VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Tender Loving, Building Two
103 West 35th Street
Norfolk, VA 23504
(757) 622-1502

Current Inspector: Nanette Roberts (757) 404-2322

Inspection Date: Feb. 18, 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)

Comments:

An unannounced, mandated monitoring inspection was conducted today. The inspector was in the facility between 1:15 PM and 2:25 PM. Twenty-eight children were in care. Nap time and preparation for afternoon snack were observed. A sample size of five staff records and five children's records were reviewed. Medication administration and injury records were reviewed. An exit meeting was conducted with staff 1 and staff 2 prior to closure of the inspection.

Violations:

Standard #:	22VAC40-185-60-A
Description:	Based upon review of five children's records, the facility has not ensured that each child's record includes documentation of the required annual parent updates and confirmation that information in the child's record is up to date. Evidence: 1. The most recent documentation of parent review of up-to-date emergency information in the record provided for child 1 is dated 6/26/2017. 2. The most recent documentation of parent review of up-to-date emergency information in the record provided for child 3 is dated 3/6/2018. 3. The most recent documentation of parent review of up-to-date emergency information in the record provided for child 5 is dated 11/21/2018.
Plan of Correction:	The facility provided the following: We have a form for parents to document and it was to have been kept in the classroom records, however the forms were not available during the inspection. In the past the form was not signed and dated by parents in the past. We will redesign the form and have parents complete the form to document a review of the child's emergency information and to include any necessary changes. The form will be signed and dated and placed in each child's record.
Standard #:	22VAC40-185-270-A
Description:	Based upon observation and staff interview, the facility has not ensured that areas and equipment are maintained to be safe. Evidence: 1. The storage room upstairs in which are kept hazardous substances such as caulking and motor oil was not secured to be inaccessible to children as the eye bolt into which the hook latches was no longer on the doorway. 2. There is a two inch wide rubber transom between floor surfaces in the upstairs classroom. A one foot section has come loose from the floor creating a potential tripping hazard where a child's shoe could become caught under the rubber. 3. The stairs leading to the upstairs have carpeted treads. One side of one of the treads is not longer secured to the stair. A child could slip or trip on this tread.
Plan of Correction:	he facility responded with the following: 1. A new eye hook will be securely installed on the closet door upstairs. 2. The rubber transom will be glued to the floor. 3. The carpet stair tread was re-attached during the inspection. All staff will be reminded that when there are problems with the physical plant or things break, that management must be notified so that these items can be repaired. Routine sweeps will be conducted of the inside and outside of the facility to ensure that needed repairs are made.
Standard #:	22VAC40-185-280-B
Description:	ased upon observation, the facility has not ensured that hazardous substances are kept in a locked place using a safe locking method that prevents access by the children. Evidence: There were two containers of White-Out correction fluid on the teacher's desk in the 3 year old classroom. The containers are labeled "caution, danger, flammable, keep out of reach of children".
Plan of Correction:	The facility responded with the following: The White-Out fluid was removed from the classroom during the inspection. All staff will be reminded of the appropriate storage of potentially hazardous fluids to be in locked locations.
Standard #:	22VAC40-80-120-E-2
Description:	Based upon observation and staff interview, the facility has not ensured that the findings of the most recent inspection of the facility are posted on the premises of the facility. Evidence: 1. The findings of the most recent inspection were not posted in the facility. 2. Staff 1 and staff 2 stated that they were kept in a binder, however the findings of the most recent inspection could not be located.
Plan of Correction:	The facility responded with the following: The findings of today's inspection will be posted in the foyer.