VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mt. Zion Temple
412 S. Iron Street
Prudence Child Care
Marion, VA 24354
(276) 378-0146

VDSS Contact: Angela Farmer (276) 608-2283

Inspection Date: Sept. 17, 2019 and Oct. 1, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-665 PHYSICAL PLANT 22VAC40-665 STAFFING & SUPERVISION 22VAC40-665 PROGAMS 22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES 22VAC40-665 SPECIAL SERVICES

Comments:

The licensing inspector completed an unannounced complaint inspection in response to a allegation that was received by the licensing office on 9/11/2019. Interviews were conducted with staff and observations were made relating to allegations regarding the care of children and building maintenance. A violation notice was completed regarding the violations found during this inspection. If you have any questions please do not hesitate to contact you licensing inspector at 276-608-2283.

Violations:

Standard #:	22VAC40-665-800-A
Description:	Based on observation the vendor failed to ensure that children in high chairs are less than 12 months of age. Evidence: 1. Two children that were two years of age were placed in high chairs for snack and breakfast.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-800-B
Description:	Based on observation the vendor failed to ensure that when a child is placed in a high chair the protective belt is fastened securely. Evidence: 1. On 9/17/19 & 10/1/19 two children were placed in high chairs. Both times the protective belts were not fastened and one high chair did not have a protective belt. The children were able to remove the tray and when rocking the high chairs they could move the chairs.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-610-A
Description:	Based on observation the vendor failed to maintain areas and equipment in a clean, safe and operable condition. Evidence: 1. In the 2-3 year old area the plastic light cover is broken and not secured to the metal tracks and could fall on the children. 2. The red and grey totes used to store the children's toys are broken and have pinch points. These items are accessible to the children. 3. On 9/17/19 & 10/1/19 the inspector observed two playpens, one was black in color and broken with a four inch hole in the mesh and one was pink with discoloring and evidence of soiling on it. 4. The rug at the entrance to the infant/preschool area is worn and the edges are curled up causing a tripping hazard. 5. The trim around the door coming into the infant/preschool area has a gap and tape that is peeling off. This area is accessible to the children. 6. Two carpet squares in the infant area are frayed, causing a tripping hazard. 7. In the infant area there is a floor model, big screen television. On top of this T. V. is an exer-saucer. This is a tipping hazard. 8. A yellow chair in use by a toddler had a crack in the seat. This is a pinch point. 9. The ladder on the Little Tykes climber was broken and would fall off while children played on it. This piece of equipment was placed on a concrete floor. 10. On 10/1/19 two of the three mattresses in the cribs were torn exposing the foam interior. 11. The wood trim around the door, of the bathroom used by the children, is loose and has nails exposed. 12. On 10/1/19 the pink & blue kitchen set is cracked and broken causing pinch points. This kitchen set was being used along with additioanl toys as room dividers/barriers.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-620-A
Description:	Based on observation the vendor failed to keep all hazardous substances in a locked place using a locking method that prevents access by children. Evidence: 1. The desk at the entrance of the day care center had several cleaning supplies on it not locked. This area is accessible to the children. 2. The storage closet with cleaning supplies was not locked. 3. A shelf in the infant room had OdoBan on it not locked.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-650-C
Description:	Based on observation the vendor failed to maintain the required child/staff ratios. Evidence: 1. On 9/17/19 at approximately 9:35 am, the infant room had an age range from nine months-23 months. There were six children with one staff present. 2. On 10/1/19 at approximately 9:45 am, the infant room had an age range from nine months-23 months. There were seven children with one staff present. At approximately 10:24 am the eighth child came in.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-650-H
Description:	Based on observation on 9/17/19 the vendor failed to ensure that children less than 10 years of age were in actual sight and sound supervision of staff. Evidence: 1. At approximately 11:36 am, a child was being disciplined for an action and when placed in time out she was taken to the preschool area and was left there alone. Shortly after this, another child was placed in time out and left in the room alone. Staff # 2 left the room and went to another room to supervise the children there.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-680-C
Description:	Based on observation the staff did not keep children in time out within sight and sound of the staff. Evidence: 1. On 10/1/19 staff # 2 placed two children in time out at different times. Both times the staff person left the children in time out and went to the other class room.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-710-B
Description:	Based on observation the vendor failed to protect the children from materials that could be swallowed or present a choking hazard. Evidence: 1. On 9/17/19, in the pre-school area, where children under three years old were in care, there was a nail on a table accessible to the children in care.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-710-F-1
Description:	Based on observation the vendor failed to provide a crib for all the children in care from birth through 12 months. Evidence: 1. On 10/1/19 there were eight children in care in the infant room. Five of these children were 12 months and younger and there were only three cribs available.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-740-A-1
Description:	Based on observation the vendor did not ensure that children wash their hands after eating meals or snacks. Evidence: 1. On 9/17/19 & 10/1/19 the children were observed eating breakfast and morning snack. Each day the children did not wash their hands following the meal and snack.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-740-B-6
Description:	Based on observation the vendor failed to ensure that disposable diapers are disposed of in a manner that neither the staff member's hand nor the soiled diaper touches the exterior surface of the storage system during disposal. Evidence: 1. On 9/17/19 & 10/1/19 staff changed diapers and used their hand to open the trash can to dispose of the diaper.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-740-B-8
Description:	Based on observation the vendor failed to provide a diapering surface that can be cleaned and sanitized. Evidence: 1. The diaper changing pad had a tear exposing the foam interior.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-740-C-2
Description:	Based on observations the vendor failed to ensure that staff empty, clean and sanitize toilet chairs (potty chairs) after each use. Evidence: 1. On 9/17/19 three children used the potty chair and it was not emptied promptly, cleaned and sanitized after each use.
Plan of Correction:	Not available online. Contact Inspector for more information.