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

Current Inspector: Molly Muscat (804) 588-2367

Inspection Date: Aug. 16, 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
8VAC20-820 THE LICENSE.
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Comments:
An unannounced inspection was conducted on August 16, 2022 from approximately 1:24 pm to 3:20 pm. There were 17 children in attendance and a total of 4 staff present. 4 staff records and 4 children?s records were reviewed. All areas of the center were observed including classrooms, hallways, and bathrooms. The children were observed taking a nap, getting diapers changed, and eating snack, while the licensing inspector was on the premises.

Violations were cited as a result of this inspection.

If you have any questions about this inspection, please contact the licensing inspector at (804) 588-2367


Molly Muscat
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
Phone# 804-588-2367
molly.muscat@doe.virginia.gov

Violations:
Standard #: 8VAC20-780-60-A
Description: Based on records review, the center failed to maintain the required documentation in each child?s file. Evidence: 1) Child #1?s file did not list any authorized pick up?s and only had 1 emergency contact written down. 2) Child #3?s file did not have a phone number for the parent or a phone number for the child?s physician

Plan of Correction: Per the Director "The Director and Asst Director will work closely together on children files. The Asst Director will gather all necessary information and once completed the Director will check behind the Asst Director to make sure files are complete and sign off on the file. The file has been corrected."

Standard #: 8VAC20-780-70
Description: Based on records review, the center failed to ensure that staff records contained evidence that two or more references as to character and reputation as well as competency were checked prior to employment. Evidence: 1) 3 out of 4 staff records (staff #2, staff #3, and staff #4) reviewed did not contain references.

Plan of Correction: Per the Director "The Director and Asst Director will work closely together on staff files. The Asst Director will gather all necessary information and once completed the Director will check behind the Asst Director and sign off on file prior to employment to ensure that all files are complete. The references has been obtained."

Standard #: 8VAC20-780-90--A
Description: Based on records review, and interview, the center failed to obtain a written agreement between the parent and center giving authorization for emergency medical care, a statement that the center will notify the parent when the child becomes ill, or a statement that the parent will inform the center within 24 hours of any communicable disease. Evidence: Child #1?s file did not have a parent agreement. When interviewed the Director acknowledged that the agreement was not in the file.

Plan of Correction: Per the Director "The Director and Asst Director will work closely together on children files. The Asst Director will gather all necessary information and once completed the Director will check behind the Asst Director to make sure files are complete and sign off on the file. The file has been corrected."

Standard #: 8VAC20-780-240-B
Description: Based on records review, the center failed to document that staff completed orientation training no later than 7 days of the date of assuming job responsibilities. Evidence: Staff #3?s file, date of hire 2/1/22, did not contain documentation of orientation.

Plan of Correction: Per the Director "The Director and Asst Director will work closely together on staff files. Staff #3 was hired as the Director and we were not sure as to why this information was not in her file. It has been corrected. The Asst Director will gather all necessary information and the Director will check behind the Asst Director and sign off on the file. The documentation has been placed in the file."

Standard #: 8VAC20-780-340-F
Description: Based on observation, and interview, the center failed to ensure that children under 10 years of age were within actual sight and sound supervision of staff. Evidence:
1) The Licensing Inspector arrived at 1:24 pm. Upon entry to the center there were 2 staff members and 18 children in the building.
2) There were 3 preschool age children sleeping in a separate room with the light off.
3) There was not a staff member in the room with them.

Plan of Correction: Per the Director "The staff member was on break and because it is an open area staff sat at the opening of the door observing the room and scanning the area. When the staff member returned from break she immediately went into the classroom with the napping children. Only one staff at a time will be permitted to go on break. Staff has been trained on sight and sound supervision."

Standard #: 8VAC20-780-350-I
Description: Based on observation, records review, and interview, the center failed to follow staff-to-children ratio and group size requirement for children ages 16 months through preschool age during the designated rest period. Evidence:
1) The Licensing Inspector arrived at 1:24 pm. Upon entry to the center there were 2 staff members and 18 children in the building.
2) There were 4 infants sleeping in cribs requiring one staff member at all times; there were 4 children (ages 16 months to 24 months) and sleeping on cots; there were 3 preschool age children sleeping on cots; there were 7 school aged children sleeping on cots.
3) For children 16 months through 24 months of age the required ratio for the designated rest period is one staff per 10 children only if, in addition to the staff required by rest period ratios, an additional staff member shall always be available on-site to offer immediate assistance. There was no additional staff person.
4) Records review indicated that the youngest child in care was 10 months old.
5) Two other staff members arrived approximately 30 minutes after the Inspector arrived.
6) When interviewed the Director stated that the other two staff members were not in the building because they were on their lunch break and she thought that ratio doubled during nap time.

Plan of Correction: Per the Director "The Director and Asst Director will ensure that during nap, even though the ratios change that only one person is allowed to go on break at a time. We have reviewed the standard with the other staff and everyone is aware of the standard."

Standard #: 8VAC20-780-410-2
Description: Based on observation, and interview, the center failed to ensure that a child was not enclosed in a small confined space or any space that the child cannot freely exit himself. Evidence: 1) Child #1, age 21 months, was sleeping on a cot in the corner of the room that was surrounded on all sides by a rectangular children?s play gate. 2) When asked, staff #2 stated that the child is placed there during naptime because she refuses to stay on her cot and keeps the other children awake.

Plan of Correction: Per the Director "Staff has been trained to redirect the children if they are done napping and does not want to remain on their cot. Staff has books, bears, coloring sheets to keep the child/ren quiet while the others are napping."

Standard #: 8VAC20-780-570-B
Description: Based on observation, and interview, the center failed to ensure that bottles were not used while the child is in the designated sleeping location. Evidence: Child #5, age 10 months, was lying in a crib while drinking a bottle.

Plan of Correction: Per the Director "Staff has been trained to rock or soothe the child to sleep prior to lying him/her down if he/she should need a bottle. Staff is aware that no child should be lying with a bottle or sippy cup. We have also spoken with the parents informing them that we are not allowed to lay the children down with a bottle or sippy cup."

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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