VIRGINIA DEPARTMENT OF SOCIAL SERVICES

River's Bend Children's Center
12201 Kingston Avenue
Chester, VA 23836
(804) 530-5600

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: Feb. 24, 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. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Comments:

An unannounced monitoring inspection was conducted today, February 24, 2020 to determine the center's compliance with licensing standards. The inspection was initiated at 11:00 am and concluded at 2:15 pm. Upon the inspector's arrival the pre-school class was alternating two groups of children between center time in the classroom and playing in the gym with balls and the parachute. Infant were observed napping, having lunch and playing in an exersaucer. Staff interacted with the infants in a positive manner. Diapering was also observed. Later lunch time was observed in the toddler class. Today's lunch consisted on ham, biscuit, pears, cooked carrots and milk. After lunch children prepared for nap time. All areas of the center were inspected. The center is equipped with age appropriate supplies and materials. The following required postings were observed: license, last inspection notice, emergency numbers, daily schedules and evacuation procedures. The first aid kit and non-medical emergency supplies were inspected and found complete. The inspector interacted with staff and children in care. Seven staff records were reviewed along with five children's records. Medications and medication authorizations were reviewed. The center has staff with current CPR, First aid, DHO and MAT training on site. The most recent evacuation drill was documented on 01/15/2020. The two required shelter-in-place drills for 2019 were completed on 11/26/2019 and 12/09/2019. Fire Inspection: 01/21/2020, Health Inspection 07/31/2019 Today's Census: Infants: 6 infants with 2 staff. Toddler: 5 children with 1 staff. Pre-school: 13 children with 3 staff. Violations cited during the licensure period were checked for corrections. There were no repeat violations cited during today's inspection. A violation for non-compliance of background check requirements was identified during today's inspection. The facility must send documentation to the licensing inspector that the background checks have been requested no later than 10 days following this notification dated 02/26/2020. If you have questions regarding this inspection, please contact the licensing inspector at 804-662-9758.

Violations:

Standard #:	22VAC40-185-130-B
Description:	Based on review of children's records, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The most recent documentation of immunizations for child #3 (age 12 months/enrolled 06/17/2019) was dated 06/14/2019 exceeding the requirement to obtain additional immunization documentation every 6 months.
Plan of Correction:	Per the director: I will contact the parent this evening to obtain documentation of updated immunizations.
Standard #:	22VAC40-185-270-A
Description:	Based on observation, the center did not ensure all areas, inside and outside, were maintained in a clean, safe and operable condition. Evidence: A mat attached to the interior of the climbing tube of the indoor jungle gym has a tear approximately three inches in length. The tear poses a tripping hazard and exposes the interior foam material.
Plan of Correction:	Per the director: I have ordered industrial grade repair tape for the mat. I will repair the tear on the mat.
Standard #:	22VAC40-185-510-N
Description:	Based on review of medication authorizations and interview, the center did not ensure when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Evidence: 1. The medication authorization for child #2 expired on February 7, 2020, exceeding the 14 day allowance to obtain a new authorization or have the parent pick up the medication. The medication was still on sight but had not been administered. 2. The director acknowledged the medication authorization had expired.
Plan of Correction:	The director contacted the parent requesting an updated medication authorization. Per the director: The child has a doctor appointment tomorrow and the parent will obtain an updated medication authorization.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on the review of the seven staff records, the center did not request a search of out-of-state founded complaints of child abuse or neglect within 30 days of beginning employment for one staff members who had lived outside of Virginia within the last five years. Evidence: 1. Documentation for Staff #5 (hired 12/03/2019) indicated the staff member had lived outside of Virginia within the last five years. 2. The record did not contain documentation of a request for founded complaints of child abuse from one of the two states the staff had indicated they had lived in within the last five years. 3. Staff #5 was observed working at the center during the inspection. 4. Administration stated an out-of-state child abuse search for Staff #5 had not been requested for one of the two states listed.
Plan of Correction:	Per the director: I will request the out of state child abuse and neglect search today for the staff member. An out of state search was completed for one state listed. I did not realize a second state was listed for the employee.