VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Little Tikes Family Care II LLC
3619 Mechanicsville Turnpike
Richmond, VA 23223
(804) 217-1762

Current Inspector: Molly Muscat (804) 588-2367

Inspection Date: March 17, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-780 ADMINISTRATION. 8VAC20-780 STAFF QUALIFICATIONS AND TRAINING. 8VAC20-780 Physical plant. 8VAC20-780 STAFFING AND SUPERVISION. 8VAC20-780 PROGRAMS. 8VAC20-780 Special care provisions and emergencies. 8VAC20-780 SPECIAL SERVICES. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS.

Technical Assistance:

8VAC20-780-210 Provided technical assistance on the requirements for program leader qualifications

Comments:

An unannounced monitoring inspection was conducted on-site on March 17, 2022. The director was available during the inspection. There were 8 children in care, ranging in ages from 9 months to 3 years, with 3 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 2 child records and 3 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. 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.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on a review of records, the center did not ensure to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff. Evidence: The record of staff #3 (hired 3/1/22) contained documentation of fingerprints dated 3/3/22.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-130-A
Description:	Based on a review of children's records, the center did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record of child #1 (enrolled 2/10/22) contained documentation of immunizations dated 2/25/22.
Plan of Correction:	Will make sure to check immunization date when receiving immunizations.
Standard #:	8VAC20-780-130-E
Description:	Based on a review of children's records and interview, the center did not ensure to obtain documentation of immunizations once every six months for children under the age of two years. Evidence: The record of child #2 (DOB 4/28/21) contained documentation of immunizations dated 9/3/21. Administration confirmed the additional immunizations were not obtained.
Plan of Correction:	Will make sure to check immunization date when receiving immunizations.
Standard #:	8VAC20-780-140-B
Description:	Based on a review of children's records, a physical exam that was completed prior to a child's first date of attendance was not dated within three months prior to attendance for a child that was 11 months old at the time of enrollment. Evidence: Child #2 was 11 months old on their first date of enrollment (2/9/22) and the physical that was provided was dated 9/10/21.
Plan of Correction:	Will make sure to check the physical dates prior to enrollment.
Standard #:	8VAC20-780-160-A-1
Description:	Based on a review of staff records and interview, the center did not ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record of staff #3 (hired 3/1/22) contained documentation of a tuberculosis screening dated 3/7/22. Administration acknowledged the tuberculosis screening was late.
Plan of Correction:	Will make sure tests are done prior to employment and doctor's signature are on them.
Standard #:	8VAC20-780-160-B
Description:	Based on a review of staff records and interview, the center failed to obtain an acceptable form of documentation of tuberculosis screening for one record. Evidence: The record of staff #2 (hired 3/1/22) contained documentation of a tuberculosis screening that was not signed by a physician, physician's designee or an official of the local health department. 2. Administration acknowledged the screening was not signed.
Plan of Correction:	Will make sure tests are done prior to employment and doctor's signature are on them.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: There was a can of smoke odor eliminator resting on the handicap grab bar in the bathroom used by children. The label on the can of smoke odor eliminator stated "keep out of reach of children and warning."
Plan of Correction:	Odor eliminator was placed in locked cabinet. Will ensure once items are used they are put away immediately after use. Staff will do random checks.
Standard #:	8VAC20-780-340-D
Description:	Based on observation and interview, the center did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director is regularly present. Evidence: During the inspection staff #2 was observed as the only staff in the infant room and staff #3 was observed as the only staff in the preschool room. During an interview with administration it was determined that staff #2 and staff #3 were hired as the program leaders but do not meet the qualifications of program leader.
Plan of Correction:	Director and co-director will take on program leader roles until staff is trained.
Standard #:	8VAC20-780-520-C
Description:	Based on observation and interview, the center did not ensure infant records contained documentation of written parent authorization for diaper ointment or cream. Evidence: During the inspection two diaper ointments were observed in the infant area of the center. A staff member in the class stated the ointments were being used. Administration stated parent authorization forms were not obtained.
Plan of Correction:	Will have parents sign authorizations upon giving cream or ointment.
Standard #:	8VAC20-780-580-L
Description:	Based on an interview with administration, the center did not ensure to obtain parental permission for transportation and field trips before the scheduled activity. Evidence: Administration reported that daily outdoor time in February was conducted at a private home away from the center. Administration stated that starting on March 7, 2022, the outdoor time is at a local park. Administration reported transporting two children for outdoor time. Administration reported they did not obtain parental permission.
Plan of Correction:	Permission slips have been given to parents.