VIRGINIA DEPARTMENT OF SOCIAL SERVICES

VCUHS CDC @ Northside
800 West Graham Road
Richmond, VA 23222
(804) 828-2145

Current Inspector: Lynn Powers (804) 840-8260

Inspection Date: Dec. 2, 2019 and Dec. 11, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-665 INTRODUCTION 22VAC40-665 ADMINISTRATION 22VAC40-665 STAFF QUALIFICATIONS & TRAINING 22VAC40-665 PHYSICAL PLANT 22VAC40-665 STAFFING & SUPERVISION 22VAC40-665 PROGAMS 22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES 22VAC40-665 SPECIAL SERVICES

Comments:

A Subsidy Health and Safety inspection was conducted on December 2, 2019 to review supplemental health and safety requirements. Additional information was reviewed at the administrative office at N-Deck on December 11, 2019. The inspector was on site from approximately 10:30AM to 2:30PM. Children were observed engaged in a variety of activities during the inspection. Activities included listening to the story "Come Cook with Me", preparing for a cooking project, circle time where children participated with a flannel board story and sang songs, played with toys, and had outdoor time on the playground with balls and small trikes. Infants were observed playing with balls, napping and playing on the floor with staff. Diapering and hand washing was also observed. Lunch was served during the inspection. All areas of the facility including classrooms, hallways, bathrooms and playgrounds were inspected. The facility was equipped with toys and supplies and items were available to the children. The following information was reviewed: injury reports, daily attendance, daily sheets, infant feeding plans, menu, license, emergency numbers, daily schedules, and evacuation maps/procedures. The inspector interacted with staff and children in care. A licensing inspection was also conducted this date; the two inspections combined cover all subsidy health and safety requirements. Only subsidy requirements that are not covered in licensing standards are reviewed during this supplemental inspection. Violations were found during the supplemental subsidy health and safety inspection requirements and are identified on the violation notice. Today's census observed: Infants (Meadow Room): 8 children and 2 staff Older Infants (Rapids Room): 8 children and 2 staff Toddlers (Waterfall Room): 9 children and 2 staff Twos (Stream Room): 13 children and 2 staff Threes (Babbling Brook Room): 8 children and 2 staff Fours and Fives (River Room): 11 children and 2 staff During the inspection, eight children's records and eight staff records were reviewed. Staff on site with current CPR, First aid and DHO training. The most recent evacuation drill was documented on 11/18/2019. The two required shelter-in-place drills were completed on 04/24/2019 and 10/15/2019. A lock down drill for 2019 had not yet been completed. If you have any questions about this inspection, please contact the licensing inspector at (804) 662-9758.

Violations:

Standard #:	22VAC40-665-520-B-11
Description:	Based on review of children's records, the center did not obtain a written allergy care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record of child #6, with a diagnosed food allergy, did not have an allergy care plan.
Plan of Correction:	Per the administrator: We will request that the parent provide an allergy care plan for the record.
Standard #:	22VAC40-665-580-B
Description:	Based on review of staff records, the center did not ensure staff completed Virginia Pre-service training for Child Care Staff within the first 90 days of employment or subsidy vendor approval. Evidence: Staff #7, hired 06/30/2019, did not have documentation of completing Virginia Pre-service Training, exceeding 90 days from hire.
Plan of Correction:	Per the administrator: We will have staff complete the Virginia Pre-service Training.
Standard #:	22VAC40-665-580-C
Description:	Based on review of staff records, the center did not ensure staff hired prior to October 17, 2018 had completed Virginia Pre-service Training for Child Care Staff sponsored by the Department of Social Services, by January 16, 2019. Evidence: 1. Staff #1, hired 09/14/2016, did not have documentation of completing Virginia Pre-service training. 2. Staff #3, hired 09/21/1997, did not have documentation of completing Virginia Pre-service training. 3. Staff #4, hired 04/02/2013 did not have documentation of completing Virginia Pre-service training. 4. Staff #6, hired 02/19/2012, did not have documentation of completing Virginia Pre-service training. 5. Staff #8 hired 04/12/2015, did not have documentation of completing Virginia Pre-service training.
Plan of Correction:	Per administration: We will have staff complete the Virginia pre-service training.
Standard #:	22VAC40-665-580-F
Description:	Based on review of staff records, the center did not ensure staff who work directly with children prior to October 17, 2018 completed CPR and first aid training as required by January 16, 2019 . Evidence: Staff #8, hired 04/12/2015, did not have documentation of CPR and first aid training as required.
Plan of Correction:	Per the administration: Staff will obtain CPR and First aid training.