VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Piedmont Child Care Center
9121 John Mosby Highway
Upperville, VA 20185
(540) 592-3908

Current Inspector: Angela Dudek (804) 629-8167

Inspection Date: Jan. 9, 2023

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. 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced renewal inspection was conducted on 1/9/23 from 10:10am to 12:25pm with the Director and Assistant Director. There were 37 children in care, ranging in age from seven-months to five-years-old, supervised by nine staff. The children were observed having free play in centers; getting ready for, and transitioning to the playground; playing on the playground; and doing a craft project with a staff member. Five child records, five staff records, and three Board Officer records were reviewed. The Center has 15 staff with current certification in CPR and First Aid, and 15 staff trained in Daily Health Observation. The Assistant Director reported that there was no medication on site for children, however, the center has six staff current in Medication Administration Training (MAT). The attendance, allergy list, menu, and emergency drill log were reviewed. The first aid kit, flashlight, and battery operated radio were observed. The most recent Fire Inspection on file was dated 3/10/22 and the most recent Health Inspection on file was dated 8/30/22. Lunch served today was egg rolls, rice, mixed vegetables, pineapple, and milk. If you have questions regarding this inspection, please contact the Licensing Inspector, Laura Brindle, at laura.brindle@doe.virginia.gov or 540-905-2062.

Violations:

Standard #:	8VAC20-780-140-A
Description:	Based on review of five child records, the center did not ensure that each child had a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: The records for Child D, with a start date of 11/11/22, and Child E, with a start date of 6/8/20, did not contain documentation of physicals.
Plan of Correction:	We will request this from the parent right away and moving forward both members of management will review child records before the child starts to ensure nothing is missed.
Standard #:	8VAC20-780-60-A
Description:	Based on review of five child records, the center did not obtain documentation of viewing proof of a child's identity and age. Evidence: The record for Child D, with a start date of 11/11/22, did not contain documentation of viewing proof of the child?s identity and age.
Plan of Correction:	We will request this from the parent right away and moving forward both members of management will review child records before the child starts to ensure nothing is missed.
Standard #:	8VAC20-780-80-A
Description:	Based on review of documentation and observation, the center did not ensure that for each group of children, a written record of daily attendance was maintained that documented the arrival and departure of each child in care as it occurred. Evidence: 1. On 1/9/23 at approximately 10:27am the attendance document in the ?Yellow Room? contained documentation of eight children present. There were only seven children present at the time. The Staff member confirmed that Child F had moved to the ?Red Room? to visit. 2. On 1/9/23 at approximately 10:32 am, the attendance document in the ?Red Room? contained documentation of nine children present. There were 10 children present. A staff member confirmed that Child F was visiting from the ?Yellow Room? and had not been added to the attendance.
Plan of Correction:	The staff present in both rooms will be retrained on updating the form immediately after a child moves.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, the center did not ensure that a nonabsorbent surface for diapering or changing was used. Evidence: The changing pad in the ?Green Room? contained several small tears in the surface, making it absorbent.
Plan of Correction:	We believe we already have a new one in storage, we will pull that one out today. If we do not already have one, one will be purchased today.
Standard #:	8VAC20-780-510-L
Description:	Based on observation, the center did not ensure that medication, except for those prescriptions designated otherwise by written physicians order, including refrigerated medication and staff's personal medication, was kept in a locked place using a safe locking method that prevented access by children. Evidence: Inside the refrigerator in the ?Yellow Room? a medication injection was observed on a shelf, not locked.
Plan of Correction:	The medication was moved to a device that could be locked and placed in the refrigerator during the inspection. We will remind the staff member that the medication must always be locked in the refrigerator.
Standard #:	8VAC20-780-550-D
Description:	Based on review of documentation and interview, the center did not implement a monthly practice evacuation drill. Evidence: The emergency drill log did not contain documentation of practice drills conducted in November and December 2022. Staff confirmed this was accurate.
Plan of Correction:	We will do two practice drills each month for the next two months and then moving forward we will add the drills to our management calendar so we do not forget to complete them.