VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Tender Care Children's Center
1222 Sycamore Drive
Tappahannock, VA 22560
(804) 443-3852

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: Dec. 20, 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. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

Assure that parents provide a bottom linen cover that covers the entire child rest mat. Assure that no items (i.e., cribs or gates) are placed in front of emergency exit door in the infant room.

Comments:

A renewal inspection was conducted on 12/20/2022 from approximately 10:15 p.m. ? 2:20 p.m. There were 39 children present ranging in age 11 months to 9 years old and 7 staff supervising. The inspector reviewed compliance in the areas of administration, qualifications and training, physical plant, staffing and supervision, programming, medication, special care and emergencies, and nutrition. Five child records and six staff records were reviewed. The information gathered during the inspection determined violations with applicable standards or law. A violation notice was issued. 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, 01/02/2023. 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 preventive measure(s).

Violations:

Standard #:	8VAC20-780-60-A
Description:	Based on child record review, the provider failed to ensure that three of five records contained all the required information. Evidence: 1. The records for C2 and C3 did not contain parental work phone number and place of employment of each parent. 2. The records for C3 and C4 did not contain home address and home phone numbers for their fathers. 3. The record for C4 did not contain the name, address, and phone number for a second designated person to call in an emergency if a parent cannot be reached. 4. The record for C2 did not document allergies and intolerance to medication or other substances, and actions to be taken in an emergency. The element on the form was blank and the child?s physical documented the child having ?wheezing?. 5. The record for C3 did not contain documentation of provider viewing proof of the child?s identity and age. 6. The record for C3 did not contain documentation of health information as required by 8VAC20-780-130. The provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years old. The last immunizations contained in C3?s record was dated 01/07/2022 and C3 is under the age of two. 7. The record for C4 did not contain documentation that the center received the child?s immunizations before attending the center. C4 was enrolled in the center 06/24/2022 and the immunization record was dated 06/30/2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the provider failed to maintain the outside play areas in a safe and operable condition. Evidence: On 12/20/2022, the inspector observed an outside climbing structure and child picnic table that had broken hard plastic edges that could entangle clothing or snag skin.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-B
Description:	Based on review of child injury reports and interview, the provider administered nonprescription medication without written permission from parents. Evidence: A child injury reports dated 11/02/2022 documented staff administering Neosporin, an antibiotic ointment, for a minor injury sustained by a child in care without written permission of parents. Program Director acknowledged the center did not have parental permission to administer the ointment.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-540-C
Description:	Based on observation, the provider failed to ensure that the first aid kit included the minimum required items. Evidence: The first aid kit failed to contain two triangular bandages.
Plan of Correction:	Not available online. Contact Inspector for more information.