 was in the toddler 1 class, and staff #4 was in the toddler 2 class. Administration identified each of those staff as the program leads. Staff #1, staff #2, staff #3, and staff #4 do not meet the qualifications for the position. Administration acknowledged the staff do not meet with qualifications.
Plan of Correction: All of my staff will do all their training to be lead teacher qualified.
Standard 8VAC20-780-550-P
Based on a review of injury reports and interview, the center did not ensure that written records of children's serious and minor injuries contained all the required information.
Evidence: 1. The incident report for child #6 did not contain documentation of the date and time the parent was notified, how the parent was notified, and any future action to prevent recurrence of the injury. 2. The incident report for child #7 did not contain documentation of any future action to prevent recurrence of the injury and only contained documentation of one signature. 3. Administration confirmed the injury reports didn't contain all the required information.
Plan of Correction: I will make sure that when my staff do an injury report I will make all components correct.
Standard 8VAC20-820-120-E-2
Based on observation and interview, the center did not ensure the findings of the most recent inspection were posted in the facility.
Evidence: The findings from the most recent inspection conducted January 25, 2022, were not posted in the facility on the date of inspection. Administration acknowledged the inspection wasn't posted.
Plan of Correction: I will post my inspection for parents to see.
View original record on Virginia Department of Social Services