Inspection · 2024-01-27
(804) 588-2368
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
An unannounced inspection was conducted on 06/17/2024 from approximately 9:05 a.m. to 12:50 p.m. There were 64 children present and 12 staff supervising. The inspection focused on the review of areas of non-compliance that resulted in the issuance of a provisional license. The provider has requested early compliance. Child and staff records, emergency drills, medications, and physical plant were reviewed. There were repeated violations found during the inspection. Information gathered during the inspection determined non-compliance with applicable standards or law.
Please sign and 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.
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 preventive measure(s).
If you have any questions related to this inspection, please contact Susan Ellington-Sconiers, Licensing Inspector at 804-588-2368 or susan.ellingtonsconiers@doe.virginia.gov.
Violations
9Evidence:
The record for C11, enrolled 02/05/2024 documented immunizations on 06/03/2024.
Evidence:
The record for C10, enrolled 04/01/2024, did not contain a physical examination.
The record for C11, enrolled 02/05/2024, contained a physical examination dated 05/13/2024.
screening at the time of employment or documentation completed within the last 30 calendar days of the date of employment.
Evidence:
The record for S7, employed 04/04/2024 did not document a tuberculosis (TB) screening within the required time frame. The screenings were completed 01/27/2024 and 06/08/2024.
Evidence:
The record for S6, employed 02/13/2024 contained a certificate of completion of the Virginia Preservice Training dated 06/08/2024.
Based on observation, the provider did not ensure that all areas of the center be
maintained in a clean, safe, and operable condition.
Evidence:
Discovery Preschool room: diaper changing table cracked and splintered.
Toddlers? room: wooden chair rail missing a section exposing raw wood.
Preschool room: peeling paint on windowsill and stains on area rug.
Infant room: siding outside the window shattered with sharp edges.
Work orders were placed for peeling paint and siding outside infant room.
Based on interview, the provider failed to ensure the injury prevention procedures shall be updated at least annually based on
documentation of injuries and a review of the activities and services.
Evidence:
Staff, S8, reported that the injury prevention plan has not been updated.
Based on observation and interview, the center failed to assure that medication shall be labeled with the child?s name, the name of the medication, the dosage amount, and the time or times to be given.
Evidence:
Licensing inspector observed a bottle of liquid children?s allergy medication in the center?s medication box that did not contain a child?s name. S8 was unable to confirm the identify of the child to whom the medication was prescribed.
Based on review of emergency evacuation, shelter-in-place, and lockdown drills documentation, the provider failed to ensure
the documentation contained all the required information.
Evidence:
The emergency drill documentation dated February, March, April, and May 2024 did not document: the method used for notification of the drill; the number of staff participating; and special conditions simulated; problems encountered, if any; and weather conditions for emergency evacuation drills.
Based on review of the center?s written record of children serious or minor injuries the center failed to document the date and time when parents were notified of the injuries.
Evidence:
The written record for serious or minor injuries for C6 dated 03/18/2024, did not document the time when the parent was notified of the injuries and how the parent was notified of the injury.
The written record for serious or minor injuries for C7 dated 05/13/2024 did not document the time when the parent was notified of the injuries, how the parent was notified of the injury, and the staff and parent signatures.
The written record for serious or minor injuries for C12 dated 03/01/2024, 03/13/2024, and 03/15/2024, did not document the time when the parent was notified of the injuries and how the parent was notified of the injury.