VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Unique Little Hands II, Inc.
179 Commerce Park Road
Franklin, VA 23851
(757) 304-5811

Current Inspector: Melinda Popkin (757) 802-5281

Inspection Date: Nov. 28, 2022

Complaint Related: 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. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks 20 Access to minor's records 22.1 Early Childhood Care and Education 63.2 Child Abuse & Neglect 8VAC20-790 Introduction 8VAC20-790 Administration 8VAC20-790 Staff Qualifications & Training 8VAC20-790 Physical Plant 8VAC20-790 Staffing & Supervision 8VAC20-790 Programs 8VAC20-790 Special Care Provisions & Emergencies 8VAC20-790 Special Services

Technical Assistance:

Today we discussed children's record requirements and that no spaces in the enrollment record should be left blank - but instead should be marked not applicable, unknown, none, etc. so that it does not appear that the information was overlooked. The date of Employment should be indicated in each staff record or printed at the time of inspection if it is kept in a different location. Employment date determines whether other items should be present in the record or if additional time is allowed to obtain it and gives timeframes for trainings, annual requirements, and documentation due at the time of hire. In order to determine that the required supervisory staff (program leader qualified and/or Program director qualified) the records must contain clear information on how a staff member meets that qualification and the documentation to support it. When children are present in mixed age groups the ratio of adults to children must be adhered to for the YOUNGEST child present. OR - staff must be able to clearly define which children are in their care and the ratio of adult to children in their group.

Comments:

A monitoring inspection was initiated and concluded on 11/28/2022. There were18 children, ages 2 to 3 years old, present with 2 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 5 staff records were reviewed. The inspection started at 10:20 a.m. am and concluded at 3:25 pm. 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.

Violations:

Standard #:	8VAC20-780-140-A
Description:	Based on a review of records, the licensee was unable to demonstrate that each enrolled child had a physical exam by or under the direction of a physician. Evidence: Five children's records were reviewed. The record for child #3, whose enrollment date is 10/17/2022, did not contain the results of a physical examination. The record for child #5, whose enrollment date is 10/3/2022, did not contain the results of a physical examination. Staff #1 was unable to demonstrate that this documentation had been obtained for child #3 and child #5.
Plan of Correction:	The following written response was received from the licensee on 12/23/2022: "As of 12/1/2022, the center is under new ownership. New owners will ensure that each child enrolled has had a physical exam".
Standard #:	8VAC20-780-160-A
Description:	Based on a review of records and interview, the licensee did not ensure that each staff member submits documentation of a negative tuberculosis screening. Evidence: 1. Five staff records were reviewed. 2. The records for staff #3, employed 5/15/10/2022 and staff #4, employed 6/8/2022 did not contain the results of a tuberculosis screening. 3. Staff #3 and #4 were hired to work in a capacity that required contact with the children in care.
Plan of Correction:	The following written response was received from the licensee on 12/23/2022: "As of 12/1/2022, the center is under new ownership. New owners will ensure that all each staff submits documentation of a negative TB screening."
Standard #:	8VAC20-780-40-D
Description:	Based on observation and interview, the licensee did not post the Center's most recently issued license in a place conspicuous to the public. Evidence: A license which expired 4/25/2021was posted on a bulletin board at the entry of the facility. When asked if the current license was posted in the facility, staff #1 stated that she was not aware of the current license being posted elsewhere.
Plan of Correction:	The following written response was received from the licensee on 12/23/2022: "License is attached and is posted in the center"
Standard #:	8VAC20-780-80-A
Description:	Based on a review of documentation, the licensee did not ensure that, for each group of children, a written record of attendance to include arrival and departure was documented for each child as it occurred. Evidence: The center's written attendance record listed 17 children in attendance at the time of inspection. Three of the children listed were school aged children who had left the center for school. There were 18 children physically present in the classrooms. The attendance record listed only 14 of the 18 children present at the time of the inspection. Four children were present but had not been documented on the attendance record.
Plan of Correction:	The following written response was received from the licensee on 12/23/2022: "As of 12/1/2022, the center is under new ownership. New owners will ensure that a written record of attendance including arrivals and departures is documented for each child as it occurs, daily."
Standard #:	8VAC20-780-240-A
Description:	Based on a review of records and interview, the licensee did not ensure that each staff member completes the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: Five staff records were reviewed. The record for staff #4 who was hired in June 2022 did not contain documentation of Virginia Department of Education-sponsored orientation course. Staff #4 was hired in June 2022.
Plan of Correction:	The following written response was received from the licensee on 12/23/2022: "As of 12/1/2022, the center is under new ownership. New owners will ensure that every staff member completes the Virginia Dept of Ed. sponsored orientation course within 90 calendar days of employment.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the licensee did not ensure that hazardous substances such as cleaning materials, insecticides, and pesticides are kept in a locked place using a safe locking method that prevents access by children. Evidence: There was a spray bottle of sanitizing solution located on the surface of an open shelving unit at a height of 30 inches. There were 9 two-year-old children sitting at a table approximately 2 feet from the shelving unit. Staff confirmed that the bottle contained a commercial disinfectant solution agent used for sanitizing the tables before and after meals.
Plan of Correction:	The following written response was received from the licensee on 12/23/2022: "As of 12/1/2022, the center is under new ownership. New owners will ensure all hazardous substance are kept in a locked place using a safe locking method that prevents access by children."
Standard #:	8VAC20-780-290-A-3
Description:	Based on observation, the licensee did not ensure that electrical outlets are fitted with protective covers. Evidence: There was one uncapped electrical outlet behind a table in the classroom where 18 two and three year old children were being cared for. The outlet was visible and accessible to the children in care.
Plan of Correction:	The following written response was received from the licensee on 12/23/2022: "As of 12/1/2022, the center is under new ownership. New owner replaced all outlet covers. Staff will ensure that all outlets are covered, daily."
Standard #:	8VAC20-780-340-D
Description:	Based on a review of records and interview, the licensee was unable to demonstrate that at least one staff member who meets the qualifications of a program leader or program director is regularly present in each grouping of children. Evidence: At the time of the inspection on 11/28/2022, there were 2 staff supervising 18 children in a classroom. The records for one staff (#3), who was identified as the lead teacher in the classroom, did not contain documentation to demonstrate program director qualifications. Staff #1, who was the administrator in charge at the time of the inspection, was unable to provide documentary evidence of staff #3's program leader qualifications. When asked if staff #6, who was in the classroom and identified as the teacher's assistant, had documentation to demonstrate program director qualifications, staff #1 said "I don't think so".
Plan of Correction:	The following written response was received from the licensee on 12/23/2022: "As of 12/1/2022, the center is under new ownership. New owners will ensure that at least one staff member who meets the qualifications of a program leaders or program director is regularly present in each group of children."
Standard #:	8VAC20-780-350-C
Description:	Based on observation and interview, the licensee did not ensure that when children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group is applied to the entire group. Evidence: At the time of inspection on 11/28/2022, there were 18 children in a classroom with staff #4 and staff #6. Staff #4 stated that 9 of the children were 2 years old and the other 9 children were 3 years old. Whether combined (with a ratio of 1:8) or in 2 groups (with a ratio of 1:8 and a ratio of 1:10), there was not adequate staff to meet the ratio requirements for the children present in the classroom.
Plan of Correction:	The following written response was received from the licensee on 12/23/2022: "As of 12/1/2022, the center is under new ownership. New owners will ensure that all classrooms maintain the ratio requirements for each grade group."
Standard #:	8VAC20-780-550-D
Description:	Based on a review of records and interview, the licensee was unable to demonstrate that evacuation drills are implemented monthly. Evidence: The log containing documentation of evacuation drills did not have entries for April, May, June, July and October of the current year. Staff #1 who was the administrator present during the inspection was unable to provide additional documentation of evacuation drills conducted in the past 12 months.
Plan of Correction:	The following written response was received from the licensee on 12/23/2022: "As of 12/1/2022, the center is under new ownership. New owners will ensure that the centers conducts and documents evacuation drills monthly."
Standard #:	8VAC20-820-120-E-2
Description:	Based on observation and interview, the licensee did not post the findings of the most recent inspection. Evidence: The information board inside of the entrance to the facility contained posted results of an inspection which was dated 12/22/2020. When asked if the most recent inspection findings were posted in facility, staff #1 stated that she was not aware of the inspection being posted elsewhere.
Plan of Correction:	The following written response was received from the licensee on 12/23/2022: "Attached is the current State Fire Marshall Inspection and the current Virginia Health Department Inspection".