VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Lilly's Learning Pad - Jackson Ward Campus
300 W. Clay Street
Richmond, VA 23220
(804) 344-0072

Current Inspector: Cindy Horne (804) 297-4469

Inspection Date: May 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. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191) 32.1 Report by person other than physician 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

None

Comments:

This inspection was conducted by licensing staff using an alternative remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. An initial inspection was initiated and completed May 26, 2020. The director was contacted by phone to initiate the inspection. A remote visual inspection was conducted by phone in order to observe the center, areas designated for child care, and the required documentation. Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the facility. The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs. If you have any questions, please contact the licensing inspector at 804-662-9092.

Violations:

Standard #:	22VAC40-185-40-K
Description:	Based on a review of the center's playground safety procedures, the center did not ensure that each required component was addressed. Evidence: The licensing inspector observed the center's playground safety procedures did not include strategic positioning of staff and procedures for scanning play activities.
Plan of Correction:	Per administration the policy will be revised.
Standard #:	22VAC40-185-240-B
Description:	Based on a review of the center's policies and procedures, the center did not ensure that the required components were included in the staff handbook. Evidence: The licensing inspector observed the center's staff handbook did not contain procedures for supervising a child who may arrive after scheduled classes or activities have begun.
Plan of Correction:	Per administration the handbook will be revised.
Standard #:	22VAC40-185-420-A
Description:	Based on a review of the center's policies and procedures, the center did not include the required components in the parent handbook. Evidence: 1. The licensing inspector observed the parent handbook did not include procedures for picking up children after closing. 2. The parent handbook did not contain complete discipline policies to include acceptable and unacceptable discipline measures.
Plan of Correction:	Per administration, the handbook will be revised.
Standard #:	22VAC40-185-510-C
Description:	Based on a review of the center's policies and procedures, the center did not include the required components for administering medication. Evidence: 1. The licensing inspector observed the center's medication administration policy did not include the duration of the parent's authorization for medication and requirements for long-term medication use. 2. The medication administration policy did not include methods to prevent the use of outdated medication to include prescription medications.
Plan of Correction:	Per administration, the medication administration policy will be revised.
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 has not yet been reviewed by a local or state authority.
Plan of Correction:	Per administration, the center has been in contact with a local official requesting a review of the emergency preparedness plan since 5/26/20. Administration will follow up with the local official to obtain the review documentation and recommendations.
Standard #:	22VAC40-185-550-B
Description:	Based on a review of the center's policies and procedures, the center did not ensure that each required procedural component was addressed in the emergency preparedness plan. Evidence: 1. The licensing inspector observed that the center's emergency preparedness plan did not 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 a shelter-in-place scenario. 4. The evacuation and shelter-in-place procedures did not include a secondary means of egress. 5. The evacuation procedures did not include accurate assembly points or securing of special healthcare supplies. 6. The shelter-in-place procedures did not include information for headcounts. 7. The plan did not include accurate drill frequency policies and did not include a plan for reviewing and updating.
Plan of Correction:	Per administration, revisions will be completed for the emergency preparedness plan.