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Two By Two Learning Center, Inc.
2499 W. Beverley Street
Staunton, VA 24401
(540) 213-2292

Current Inspector: Stephanie Reed (540) 272-6558

Inspection Date: Sept. 1, 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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Comments:
A monitoring inspection was conducted on September 1, 2022 from 10:00 A.M.-2:00 P.M. There were 58 children present, ranging in ages from 4 months to 4 years of age, with 10 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 six child records and eleven 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.

If you have any questions or concerns please contact the Licensing Inspector at 540-430-9257.

Violations:
Standard #: 8VAC20-780-160-A
Description: Based on a review of staff records, the center failed to ensure that the tuberculosis screening on file was within the correct timeframe.

Evidence:
1. Staff #3's date of hire was 04/12/2022. The tuberculosis screening/test on file was dated 10/01/2021. The requirement is that documentation of a tuberculosis screening/test being completed must be within 30 days of employment.
2. Staff verified the date of hire for Staff #3, and the date on the tuberculosis screening/test on file.

Plan of Correction: Administration misunderstood the standard since the change in requirement in October 2021. The staff member will be requested to obtain an updated tuberculosis screening/test.

Standard #: 8VAC20-780-550-P
Description: Based on a review of injury reports, the center failed to ensure that all required information was in the injury report.

Evidence:
1. An injury report dated 08/24/2022 was missing the time the parent was notified.
2. An injury report dated 08/10/2022 was missing the time and date the parent was notified.
3. Staff verified that the reports were missing the required information.

Plan of Correction: Administration will review and retrain staff on completing accident/injury reports.

Standard #: 8VAC20-780-570-E
Description: Based on observation, the center failed to ensure that prepared infant formula was labeled with the child's name.

Evidence:
1. In Classroom #1 there were three prepared infant bottles in the refrigerator that were not labeled with the child's name. They were on a shelve in the refrigerator with the shelf labeled with the child's name.
2. Staff verified that the individual bottles were not labeled with the child's name.

Plan of Correction: Staff labeled the bottles with the child's name. In the future all bottles will be labeled with the child's name and date. Administration will do spot checks to ensure that all requirements are being completed.

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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