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Tender Loving, Building Two
103 West 35th Street
Norfolk, VA 23504
(757) 622-1502

Current Inspector: Nanette Roberts (757) 404-2322

Inspection Date: April 21, 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)

Technical Assistance:
The Handbook for Public Playground Safety will be sent to provider re: playground equipment and fall
zones/resilient surfacing.

Comments:
A monitoring/renewal/complaint inspection was conducted on 4/21/2022. There were 18 children present, ranging in ages from 2 yrs to 5 yrs, 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 3 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.

Violations:
Standard #: 8VAC20-780-245-H
Description: Based upon review of staff records, the facility has not ensured that annual training of staff includes the prevention of and response to emergencies due to food and other allergic reactions.
Evidence:
The record for staff 3 did not include documentation of any annual training regarding the prevention of emergencies due to allergies. Staff 2 had an open can of cashew nuts on the staff desk in the school age classroom when the facility has a nut free p[olicy due to a child's allergy.

Plan of Correction: The facility responded with the following:
Appropriate action will be taken with the staff person to ensure detailed training addressing the facilities policies regarding prevention of children's allergies and the nut free status of the facility.

Standard #: 8VAC20-780-450-B
Description: Based upon observation and staff interview, the facility has not ensured that linens are assigned for individual use.
Evidence:
1. The blankets to be used by the children during naptime were observed to be piled once atop another on a low table in the toddler classroom allowing for potential cross contamination.
2. Staff 2 acknowledged that the blankets were piled one atop another in the toddler classroom prior to lunch time.

Plan of Correction: The facility responded with the following:
Staff were immediately instructed to remove the blankets and place in each's child's cubby. All staff will be reminded of the importance of keeping children's individual articles separate to avoid cross contamination.

Standard #: 8VAC20-780-510-E
Description: Based upon review of children's medication and staff interview, the facility has not followed their procedures for ensuring the physician's prescriptions are followed.
Evidence:
1.There is an albuterol inhaler for child 4. The prescription label indicated that the medication was to be discarded after December 2021.
2. Staff 2 verified that the prescription label indicated that the medication was to have been discarded after December 2021.

Plan of Correction: The facility responded with the following:
The albuterol medication did not expire until April 2022. Staff did not see the conflicting instructions on the prescription label. All staff certified to administer medication will be trained to read all instruction on prescriptions very carefully and review any questions with the parent/physician.

Standard #: 8VAC20-780-580-B
Description: Based upon observation and interview, the facility has not ensured that any vehicle used for the transportation of children he vehicle meets the safety standards set by the Department of Motor Vehicles.
Evidence:
1. Staff 2 verified that the gold colored van is the vehicle currently being used to transport school aged children from school. The state inspection sticker expired in March 2022.
2. Staff 1 verified that the inspection sticker expired in March 2022.

Plan of Correction: The facility responded with the following:
The van was immediately scheduled for an inspection. Proof of passing inspection was submitted to the inspector on 04/22, 2022.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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