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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: Jan. 5, 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.
8VAC20-820 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 mandated monitoring inspection was conducted on January 5, 2023 from 8:55 A.M.-1:00 P.M. There were 60 children present, ranging in ages from seven months to five years of age, with 13 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 ten 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 #: 22.1-289.035-A
Description: Based on review of staff files, the center failed to ensure that required background checks were completed every five years.

Evidence:
1. Staff #2's central registry finding results on file were dated 12/19/2017. A new central registry was required to be completed by 12/19/2022.
2. Staff #1's sworn disclosure statement on file was dated 10/25/2017. A new sworn disclosure statement was required by 10/25/2023.
3. Staff #8's sworn disclosure statement on file was dated 10/05/2017. A new sworn disclosure statement was required by 10/05/2022.
4. Administration verified that a new central registry finding had not been sent off for Staff #2, and that an updated sworn disclosure statement had not been completed for Staff #1 and Staff #8.

Plan of Correction: Staff #1 and #8 completed new sworn disclosure statements, and the central registry request was sent out for Staff #2. In the future administration will review and track when updated information is needed for staff and complete by the required timeframe.

Standard #: 8VAC20-780-240-A
Description: Based on review of staff files, the center failed to ensure that the Virginia Department of Education sponsored orientation course was completed within 90 calendar days of employment.

Evidence:
1. Staff #6's original hire date was 05/09/2022. Staff #6 went out on a leave of absence and returned on 08/01/2022. The documentation for the training was dated that it was completed on 12/28/2022. The training was required to be completed by 11/01/2022.
2. Administration verified that the training was completed late.

Plan of Correction: In the future administration will track the progress of the training required to ensure staff complete the training within 90 days of hire.

Standard #: 8VAC20-780-270-A
Description: Based on observation, the center failed to ensure that all areas inside were maintained in a safe and operable condition.

Evidence:
1. In Classroom #1 and #2 the tile is cracking and pulling up in several areas. There was tape placed over several pieces of tile in Classroom #2 where the tile had come up.
2. Administration verified that the tile was cracking and pulling up in several areas.

Plan of Correction: Administration notified the owners of the building while the licensing inspector was on site. The owners will replace the tiles in each classroom Either they will try to match what is currently in the classrooms or replace all the tiles.

Standard #: 8VAC20-780-520-A
Description: Based on observation, the center failed to ensure that over-the-counter skins products were not kept beyond the expiration date.

Evidence:
1. In the first aid pack back located upstairs there was a bottle of Off Insect Repellant that expired in October 2022.
2. Staff verified that the insect repellant was expired.

Plan of Correction: The insect repellent was returned to the parent at pick up. In the future when checking first aid kits staff will check any over the counter skin products to ensure they are not expired.

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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