VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Precious Time, LLC
1600 Early Settlers Road
N. chesterfield, VA 23235
(804) 272-1062 (2)

Current Inspector: Florence Martus (804) 389-0157

Inspection Date: Oct. 8, 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) 32.1 Report by person other than physician 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

The licensing inspector and administrative staff discussed Standard 22VAC40-185-420-E-3-B which states that staff shall request at least annually, parent confirmation that the required information in the child's record is up to date.

Comments:

An unannounced renewal inspection was conducted on October 8, 2019 from approximately 11:45 AM to 3:40 PM to determine the center's compliance with licensing standards. The director was present for the inspection. The staff to child ratios were deemed in compliance with licensing standards. The following ratios were observed in the classrooms: Infants 2:8, Older Infants 2:7, Toddlers 2:10, 2 years 2:15, 3 years 2:13, 4 years 1:9, PreK 2:19. Lunch today consisted of chicken and rice casserole, carrots, mixed fruit, and milk. The staff were observed to be engaged with the children in age appropriate activities and to be meeting the needs of the children in care. All areas of the facility including the classrooms, outdoor play areas, bathrooms, kitchen, and the buses were inspected. The facility had the following posted: license, last inspection, emergency numbers, evacuation maps/procedures, daily schedule, and various parent information. The first aid kit and non-medical emergency supplies were inspected and found complete. The last evacuation drill was conducted on 9/19/19. The last shelter-in-place drill was conducted on 5/3/19. The Emergency Preparedness plan is current. Health Inspection: 9/11/19. Fire Inspection: 8/22/19. Medications and authorizations were reviewed. There were multiple staff present who are certified in medication administration, daily health observation, First Aid, and CPR. Eight children's records, one agent record, and seven staff records were reviewed. Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return it to the licensing office within 5 business days. Your plan of correction should contain 1) steps to correct the non-compliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). If you have any questions, please contact the licensing inspector at 804-662-9092. NOTE: The provider?s response for the ?plan of correction? was not received as of October 18, 2019 and will not appear on the Violation Notice.

Violations:

Standard #:	22VAC40-185-60-A
Description:	Based on a review of eight children's records, the center did not ensure the children's records contained the required documentation. Evidence: 1. The licensing inspector observed the record for Child #5 (start date 1/28/19) did not contain documentation of additional immunizations every six months which are required for children under the age of two. 2. The record for Child #6 (start date 6/13/19) did not contain documentation of a second emergency contact.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-210-A-4
Description:	Based on a review of seven staff records, the center did not ensure identified staff met program leader qualifications. Evidence: The licensing inspector observed the records for Staff #4 (hire date 9/17/18), Staff #5 (hire date 4/8/19), and Staff #7 (hire date 8/12/19) contained documentation identifying their job titles as program leaders. 2. The records for Staff #4, Staff #5, and Staff #7 did not contain documentation of education and training to be qualified as a program leader.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-270-A
Description:	Based on observation the center did not ensure that all areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment. EVIDENCE: The licensing inspector observed that two seats on Bus #3 were torn and had the foam cushion exposed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-510-A
Description:	Based on the review of four medications, authorizations and medication administration logs, the center administered medication to three children without current parent authorization. Evidence: 1. The licensing inspector observed the administration log record showed that medication was administered to Child B on two occurrences (8/6/19 and 8/7/19), after the parent authorization expired on 7/5/19. 2. The licensing inspector observed the administration log record showed that medication was administered to Child C on 8/15/19, after the parent authorization expired on 7/18/19. 3. The licensing inspector observed the administration log record showed that medication was administered to Child D on three occurrences (7/29/19 AM and PM, and 7/30/19) without a parental authorization documented.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on a staff interview and a review of seven staff records, one record did not contain an Out of State Child Abuse and Neglect Search Request. Evidence: 1. The updated Sworn Disclosure Statement indicated Staff #7 (hire date 8/12/19) lived out of state within the past 5 years. 2. The record for Staff #7 did not contain an Out of State Child Abuse and Neglect search request. 3. Administration reported the request had been sent, but could not be located during the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	63.2(17)-1721.1-A
Description:	Based on review of the agent record, the center did not obtain an updated Central Registry search for the listed agent. Evidence: The record for Agent #1 contained a Central Registry search result dated 6/11/13. An updated Central Registry search was required to be obtained prior to 6/11/18.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	63.2(17)-1721.1-B-2
Description:	Based on review of the agent record, the center did not obtain a national fingerprint-based criminal history record check for the listed agent. Evidence: The record for Agent #1 did not contain documentation of a national fingerprint-based criminal history record check. A statement of eligibility based on a national fingerprint-based criminal history record check was required to be obtained prior to 9/30/2018.
Plan of Correction:	Not available online. Contact Inspector for more information.