VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Tender Touch
1425 Lynnhaven Parkway
Virginia beach, VA 23456
(757) 368-2049

Current Inspector: Arlene Agustin (804) 629-7519

Inspection Date: Aug. 13, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-185 PHYSICAL PLANT. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 PROGRAMS. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Comments:

An unannounced, mandated monitoring inspection was conducted today. The inspector arrived at 10:00 AM and departed at 1:00 PM. Thirty-six children were in care. Morning activities, lunch service and nap time were observed. The playground is currently closed for renovation. A sample size of five staff records and five children's records were reviewed. It was reported that no medication is administered to children in care. Injury records and emergency drills were reviewed. An exit meeting, during which the facility's plans of correction were obtained, was conducted with the administrator prior to closure of the inspection.

Violations:

Standard #:	22VAC40-185-70-A
Description:	Based upon review of five staff records, the facility has not ensured that the records for each staff person include all required information. Evidence: 1. The record provided for staff 5 who, according to staff 6, has been working since the end of July 2019, included only an application and emergency contact information. Staff 5 was on duty and needed in ratio with the toddlers today. 2. The record provided for staff 4 who, according to staff 6, has been working since the end of July 2019, included only an application and emergency contact information. Staff 4 was on duty and needed in ratio with the infants today. 3. The records provided for staff 4 and staff 5 did not include document of reference checks, verification of age, health information, date of hire and position.
Plan of Correction:	The facility responded with the following: Both staff 4 and staff 5 were hired due to an emergency and will be leaving employ at the end of next week. In the future, no staff will be employed without all required information and documentation.
Standard #:	22VAC40-185-270-A
Description:	Based upon observation, the facility has not ensured that areas and equipment are maintained to be safe. Evidence: The yellow paint on the wall by the toilet in the bathroom at the very end of the front hallway has a large area of peeling paint.
Plan of Correction:	The facility responded with the following: All peeling paint will be removed.
Standard #:	22VAC40-185-280-B
Description:	Based upon observation, the facility has not ensured that hazardous substances are kept in locked places using safe locking methods that prevent access by children. Evidence: 1. The door to the middle storage room by the summer campers was standing open. On a shelf in the storage room was a spray bottle labeled "T2 bleach and water", and a box of borax and a can of shaving cream both with warning labels and instructions to keep out of reach of children. 2. Staff 1 stated that she was unaware that the chemicals were in the storage room. 3. There was a gallon pump hand sanitizer labeled warning and keep out of reach of children on the half wall of the toddler room.
Plan of Correction:	The facility responded with the following: All chemicals were locked up during the inspection. All staff will be reminded to be diligent in making certain that checmicals are in locked locations.
Standard #:	22VAC40-185-550-M
Description:	Based upon review of five children's records, the facility has not ensured that the written record of children's injuries includes all required documentation. Evidence: 1. An injury record dated 3/1/2019 for child 1 does not include the names of staff present, future action to prevent recurrence of the injury, the date and time the parent was notified or how the parent was notified. 2. An injury record dated 3/28/2019 for child 3 does not include future action to prevent recurrence of the injury, the date and time the parent was notified or how the parent was notified.
Plan of Correction:	The facility responded with the following: All staff will be reminded that all documentation required of children's injuries must be complete. Injury records will be checked to ensure that they are complete.
Standard #:	22VAC40-185-560-F
Description:	Based upon observation, the facility has not ensured that the menu listing foods to be served for meals and snacks during the current one-week period is posted. Evidence: The menu posted on the parent information board in the hallway is dated 8/5 through 8/9. The current week is 8/13 - 8/17.
Plan of Correction:	The facility responded with the following: The menu for this week will be posted today.
Standard #:	22VAC40-191-60-B
Description:	Based upon review of five staff records, the facility has not ensured that any employee who is supervising one or more children has completed and signed a sworn statement or affirmation prior to the first day of employment at the facility. Evidence: 1. Staff 6 was unable to provide a sworn disclosure or affirmation form for staff 4 who, according to staff 6, has been employed since "the end of July" 2019. 2. Staff 6 was unable to provide a sworn disclosure or affirmation form for staff 5 who, according to staff 6, has been employed since "the end of July" 2019. 3. Staff 5 stated that she had not completed a sworn disclosure or affirmation statement. 4. Both staff 4 and staff 5 were on duty and needed in ratio during the inspection.
Plan of Correction:	The facility responded with the following: Both staff 4 and staff 5 were hired due to an emergency and will be leaving employ at the end of next week. In the future, no staff will be employed without first completing and signing a sworn disclosure or affirmation statement. Both staff will complete these forms today.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based upon review of five staff records, the facility has not ensured that results of a fingerprint check are obtained prior to employment at the facility. Evidence: 1. Staff 6 was unable to provide results of fingerprinting for staff 4 who, according to staff 6, has been employed since "the end of July" 2019. 2. Staff 6 was unable to provide results of fingerprinting for staff 5 who, according to staff 6, has been employed since "the end of July" 2019. 3. Staff 5 stated that she had not obtained a fingerprint check. 4. Both staff 4 and staff 5 were on duty and needed in ratio during the inspection.
Plan of Correction:	The facility responded with the following: Both staff 4 and staff 5 were hired due to an emergency and will be leaving employ at the end of next week. In the future, no staff will be employed without obtaining results of a fingerprint check. Both staff will be sent for fingerprinting right away.