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Connections Child Care & Learning Center

Inspection · 2023-04-03

Date
2023-04-03
Complaint Related
No
Licensing Inspector
Monique Anderson
(540) 309-2397
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.
? 20 Access to minor?s records
? 8VAC20-780 Staff Qualifications and Training.
? 22.1 Early Childhood Care and Education
? 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

Inspector Notes

An unannounced on-site renewal inspection was conducted on 04/03/2023. There were 36 children, ages 4 months-5 years, and 11 staff members present during the inspection. The inspector observed the following: free choice activities, large motor play outside, and lunch. A total of 5 children?s records and 4 staff records, were reviewed. The inspector discussed the following with staff: attendance requirements, playground safety. The inspector arrived at 10:30AM and departed at 1:15 PM.

Kelly Campbell
Licensing Inspector
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
Phone# 540-309-2494
Kelly.campbell @doe.virginia.gov

Violations

5
Standard 8VAC20-780-150-B
Based on review of five children?s records, the center failed to ensure that all immunizations were signed by a physician or a physician?s designee.

Evidence:

Children # 2, 4 and 5 did not have a physician signature or designee on the immunization record.
Plan of Correction: In the future all immunizations will be have the required signatures.
Standard 8VAC20-780-280-B
Based on observation, the center failed to ensure that all chemicals were locked using a
safe locking method that prevents access by children.

Evidence:

In a basket in the infant room, there was a container of cleaning chemical behind the diapering area. The chemicals were not in a locking mechanism that would prevent entry. There was a gate that was approximately 2 1/2 feet high around the diapering area. The chemicals were still accessible to staff and was not locked in a way that would prevent entry.
Plan of Correction: The infant room will change the storage of the chemicals to ensure that all chemicals as are locked when not in use.
Standard 8VAC20-780-510-P
Based on review of medications and authorizations, the center failed to ensure that
all medications were returned to the parent or guardian within 14 days after the
authorization expired or disposed of by the center.

Evidence:

Medication authorization for Child # 2 expired 14 days after 11/7/2022. As of 04/03/2023, the
medication had not been returned to the parent or disposed of by the center.
Plan of Correction: The center will send the medication home with the child and will ensure that all timeframes are followed.
Standard 8VAC20-780-520-A
Based on observation of the nonprescription drugs, the center failed to ensure that all nonprescription drugs are used in accordance with the manufacturer?s recommendations.

Evidence:

Child # 2 that was 12 months old had non-prescription Infant pain reliever at the center and was administered to the child on 11/17/2022, and 02/20/2023. The manufacturer?s recommendation is for children under the age of 2 years to consult a physician to administer.
Plan of Correction: In the future all MAT trained staff will look at the manufacturing directions prior to accepting a medication for a child.
Standard 8VAC20-780-60-A
REPEAT VIOLATION

Based on review of five children?s records, the center failed to ensure that all records were
complete per the standard.

Evidence:

1.The record for Child # 1 was missing the address for one of the two emergency
contacts. The enrollment date of child # 1 was 01/03/2023.
2. The record for Child # 2 was missing documentation of allergies and action to take. The enrollment date was 10/25/2022.
3. Children # 4 did not have the DOB for the child, sex of the child, both parent?s work information, Physician?s contact information, addresses for the two required emergency contacts, chronic physical problems an allergies and action to take and previous childcare or school. The enrollment date was 01/03/2023.
4. Children # 5 did not have both parent?s work information, addresses for the two required emergency contacts, chronic physical problems an allergies and action to take and previous child care or school. The enrollment date was 12/7/2022.
Plan of Correction: The director will have parent to complete the model form to ensure that all items are obtained from each parent. The completed form will be added to the computer system as an attachment.
View original record on Virginia Department of Social Services