VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Cedarhouse School
2301 Colony Crossing Place
Midlothian, VA 23112
(804) 639-8078

Current Inspector: Heather Dapper (804) 625-2304

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. 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191) 63.2 Facilities & Programs.

Technical Assistance:

N/A

Comments:

An unannounced monitoring inspection was conducted on Monday, February 24, 2020 to determine the center's compliance with licensing standards. The inspector arrived at 10:10 AM and concluded the inspection at 2:58 PM. The census for today's inspection consisted of 131 children. During the inspection, children were having storytime, riding bikes, playing in the sandbox, singing, creating Cat in the Hat pictures, writing letters of the alphabet, playing matching games, taking bathroom breaks, washing hands, eating lunch, and napping. Children's equipment, learning materials, indoor and outdoor space, restrooms, first aid kit, and nonmedical emergency supplies were reviewed. Medication is administered, and medication, authorization forms, and allergy plans were reviewed. The provider stated that transportation is provided and the vehicle and transportation documents were reviewed. Ten children's records and ten staff records, annual fire and health inspections, liability insurance, fire drill and shelter in place drill logs, daily attendance, and all required postings were reviewed. The director was available for the inspection and was present at the exit interview at which time inspection findings were reviewed and an Acknowledgement of Inspection form was signed and left with the licensee. Violations were cited and can be found in the violation notice. Please complete the ?plan of correction? and ?date to be corrected? for each violation listed on the violation notice and return it to me within 5 business days from receipt. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s); 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only. If you have any questions regarding this inspection, please contact the licensing inspector, Heather Dapper, at (804) 662-7014.

Violations:

Standard #:	22VAC40-185-240-A
Description:	Based on a record review and an interview, the facility did not ensure that staff received all required training by the end of their first day of assuming job responsibilities. Evidence: 1. The records for staff #3 (date of hire 01/30/2020) and staff #4 (date of hire 02/10/2020) did not have documentation of orientation related to the center's playground safety procedures, recognizing child abuse and neglect and the legal requirements for reporting suspected child abuse, and confidential treatment of personal information about children in care and their families. 2. The director stated that she was unable to locate the documentation of orientation for staff #3 and staff #4.
Plan of Correction:	Will have staff resign form and put it in the employee folder.
Standard #:	22VAC40-185-270-A
Description:	Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be 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. On the playground, the wooden fence had multiple cracked and splintered boards and one bike was missing one rubber handle, exposing the metal. 2. On bus #2 that transports children, five seats had multiple holes, exposing foam. On bus #3 that transports children, four seats had multiple holes, exposing foam.
Plan of Correction:	Removed bike - will fix if possible - if not will replace. Will sand the fence and tape the seats.
Standard #:	22VAC40-185-440-I
Description:	Based on observation, the center did not ensure that cribs shall be placed where objects outside the crib are not within reach of infants or toddlers. Evidence: 1. In classroom #1, one crib was located next to an outlet that had a sound machine plugged in. 2. The infant was in reach of the cord to the sound machine.
Plan of Correction:	Sound machine was removed
Standard #:	22VAC40-185-500-A
Description:	Based on observation, the center did not ensure that children's hands shall be washed with soap and running water after toileting. Evidence: 1. In classroom #1, staff were observed changing diapers. After the staff member change the children's diapers she did not wash the children's hands.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on a review of staff records, the center did not obtain satisfactory fingerprint-based national criminal background check results prior to first day of employment. Evidence: 1. The record for staff #1 (date of hire 02/03/2020) did not have results of the finger-print national criminal background check prior to hire. The satisfactory results of the fingerprint-based national criminal background check for staff #1 was received on 02/06/2020.
Plan of Correction:	Not available online. Contact Inspector for more information.