VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sunrise Learning Center, Inc.
400 High Street
Farmville, VA 23901
(434) 390-1269

Current Inspector: Susan Mallory (276) 608-4267

Inspection Date: Jan. 21, 2020

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. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Comments:

An unannounced monitoring inspection was completed on 1/21/2020. There were 26 children present in three groupings with six staff supervising. Five children's records and five staff records were reviewed. Two emergency medications for one child in care were observed. The inspector arrived at the center at 9:40 am and departed at 2:00 pm. The children were observed during morning snack, during free time in classrooms, during outside times, during learning times and structured activities, during lunches, and during nap.

Violations:

Standard #:	22VAC40-185-160-A
Description:	Based on record review and interview, the center failed to ensure that each staff member had documentation of a negative tuberculosis (TB) screening or test. Documentation of the screening or test shall be submitted no later than 21 days after employment and shall have been completed within 12 months prior to or 21 days after employment. Evidence: 1. Documentation of a TB test in the record of staff #2 dated 1/24/19 by a licensed nurse indicated positive results. There was documentation that staff #2 was referred to the local health department for follow-up. There was no documentation of this follow-up in the staff person's record. Staff #2 had a hire date of 1/13/2020 and had been employed as an independent contractor since January 2019. 2. Staff #2 was interviewed and stated that this was a "normal" result and would obtain documentation from a physician that staff #2 does not have current symptoms of active TB.
Plan of Correction:	The administrator will obtain documentation from staff #2 that staff #2 is free of active TB.
Standard #:	22VAC40-185-70-A
Description:	Based on record review, the center failed to ensure that all required documentation was in each staff record. Evidence: 1. The record for staff #1 was missing documentation of the following required information: job position, hire date, emergency contact name, address, and phone number. 2. The record for staff #2 was missing documentation of the following required information: job position, hire date, address for the staff person's emergency contact person, two references before hire as the staff person's character, reputation and competency. The administrator stated that one phone reference was made but not documented for staff #2. 3. The record for staff #3 was missing documentation of the following required information: job position, hire date.
Plan of Correction:	All of the documentation was corrected during the inspection. The administrator will have staff #2 submit two references.
Standard #:	22VAC40-185-240-A
Description:	Based on record review and interview, the center failed to ensure that staff received training by the end of their first day of assuming job responsibilities. Evidence: 1. Staff #1 and # 2 observed working during the inspection did not had documentation of orientation training. Both had hire dates of 1/13/2020. Staff #1 had been volunteering since November 2019 and staff #2 had been an independent contractor since January 2019. 2. The administrator was asked about the lack of orientation and confirmed that this had not been done with either staff #1 or staff #2.
Plan of Correction:	The administrator will train staff #1 and #2 on all required areas.
Standard #:	22VAC40-185-240-D-1
Description:	Based on interview, the center failed to ensure that in order to safely perform medication administration practices listed in 22 VAC 40-185-510, whenever the center has agreed to administer prescribed medications the administration shall be performed by a staff member or independent contractor who has satisfactorily completed a training program (Medication Administration Training course - "MAT") for this purpose approved by the Board of Nursing and taught by a registered nurse, licensed practical nurse, doctor of medicine or osteopathic medicine, or pharmacist; or administration shall be performed by a staff member or independent contractor who is licensed by the Commonwealth of Virginia to administer medications. Evidence: 1. The administrator was asked if there were any medications for the children. The administrator showed the inspector two medications for one child in care (Auvi-Q and liquid Benadryl) for a food allergy. Neither had been opened or used. The administrator was asked if any staff were MAT trained and the administrator stated that there were no MAT trained staff at the center. The children pack their own lunches and snacks. The center does not provide any food to the children. The administrator stated that the medication is only stored at the center because the parent is close enough to come when called in an emergency to administer the medication.
Plan of Correction:	The administrator is working on having staff MAT trained.
Standard #:	22VAC40-185-440-B
Description:	Based on observation, the center failed to ensure that mats used by children were identified for use by a specific child. Evidence: 1. There were five children observed napping on mats. None of the mats were identified for use by a specific child.
Plan of Correction:	This was corrected during the inspection. The names of the children using the mats were put on the mats.
Standard #:	22VAC40-185-560-G
Description:	Based on observation, the center failed to ensure that food brought from home was dated. Evidence: 1. There were nine lunch boxes that were observed in one classroom. None of the lunch boxes, food, or date to ensure the lunches were from the date of the inspection was observed. There was date on the board posted above the lunches that the food was from 1/17/2020.
Plan of Correction:	Staff will be reminded to ensure that food from home is brought in and the date changed daily.
Standard #:	22VAC40-185-560-K
Description:	Based on observation, the center failed to ensure that tables used for feeding were sanitized as required, before and after use for feeding. Evidence: 1. Morning snack and lunch were observed in one classroom. The tables were not sanitized before and after use as required. The tables were cleaned with disinfecting wipes before eating the morning snack. The requirements for sanitizing is defined in the Standards as treated in such a way to remove bacteria and viruses from inanimate surfaces through using a disinfectant solution (i.e., bleach solution or commercial chemical disinfectant) or physical agent (e.g., heat). The surface of item is sprayed or dipped into the disinfectant solution and allowed to air dry after use of the disinfectant solution.
Plan of Correction:	Staff will be reminded of the requirements for cleaning and sanitizing of the tables used for feeding.