VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Little Blessings Child Care, Inc.
1133 Locust Drive
Cascade, VA 24069
(434) 685-2458

Current Inspector: Monique Anderson (540) 309-2397

Inspection Date: June 8, 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 PROCESS 8VAC20-770 BACKGROUND CHECKS 20 ACCESS TO MINOR?S RECORDS 22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE

Comments:

An unannounced renewal inspection was conducted on 06/08/2022. There were 32 children, ages 18 months- 10 years, and 4 staff members present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, staffing and supervision, physical plant, programs, emergencies and nutrition. The children were observed during free choice activities, having breakfast and during outside play. A total of 5 children?s records, 5 staff records, and 2 applicant records were reviewed. The inspector discussed the following with the staff: ratio, staff/volunteers, supervision and nutrition. The inspector arrived for the inspection at 7:50 am and departed at 10:20 am. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:

Standard #:	8VAC20-780-160-A
Description:	Based on document review and discussion with staff, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to coming into contact with children and that the documentation shall have been completed within the last 30 calendar days of the date of employment. Evidence: 1. The record for Staff 1 did not contain documentation of a negative tuberculosis screening prior to coming into contact with children; the documentation of a tuberculosis screening in the record for Staff 1 did not contain a name to identify who was screened. 2. The record for Staff 4 contained a documented hire date of 01/31/2022. The date on the tuberculosis screening was 08/26/2021. The tuberculosis screening had not been completed within the last 30 calendar days of the date of employment.
Plan of Correction:	Will get them corrected.
Standard #:	8VAC20-780-40-K
Description:	Based on discussion with staff, the center failed to develop written procedures for prevention of shaken baby syndrome or abusive head trauma. Evidence: Staff 6 stated that the center did not have written procedure for prevention of shaken baby syndrome or abusive head trauma.
Plan of Correction:	Will create the procedures.
Standard #:	8VAC20-780-60-A
Description:	Based on record review and discussion with staff, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: The record for Child 2 contained documentation of a diagnosed food allergy. The record for Child 2 did not contain a written care plan, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
Plan of Correction:	Will discuss with the parent.
Standard #:	8VAC20-780-80-A
Description:	Based on document review and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: The written record of daily attendance taken for each group of children did not document the departure of each child as it occurs.
Plan of Correction:	Will create a separate roll that will document arrival and departure for each group.
Standard #:	8VAC20-780-350-C
Description:	Based on observation and discussion with staff, the center failed to ensure that when children are in on-going mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group. Evidence: 1. At approximately 8:00 am there were 13 children, ages 19 months to 2 years, and 2 staff observed in the large classroom; based on the current ratio waiver issued to the center the required staff-to-child ratio for this group of children was 1:6. 2. At approximately 9:00 am there were 15 children, ages 19 months to 2 years, and 2 staff observed in the large classroom; based on the current ratio waiver issued to the center the required staff-to-child ratio for this group of children was 1:6. 3. At approximately 9:20 am there were 14 children, ages 3 years-10 years observed outside on the playground as one group of children; based on the current ratio waiver issued to the center the required staff-to-child ratio for this group of children was 1:11.
Plan of Correction:	Will make sure that the ratio is met. Will call in additional staff when needed.
Standard #:	8VAC20-780-500-A
Description:	Based on observation and discussion with staff, the center failed to ensure that children?s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: Child 6 and Child 7 were observed immediately going outside to play upon completing their breakfast. Child 6 and Child 7 did not wash their hands with soap and running water or disposable wipes after eating a meal.
Plan of Correction:	Will make sure to wash hands before and after eating.