VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Precious Time Child Development Centers LLC
13711 Village Mill Road
Midlothian, VA 23114
(804) 272-1062

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: Feb. 19, 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. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

None

Comments:

The licensing inspector conducted an announced initial inspection on February 19, 2020 from approximately 9:40 AM until 4:10 PM. A facility representative was present during the inspection and assisted the licensing inspector. The center plans to operate six classrooms, for children aging in range from one month to twelve years. The classrooms were observed to be well laid out and filled with equipment for the children. The classrooms have toys, educational materials, games, arts and crafts materials, books, tables, chairs, cots and many other items for the children to use. The outside play area was also inspected. The center will serve meals and snacks. Transportation will not be offered at this time. During the inspection, the following items were reviewed and discussed; parent policies, staff policies, center procedures, emergency preparedness plan, emergency supplies, storage of cleaning supplies, daily attendance sheets, menu requirements, infant daily sheets, diapering procedures and bathroom breaks along with staff supervision. Emergency supplies including the first aid kit, battery operated radio and flashlight were checked. Liability insurance policy expires 8/25/2020. Current health inspection: 6/21/2019 Current fire inspection: 8/8/2019 During the inspection, two staff records were reviewed. Children's records will be reviewed during the next inspection. The center has submitted all of the required application materials at this time. Though, some standards of care could not be determined during the initial study, the center is in substantial compliance with the standards that could be determined. A recommendation for a six-month conditional license will be made at this time. During the conditional period, the center will be subject to unannounced licensing inspections, with the first inspection taking place within the first sixty days of licensure. Please contact the licensing inspector at (804) 662-9092 if you have any questions regarding this inspection.

Violations:

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. Evidence: 1. The licensing inspector observed areas of peeling paint on metal poles on the playground, one area of peeling paint on the wall of the four year old classroom, and one area of peeling paint on the wall in the school age classroom. 2. In the older infant and toddler classroom, there was an area of loose vinyl from a mirror at floor level which left foam exposed. 3. In the older infant and toddler classroom, there were two metal pieces with serrated edges on lower level cabinet doors. 4. On the playground, there were protruding nails on the wooden planter box and a protruding screw on the wooded fence. There was exposed landscaping fabric surrounding the climbing equipment which is a tripping hazard. There was standing water located on the tarp covering the sandbox. On the infant and toddler playground, there were five pieces of metal rebar protruding from the wooden border for resilient surfacing.
Plan of Correction:	Administration reports that maintenance will make all necessary repairs.
Standard #:	22VAC40-185-280-B
Description:	The center did not ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the older infant and toddler classroom and the two year old classroom, the licensing inspector observed spray bottles of bleach water in unlocked lower cabinets. 2. In the three's classroom, there was a spray bottle of bleach water and a spray disinfectant located in an unlocked upper cabinet. 3. In the unlocked utility closet, located at the entrance area of the 4 year old classroom, there was a bottle of compressor oil, labeled as hazardous, sitting on the floor.
Plan of Correction:	Corrected on site.
Standard #:	22VAC40-185-330-B
Description:	Based on observations, the center did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: 1. The licensing inspector observed that two of two mulch depth samples taken at the four foot tall tire climbing equipment on the playground measured less than six inches. 2. Three of three mulch depth samples taken in the fall zone of the large playground equipment area measured less than six inches.
Plan of Correction:	Administration will rake the mulch and install additional mulch to meet the resilient surfacing requirements in the appropriate areas of the playground.
Standard #:	22VAC40-185-420-A
Description:	Based on a review of the center's policies and procedures, the center did not ensure that information given to parents prior to enrollment was complete. Evidence: 1. The licensing inspector observed that the parent handbook did not include the center's policy regarding application of sunscreen, diaper ointment/cream, and insect repellent. 2. The parent handbook did not include the center's policy regarding unacceptable discipline measures.
Plan of Correction:	Administration will update the parent handbook to include the necessary information.
Standard #:	22VAC40-185-500-B
Description:	Based on observation, the center did not ensure that the sink in the diapering area is supplied with warm running water. Evidence: The licensing inspector observed the sink located at the changing table area in the infant classroom was supplied with water that felt cold. The water temperature measured at 54 degrees. The second sink in the infant classroom, outside of the bathroom, measured at 57 degrees.
Plan of Correction:	Administration will have a plumber increase the water temperature in the infant classroom sinks. The water temperature will be maintained between 60 degrees and 120 degrees.
Standard #:	22VAC40-185-510-C
Description:	Based on a review of the center's policies and procedures, the center did not ensure that the center's procedures for administering medications shall include procedures for nonprescription medications. Evidence: The licensing inspector observed that the center's procedures for medication administration did not include a policy that nonprescription medication administration will be consistent with the manufacturer's instructions for age, duration and dosage.
Plan of Correction:	Administration will ensure the center's medication policy is updated with the necessary information.
Standard #:	22VAC40-185-550-A
Description:	Based on a review of the center's policies and procedures and interview, the center did not ensure that the emergency preparedness plan shall be developed in consultation with local or state authorities. Evidence: 1.The licensing inspector observed no documentation showing the emergency preparedness plan was developed in consultation with a local or state authority. 2. During an interview, administration reported the emergency plan had been developed with an outside party, however there was no documentation available regarding the review or the official status of the outside party.
Plan of Correction:	Administration will contact the local and/or state officials to obtain consultation for the emergency preparedness plan.
Standard #:	22VAC40-185-550-B
Description:	Based on a review of the center's emergency preparedness plan, the center did not ensure that each required procedural component was addressed in the plan. Evidence: 1. The licensing inspector observed that the center's emergency preparedness plan did not clearly identify the center's emergency officer and back-up officer. 2. The plan did not list the availability and primary use of communication tools. 3. The plan did not clearly list the method of communication following an evacuation or shelter-in-place scenario. 4. The evacuation and shelter-in-place procedures did not include a secondary means of egress. 5. The shelter-in-place procedures did not include scenario applicability or inside assembly points. 6. The plan did not include facility containment procedures for evacuation and shelter-in-place scenarios. 7. The plan did not list staff training requirements.
Plan of Correction:	Administration will ensure the emergency preparedness plan is updated with the necessary information.
Standard #:	22VAC40-185-550-C
Description:	Based on observation, the center did not ensure that emergency evacuation and shelter-in-place procedures/maps shall be posted in a location conspicuous to staff and children on each floor of each building. Evidence: The licensing inspector observed that the posted emergency maps did not include shelter-in-place information.
Plan of Correction:	Administration will add the shelter-in-place procedures to the posted emergency maps.