VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Milestones Child Development Center
700 Fernwood Farms Road
Chesapeake, VA 23320
(757) 548-3300

Current Inspector: Heather Harrell (757) 334-4329

Inspection Date: April 13, 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 (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Comments:

A monitoring inspection was conducted on 4/3/22 from 10:20am until 2:20pm. At the time of the inspection, there were 59 children in care with 12 staff present. A sample of 6 children's records and 5 staff records were reviewed. Children were observed engaging in morning learning activities, playing on the playground, eating lunch and resting quietly during nap time. Infant feeding, handwashing procedures and lunch service were also observed. First aid and emergency supplies, documentation of emergency practice drills, children's injury reports and required center postings 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.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on record review and interview, it was determined that the center did not ensure that a copy of the results of a criminal history record information check, a sex offender registry check and a search of the child abuse and neglect registry is obtained from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff 1 has a hire date of 10/18/21. Staff 1 indicated on her sworn statement or affirmation that she has resided in the state of Texas within the past five years. The results of a criminal history record information check and the sex offender registry check were not available for staff 1 from the state of Texas. 2. Staff 3 has a hire date of 10/13/21. Staff 3 indicated on her sworn statement or affirmation that she has resided in the state of New Jersey within the past five years. The results of a search of the child abuse and neglect registry were not available for staff 3 from the state of New Jersey. 3. The center director confirmed that all of the required out-of-state background checks were not completed for staff 1 and staff 3.
Plan of Correction:	The center responded with the following: Staff 3 is not longer employed at the center. The criminal history record check from the state of Texas for staff 1 is in progress and the sex offender registry search has been completed. Going forward, the center will ensure that all out-of-state background checks are completed within the required timeframes.
Standard #:	8VAC20-770-60-C-2
Description:	Based on record review and interview, the center did not ensure that an employee of a licensed or registered child day program must be denied continued employment or volunteer service if the licensed child day program does not have a central registry finding within 30 days of employment. Evidence: 1. The records for staff 1 (date of hire: 10/18/21) and staff 2 (date of hire: 2/28/22) do not contain documentation of a central registry finding. 2. The center director confirmed that the records for staff 1 and staff 2 are lacking documentation of a central registry finding.
Plan of Correction:	The center responded with the following: New central registry search forms have been sent off for staff 1 and staff 2. Once the results have been received, they will be placed in the staff records. Going forward, center management will ensure that background checks are completed in the required timeframe.
Standard #:	8VAC20-780-140-A
Description:	Based on record review and interview, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: 1. The record for child 1 (date of enrollment: 1/18/22) contains documentation of a physical examination dated 3/2/22, which is more than one month after attendance. 2. The center director confirmed that documentation of child 1's physical examination was obtained more than one month after the child's enrollment.
Plan of Correction:	The center responded with the following: Going forward, the center will ensure that children's physicals are obtained within the required timeframe.
Standard #:	8VAC20-780-160-A
Description:	Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Evidence: 1. The records for staff 2 (date of hire: 2/28/22) and staff 4 (date of hire: 9/9/21) do not contain documentation of a negative tuberculosis screening. 2. The center director confirmed that the records for staff 2 and staff 4 are lacking documentation of a negative tuberculosis screening.
Plan of Correction:	The center responded with the following: Staff 2 and staff 4 will obtain TB screenings as soon as possible and documentation will be placed in their staff records.
Standard #:	8VAC20-780-70
Description:	Based on record review and interview, the center did not ensure that staff records contain all the required information. Evidence: 1. The record for staff 4 (date of hire: 9/9/21) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. The center director confirmed that the record for staff 4 is lacking documentation of the required reference checks.
Plan of Correction:	The center responded with the following: The reference checks for staff 4 will be completed and documentation will be placed in her staff record.
Standard #:	8VAC20-780-270-A
Description:	Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. On the toddler playground, there was a plastic play structure with broken and cracked steps, which is a pinching and tripping hazard. Children were observed playing on the structure and going up the steps of the play structure during the inspection. 2. The center owner confirmed that the plastic play structure on the toddler playground was broken and cracked.
Plan of Correction:	The center responded with the following: This play structure had been previously removed from the toddler playground and was removed again during the inspection. Staff will be reminded not to allow children to play on the structure until it can be disposed of appropriately.
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 shall be regularly present. Evidence: 1. During the inspection, staff 2 was observed working alone in the school-age classroom with 8 children from 9:30am until 11:30am. Staff 2 is not program leader qualified. 2. The center director confirmed that staff 2 is not program leader qualified and was working alone with the school-aged children for a period of two hours.
Plan of Correction:	The center responded with the following: The program lead for the school-aged classroom arrived to the center at 11:30am. Going forward, center management will ensure that a program leader is always regularly present in each classroom.
Standard #:	8VAC20-780-550-E
Description:	Based upon review of emergency drill records and interview, the center did not ensured that a minimum of two shelter-in-place drills are conducted per year. Evidence: 1. The emergency drill record provided had only one shelter-in-place drill documented for 2021. 2. The center director confirmed that only one shelter-in-place drill was conducted in 2021.
Plan of Correction:	The center responded with the following: Going forward, the center will ensure that the required two shelter-in-place drills are conducted annually.