VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Tiffany's Learning Center
12140 Amos Lane
Fredericksburg, VA 22407
(540) 845-1829

Current Inspector: Laura Brindle (540) 905-2062

Inspection Date: March 14, 2023

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. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Discussed Safe Sleep with the Owner.

Comments:

An unannounced 60-day monitoring inspection was conducted on 3/14/2023 from 10:40am to 1:40pm with the Owner and Director. There were 52 children in care, ranging in age from three-months to 10-years-old, supervised by 11 staff. Children were observed having free play in centers, having indoor recess, and playing with tabletop toys and coloring. Six child records and six staff records were reviewed. Five medications and authorization forms were reviewed. The first aid kit and non-medical emergency supplies were observed. Attendance, required postings, and the emergency drill log were also reviewed. Violations were cited and can be viewed on the Violation Notice. If you have questions regarding this inspection, you may contact the Licensing Inspector, Laura Brindle, at laura.brindle@doe.virginia.gov or 540-905-2062. Please complete the "Plan of Correction" and "Date to be Corrected" areas on the Violation Notice for each violation cited and return to me by close of business on 3/20/23. Plans of correction should include steps to correct the noncompliance with the standard, and measures to prevent the noncompliance from occurring again.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on review of six staff records, the center did not obtain the results of a national, fingerprint-based criminal history record check prior to employment for four staff. Evidence: 1. The fingerprints on record for Staff #2, with an employment date of 2/6/23, were dated 2/27/23; the fingerprints on record for Staff #5, with an employment date of 8/1/22, were dated 8/22/22. 2. There were no fingerprints on record for Staff #3, with an employment date of 2/13/23; and Staff #6, with an employment date of 2/5/23.
Plan of Correction:	Staff #2 dates of employment and fingerprints dates. Staff had to make and wait for appointments for prints. Once they were done, the owner had to call 3x before they were retrieved. Time frame for prints and CPS is taking longer than the time frame before Covid-19. Staff #5 Paperwork was completed 8/1/22 prints dated 8/22. This was done previously before opening. We had many delays with the county, etc., due to no control of our own. This employee was hired when we submitted our first application for licensing with the intentionally opening date of September. Staff #3 -prints had not been returned as of 3/14/23. Date of employment was offered 2/13/23 and employee started on 2/27/23. Fingerprints are taking longer than the time frame set before Covid-19. Staff#6- employment date of 2/5/23, but the employee did not start until 2/13/23. Employee came from another center, where she has been active for 18 years with no gap in employment. Fingerprints were done 2/7/23, once they were done, the owner had to call 3x before they were retrieved. Time frame for prints and CPS is taking longer than the time frame before Covid-19.
Standard #:	8VAC20-770-60-C-2
Description:	Based on review of six staff records, the center did not obtain the results of a search of the central registry (CPS) within 30 days of employment for five staff members. Evidence: 1. There were no CPS results on record for Staff #2, with an employment date of 2/6/23; Staff #3, with an employment date of 2/13/23; Staff #4, with an employment date of 1/20/23; and Staff #6, with an employment date of 2/5/23. 2. The CPS results on record for Staff #5, with an employment date of 8/1/22, were dated 10/17/22.
Plan of Correction:	No CPS for Staff #2,3,4, and 6: All had been sent out waiting for DSS to return. Both owner and licensing knew and agreed there was a 30 day plus return on searches. The owner did not know that the center needed to create a form stating a follow-up contact with DSS. As a results, the form was created and attached in the employees file. A copy was sent to the licensing inspector as well. Staff 5 hire date of 8/1/22 the results dated 10/17/22: This employee was hired based on our previous opening date that was delayed.
Standard #:	8VAC20-780-160-A
Description:	Based on review of six staff records, the center did not ensure that each staff member submitted documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record for Staff #6, with an employment date of 2/5/23, did not contain documentation of a TB screening. 2. The TB test on record for Staff #2, with an employment date of 2/6/23, was dated 2/10/23; the TB test on record for Staff #3, with an employment date of 2/13/23, was dated 3/2/23; and the TB test on record for Staff #4, with an employment date of 1/20/23, was dated 3/2/23.
Plan of Correction:	Staff 6: TB paperwork was done morning of the 14th before she clocked in. Paperwork was on the admin desk. She also transferred from another childcare center with no gap of employment and had results from her previous center. Staff 2: had an appointment for a TB test. Employees had to start immediately. Staff 3: Hire date of employment was 2/13/23 actual start date was 2/27 and also scheduled appt. Staff 4: hire date was 1/20/23 for employment with actual start date of 3/6/23. TB was completed and the form was in the office to be filed.
Standard #:	8VAC20-780-80-A
Description:	Based on review of documentation, the center did not ensure that for each group of children, a record of attendance was maintained that documented the arrival and departure of each child in care as it occurred. Evidence: On 3/14/23 at approximately 11:26am the attendance record in the School Age class contained documentation of three children present. There were five children present at the time.
Plan of Correction:	All classrooms use an app called procare where attendance is kept. In addition, the center has a clipboard in each classroom with attendance kept as well. Documentation has been sent to the licensing inspector. During the time of inspection, the owner's child had just arrived and was not signed in by the owner because she was doing rounds with the licensing inspector. The other student was a drop-in for the day, due to the fact that it was spring break. The student paperwork was on the admin desk to be entered. During the time of inspection, the owner informed the Licensing Inspector that it was spring break and the 5 students who were there were the director's nephew, the owner's three children and employee niece whose paperwork was in the front office to be entered.
Standard #:	8VAC20-780-240-I
Description:	Based on review of six staff records, the center did not ensure that documentation of orientation training was kept by the center in a manner that allowed for identification by individual staff member, was considered part of the staff member?s record, and included: 1. Name of staff; 2. Training topics; 3. Training delivery method; 3. The entity or individual who provided the training; and the date of the training. Evidence: There was no documentation of orientation training on record for Staff #1, Staff #2, Staff #3, Staff #4, or Staff #5.
Plan of Correction:	Based on the conversations with the licensing inspector, the new director has found incorrect file information. When the inspection occurred, all files were in the back office. The director, owner, and administrator had pulled all files to go through individually to make sure all correct forms were in each file.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, the center did not ensure that disposable diapers were disposed of in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member?s hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: The trash cans in the Infant/Toddler diaper changing area and the hallway bathroom for children two-years-old and older were not foot-operated and required that the staff member touched the trashcan with their hand or the soiled diaper in order to dispose of it.
Plan of Correction:	The infant room did have a diaper genie with a step open system. The owner was unaware that a new staff member accidentally disposed of a diaper in the regular trash can. All employees were given a notice about the mistake. As a result, the owner removed the trash can and replaced it with a step foot trash can immediately. Therefore this incident can not happen again. The toddler bathroom had a diaper genie that was not foot activated at the time inspection. As a result, the owner threw away the diaper genie. As a result, the owner replaced it with a step foot trash can immediately. Therefore, this incident can not happen again.
Standard #:	8VAC20-780-570-B
Description:	Based on observation and interview, the center did not ensure that bottles were not used while a child was in their designated sleeping location. Evidence: On 3/14/23 at approximately 10:50am, a 13-month-old infant was observed sleeping on their cot with a bottle in their mouth.
Plan of Correction:	Not available online. Contact Inspector for more information.