VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Nikki's Christian Daycare Inc. Pam's Place
1549 Old Bridge Road
Suite 210
Woodbridge, VA 22192
(703) 427-2053

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: March 22, 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. 8VAC20-770 Background Checks (22VAC40-191) 22.1 Early Childhood Care and Education

Technical Assistance:

Provided consultation on: 1) written list of allergies, sensitivities and food preferences must be dated and current 2) restrooms should be equipped with toilet paper within reach of children 3) children's hands shall be washed with soap and water or disposable wipes before and after eating meals and snacks 4) pillows when used shall be covered with a pillow case 5) written procedures for shaken baby syndrome 6) a carbon monoxide detector is required in facilities built before 2015

Comments:

An unannounced monitoring inspection was conducted from 11:30 am - 1:00 pm with staff. There were 16 children, ranging from 22 months to five years of age, present with two staff supervising. Children were observed eating lunch which is brought from home, and napping. Seven children's records and two staff records were reviewed. There was reportedly no medication to review, however both staff have current certification in Medication Administration Training (MAT), first aid and CPR. The emergency drill log and the written list of food allergies, sensitivities and preferences were reviewed. The playground was observed. The information gathered during the inspection determined non-compliance with standards that are documented on the violation notice issued to the facility. An exit interview was conducted on 3/30/2022. Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the violation notice, and then return a signed and dated copy to the licensing office by 4:00pm on Monday, 4/4/2022. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.

Violations:

Standard #:	8VAC20-780-60-A
Description:	Based on a review of seven child records, it was determined that not all records contained all required information. Evidence: the records for child #3 and child #5 did not contain the name, address or phone number for a second emergency contact. The record for child #5 (date of first attendance: 3/1/2022) did not contain documentation of viewing proof of the child's identity and age.
Plan of Correction:	Staff stated they will obtain the missing information.
Standard #:	8VAC20-780-80-A
Description:	Based on review of the written attendance record, and an interview with staff, it was determined that the facility did not ensure all children were included on the written attendance record. Evidence: nine children were observed in the overflow classroom, however only eight children were included on the attendance sheet.
Plan of Correction:	Going forward, all children will be included on the written attendance sheet.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the center did not ensure all areas and equipment of the center outside were maintained in a clean, safe and operable condition. Evidence: 1) there were multiple missing/broken and deteriorating pickets/vertical boards in the younger children's playground fence leaving gaps approximately 3-4 inches wide 2) there was a picket on the ground with protruding, rusted nails 3) the wire fence in the younger children's playground had protruding, rusted, sharp ends, was broken and/or damaged and was loose leaving gaps at the bottom of the fence in some locations 4) a tricycle had a cracked seat, the playground climber had a broken step with protruding nails, and other playground equipment had chipped and peeling paint 5) there were multiple tree limbs and branches as well as trash on the larger playground
Plan of Correction:	Staff stated that they called a maintenance person and they are working to correct all of the unsafe conditions. The broken tricycle was discarded.
Standard #:	8VAC20-780-330-B
Description:	Based on an inspection of the playground, it was determined that resilient surfacing did not comply with minimum safety standards, and the fall zone was not free of hazardous obstacles. Evidence: There was less than 1 inch of mulch around and under the play structure with a platform height of approximately 4 feet. There was no mulch around and under the rock climbing structure with a height of approximately 5 feet. Neither structure had a fall zone with six feet of clearance on all sides free of obstacles as there were fences and wood timber ties surrounding the structures.
Plan of Correction:	Staff stated that the rock climber has been moved so that there is a 6 foot fall zone surrounding the equipment. Mulch has been ordered and the playground equipment will remain off limits until the mulch is received and the resilient surfacing is in place.
Standard #:	8VAC20-780-340-F
Description:	Based on observation, the facility failed to ensure that children under 10 years of age are always within actual sight and sound supervision of staff. Evidence: when staff opened the door for the LI, the overflow class of nine children were left out of sight for approximately 1-2 minutes.
Plan of Correction:	Staff will be retrained to ensure that all children are always in sight and sound supervision of staff.
Standard #:	8VAC20-780-350-B
Description:	Based on observation and staff interview, the facility failed to maintain the ratio of one staff for every 5 children, (6 with a ratio waiver) ages 16 months through two years. Evidence: there were nine children in the overflow classroom with one staff member. The youngest children in the group were 22 months and 23 months of age. Staff interviews revealed that the class was out of ratio from approximately 10:15 - 11:45 am when the third staff member left the building to go run an errand.
Plan of Correction:	Staff stated that until additional staff are hired, errands will be done on weekends.
Standard #:	8VAC20-780-550-D
Description:	Based on review of the emergency drill log, and an interview with staff, it was determined that not all emergency evacuation procedures were practiced monthly as required. Evidence: There were no documented evacuation drills in December, 2021, January, 2022 or February, 2022.
Plan of Correction:	Staff stated they will ensure all emergency drills are practiced and documented monthly as required.