VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Virginia Commonwealth University - Floyd
1128 Floyd Avenue
Richmond, VA 23284
(804) 828-7377

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: Nov. 7, 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) 20 Access to minors records 22.1 Background Checks Code, Carbon Monoxide 22.1 Early Childhood Care and Education

Comments:

An unannounced monitoring inspection was initiated and concluded on 11/7/2022. The inspector was on site from approximately 9:42 am-12:00 pm. There were 30 children present, ranging in ages from 18 months to five (5) years, with 12 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition and background checks. A total of five (5) child records and five (5) 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. You will need to specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable. Your plan of correction must 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 #:	8VAC20-780-130-A
Description:	Based on a review of five (5) child records and interview, the center did not ensure that one (1) child had received the immunizations required by the State Board of Health before the child's first date of attendance as required. Evidence: 1. The record of child #5 (date of attendance: 9/28/2021) contained an immunization record dated 10/18/2021. 2. Administration acknowledged that the record was not received prior to the child's first date of attendance.
Plan of Correction:	Health assessment and vaccinations completed on 2/21/2022 but parent was unable to print off portal at the time.
Standard #:	8VAC20-780-60-A-8
Description:	Based on a review of documentation and interview, the center did not ensure that there was a written care plan for each child with a diagnosed food allergy, 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. Evidence: 1. The record of child #2 (date of enrollment: 8/24/2020) contained an allergy care plan form that was not signed by a physician. Child #2 had a diagnosed food allergy. 2. Administration acknowledged that the plan did not contain the documentation to show the instructions came from the physician.
Plan of Correction:	An emergency care plan is on file but the signature line was cut off during the printing/copying process. Asked parents to complete a new form.
Standard #:	8VAC20-780-270-A
Description:	Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. Chipped and peeling paint were observed in five (5) of the six (6) classrooms inspected. Rust was observed on the handrails in a walkway area that was used by the children. In a toddler classroom, a piece of climbing equipment was observed with torn fabric. 2. Administration acknowledged that the areas required maintenance.
Plan of Correction:	Work orders were places for all issues
Standard #:	8VAC20-780-280-B
Description:	Based on observation in interview, 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 a four/five year old classroom, an unlocked cabinet was observed that contained a can of disinfectant, bleach, glass cleaner and an air freshener can. The chemicals contained multiple warnings to include, flammable, caution, keep out of the reach of children and hazard to humans. In a toddler room, a bottle of unlocked bleach solution was observed. 2. Administration acknowledged that the substances were unlocked.
Plan of Correction:	All teachers were reminded of this policy. All cleaning supplies are locked, not just out of reach.
Standard #:	8VAC20-780-510-P
Description:	Based on review of documentation and interview, the center did not ensure that when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: 1. The record of child #2 contained an medication authorization that expired 6/18/2022. The medication was on site on 11/7/2022. The record of child #3 contained a medication authorization that expired 6/22/2022. The medication was on site on 11/7/2022. 2. Administration acknowledged that the authorizations had expired and the medication had not been returned. The authorizations had not been renewed.
Plan of Correction:	child #2-med authorization form expired 5/2023-not sure what happened? Child #3-parents were notified. New form is being completed.
Standard #:	8VAC20-820-120-E-2
Description:	Based on observation and interview, the center did not ensure that the findings from the most recent inspection were posted at the facility. Evidence: 1. Findings from previous 2021 inspections were posted. 2. Administration acknowledged that the most recent findings from May of 2022 were not posted.
Plan of Correction:	posted inspection