VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Yellow Brick Road Early Learning Center
410 Yellow Brick Road
Lexington, VA 24450
(540) 463-7344

Current Inspector: Kelly Campbell (540) 309-2494

Inspection Date: Feb. 26, 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 renewal inspection was completed on 2/26/2020. There were 78 children present in eight groupings. Eight children's records and five staff records were reviewed. Five medications were reviewed. The inspector arrived at the center at 9:40 am and departed at 4:15 pm. The children were observed during outside times, during story times, during free times in the classrooms, during lunch, and during nap. All infant activities were observed.

Violations:

Standard #:	22VAC40-185-40-I
Description:	Based on interview, the center failed to ensure that there were written procedures for injury prevention. Evidence: 1. The director was asked for the written injury prevention procedures and stated that there were no written procedures.
Plan of Correction:	The director will develop written procedures.
Standard #:	22VAC40-185-270-A
Description:	Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: 1. There was a gate observed in an infant room with children ages two months to nine months that was in disrepair and easily able to fall down. The gate was approximately 10 pounds and freely sitting without any stability or being fixed to anything stabilizing it. The gate, when touched by the inspector, freely fell to one side. The gate was separating one area of the infant room from the sleeping area.
Plan of Correction:	This was corrected during the inspection. The gate was removed.
Standard #:	22VAC40-185-280-B
Description:	Based on observation, the center failed to ensure that all hazardous substances such as cleaning materials, insecticides, and pesticides were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There were two Swiffer wet mops observed in two different two year old classroom bathrooms (some children in one class were three years old) during the inspection while the children were present. The mop has a container of liquid floor cleaner on the mop which is removable and not locked. The mops were not locked and were accessible to the children. The floor cleaner liquid container had "Keep Out of the Reach of Children" on the label with additional warnings and cautions.
Plan of Correction:	This was corrected during the inspection. The mops/cleaning fluid were placed in a locking closet where they will be stored when not in use.
Standard #:	22VAC40-185-420-A
Description:	Based on review of policies and procedures and interview, the center failed to ensure that all required procedures were provided to the parent in writing before the child's first day attending. Evidence: 1. The following required policies and procedures were not observed in the parent handbook: picking up children after closing, procedures when a child is not picked up for emergency situations including but not limited to inclement weather or natural disasters, the appropriate general daily schedule for the age of the enrolling child, food policies, termination policies, policy for reporting suspected child abuse as required by 63.2-1509 of the Code of Virginia. The director verified these procedures were not in writing.
Plan of Correction:	The director will add all of the required policies and procedures to the parent handbook.
Standard #:	22VAC40-185-420-E-1
Description:	Based on review of electronic records and interviews, the center failed to ensure that a daily record for each infant with the required information was accessible at the time of inspection. Evidence: 1. The downstairs infant class with seven children present on the date of the inspection did not have any information documented on the infants' daily logs as of approximately 11:45 am. According to staff the seven infants had breakfast, had diapers changed, and eaten lunch as of the time the daily logs were asked to be reviewed. Two staff stated that no information had been documented on the date of the inspection. 2. Two infants in an upstairs infant class had documented bowel movements on the date of the inspection and there was no documentation of the description of the bowel movement which is required information to be posted on the infant daily records. 3. There was no documentation for any infants in the mobile application, as reported by staff, on description of bowel movements and time that the infants who can not turn themselves over have spent on their stomachs.
Plan of Correction:	The director will communicate the requirements to document this information in the infant mobile application that is used.
Standard #:	22VAC40-185-450-C
Description:	Based on interview, the center failed to ensure that crib sheets were washed daily. Evidence: 1. Staff were asked how often the crib sheet used for an infant in care in the downstairs infant room was changed/cleaned. Two staff stated that the crib sheets are washed weekly, on Fridays.
Plan of Correction:	Staff will make sure that crib sheets are changed daily.
Standard #:	22VAC40-185-510-E
Description:	Based on observation and interview, the center failed to ensure that medications were labeled with the dosage amount and time or times to be given. Evidence: 1. There were three emergency, over-the-counter medications observed for three children. The medications were not labeled with the dosage amounts or time/times to be given.
Plan of Correction:	The medications will be labeled as required.
Standard #:	22VAC40-185-550-M
Description:	Based on record review and interview, the center failed to ensure that all required information was documented on the injury records. Evidence: 1. Approximately 15 completed injury report forms were reviewed. The injury report forms did not have the staff present during any of the injuries documented.
Plan of Correction:	The director will use a different form that has a space to document all required information.
Standard #:	22VAC40-185-580-I
Description:	Based on observation and interview, the center failed to ensure that before leaving on a field trip, a schedule of the trip's events and locations were posted and visible at the center site. Evidence: 1. A group of two year old children were observed to go on a walking field trip. There was no visible notice of the trip's events and locations observed at the center when the group was gone.
Plan of Correction:	All classrooms will post a notice at their door when they leave for a field trip.