VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Tot Spot
1597 Senseny Road
Winchester, VA 22602
(540) 662-9090

Current Inspector: Stephanie Reed (540) 272-6558

Inspection Date: Oct. 12, 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. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

8VAC20-780-(2) Administration. 8VAC20-780-(4) Physical Plant. 8VAC20-780-(7) Special Care Provisions and Emergencies.

Comments:

An unannounced monitoring inspection was conducted on-site October 12, 2022. The director was available during the inspection. There were 29 children present, ranging in ages from 9 months to 5 years, with 4 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 5 child records and 2 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. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	22.1-289.058
Description:	Based on interview on October 12, 2022, the facility failed to have a carbon monoxide detector in all buildings built before 2015 as required. Evidence: Staff #1 stated that a carbon monoxide detector had not been installed as required by 9/1/2021.
Plan of Correction:	Carbon monoxide detector was installed on October 17, 2022.
Standard #:	8VAC20-780-260-A
Description:	Based on a review of records and interview on October 12, 2022, the center failed to obtain an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1. The record of the most recent fire inspection is dated 8//12/21. 2. Staff #1 confirmed the center hasn't contacted the fire official for an inspection.
Plan of Correction:	A fire inspection occurred on October 14, 2022.
Standard #:	8VAC20-780-270-A
Description:	Based on observation on October 12, 2022, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: In the infant room there was chipped and peeling paint approximately 16 inches long and a hole, exposing the drywall, under the window and accessible to children.
Plan of Correction:	A trim piece is being installed to cover the exposed drywall and peeling paint.
Standard #:	8VAC20-780-280-B
Description:	Based on observation and interview on October 12, 2022, the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the 1 and 2 year old classroom there was bleach water on shelf. Staff verified the bleach water is always kept on the shelf. 2. In a bathroom used by 1 year old's and 2 year old's there was All detergent and bleach water on a washing machine and Microban in an unlocked cabinet. The labels on each of these stated "keep out of reach of children" and "caution." 3. The kitchen, which is adjacent to a classroom with no prevented access by children, had an unlocked cabinet which contained bleach water, bleach, Mycolio disinfectant wipes, Campa-Chem, and Raid. On the refrigerator was Hoover Clean Plus. The labels on these items stated "keep out of reach of children" and "caution." 4. An unlocked double-door hallway closet contained several cleaning materials, paint, and insecticides. The labels stated "keep out of reach of children" and "caution." Staff #1 confirmed that is the main closet for the center's cleaning supplies and stated the door should have been locked. 5. The 4 year old classroom contained disinfectant wipes, bleach water, and shave cream on a shelf accessible to children. The labels stated "keep out of reach of children" and "caution."
Plan of Correction:	All hazards have been moved to locked cabinets and closets. All cabinets and closets with hazards will be locked at all times. Knives will be kept in locked cabinet.
Standard #:	8VAC20-780-500-B
Description:	Based on observation and interview on October 12, 2022, the center failed to ensure disposable diapers shall be disposed in a leak-proof or plastic lined storage system that is foot-operated or used in such a way that neither the staff member's hand nor soiled diaper touches an exterior surface during disposal. Evidence: The diaper disposal system in a bathroom used by children potty-training contained disposable pull-ups and was not equipped with a lid. Staff #1 confirmed pull-ups are put in that trash can with no lid.
Plan of Correction:	All diapers and pullups will be put into a diaper pail with foot powered lid.