VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Quality Time Child Care Center, Inc
2008 Meade Parkway
Suffolk, VA 23434
(757) 934-0187

Current Inspector: Anita Drewry (757) 404-5261

Inspection Date: Aug. 5, 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. 63.2(17) License & Registration Procedures

Comments:

An unannounced monitoring inspection was conducted from 11:55am - 2:45pm. There were 74 children in care with nine staff and two administrators. Children in care ranged in age from two months through five years old. Children and staff records were reviewed. Children were observed in teacher and self-directed activities including nap, transitions, restroom routines and snack. Required postings, insurance, annual inspections, emergency evacuation documentations, first aid kit and emergency items were reviewed. Violations regarding administration, physical plant, programs, special care provisions and emergencies and special services and appear on the violation notice.

Violations:

Standard #:	22VAC40-185-160-A
Description:	Based on record review and interview the center failed to ensure that each staff member did submit documentation of a negative tuberculosis screening no later than 21 days after employment. Evidence: 1 - The record for staff 2 does not contain any documentation of a tuberculosis screening. a. The record for staff contained a documented date of hire of June 27, 2019. 2 - Staff 1 confirmed that the record of staff 2 did not contain documentation of tuberculosis screening.
Plan of Correction:	Staff 2 has a negative screening on file. 8/8/19
Standard #:	22VAC40-185-330-B
Description:	Based on observation and interview the center failed to ensure that where playground equipment is provided, resilient surfacing, fall and use zones are in compliance with safety standards. Evidence: 1 - The resilient surface depth on the playground measured less than six inches throughout the playground including the fall and use zones of climb and slide equipment where six inches is required. a. There is grass and weeds growing up through the resilient surface within the fall and use zones of climb and slide equipment. Grass and weeds growing in the resilient surface negates the resiliency of the surface. 2 - Staff 1 confirmed that there was less than six inches of resilient surface on the playground.
Plan of Correction:	Rubber mulch has been ordered. 8/30/19 correction
Standard #:	22VAC40-185-340-D
Description:	Based on observation and interview the center failed to ensure that in each grouping of children at least one staff member who meets program leader qualifications is regularly present. Evidence: 1 - The staff 6, who was alone and providing direct care to children in the two/three year old room is not 18 years old as required by program leader qualifications. 2 - Staff 6 stated that she was 17 years old.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-370-3
Description:	Based on observation and interview the center failed to ensure that all children have outdoor time if weather and air quality allow. Evidence: 1 - In the infant room staff 2 and 3 stated that children in the infant room are not taken outside during the time that they are in care. 2 - During the inspection children present for care in the infant room were not taken outside.
Plan of Correction:	Infant 1 outdoor play will be incorporated as weather permits. 8/8/19
Standard #:	22VAC40-185-510-N
Description:	Based on review of medication the center failed to ensure that when an authorization for medication expires the parent is notified and the medication is picked up within 14 days. Medications that are not picked up are disposed. Evidence: 1 - Four out of 14 medications reviewed have expired medication authorizations. The medications have not been returned to the parent as required. 2 - Staff 2 confirmed that the medication authorizations have expired and the medications have remained in the center.
Plan of Correction:	All medication forms have been updated. 8/8/19
Standard #:	22VAC40-185-520-C
Description:	Based on interview and record review when diaper ointment or cream is used the center failed to keep a record that includes the child's name, date of use, frequency of application and any adverse reactions Evidence: 1 - Staff 5 stated that child 1 was administered diaper cream last week for a diaper rash. However, there was not any record of the child's name, date of use, frequency of application and any adverse reactions available for review. 2 - Staff 5 confirmed that there was not any documentation available for review.
Plan of Correction:	Staff retrained on documentation. 8/8/19
Standard #:	22VAC40-185-570-I
Description:	Based on review the center's one-day's emergency supply of disposable bottles the center failed to maintain the required bottles. Evidence: 1 - The bottles maintained by the center for emergencies are not disposable. a. The bottles maintained at the center are made of hard plastic and intended to be washed and reused repeatedly. 2 - Staff 1 confirmed that bottles are not disposable as they are not thrown away after a single use.
Plan of Correction:	Disposable bottles with bags will be purchased to replaced existing spare bottles. 8/16/19
Standard #:	63.2(17)-1721.1-B-2
Description:	Based on record review and interview the center failed to ensure that fingerprints are obtained as required. Evidence: 1 - The records for staff 3 and 4 contained documentation of fingerprint results obtained after the documented date of hire. a. Staff 3 has a documented date of hire as July 7, 2019. However, the fingerprint result was dated July 9, 2019, one day after the documented date of hire. b. Staff 4 has a documented date of hire as March 25, 2019. However, the fingerprint result was dated March 28, 2019, three days after the documented date of hire.
Plan of Correction:	Records will be complete before official hire date. 8/5/19