VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Little Tikes Family Care II LLC
3619 Mechanicsville Turnpike
Richmond, VA 23223
(804) 217-1762

Current Inspector: Molly Muscat (804) 588-2367

Inspection Date: Jan. 4, 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. 8VAC20-820 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:

An unannounced focused follow up inspection was conducted on January 4, 2023 from approximately 11:00 am to 12:00 pm. There were 8 children with 3 staff directly supervising. 3 children?s records were viewed. All areas of the center were observed including classrooms and bathrooms. Children were observed eating lunch and getting ready for nap while the licensing inspector was on the premises. Emergency drills were conducted monthly with the most recent completed on 12/2/22. Violations were cited as a result of this inspection. 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, 01/16/2023. 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 preventative measure(s).

Violations:

Standard #:	8VAC20-780-140-A
Description:	Based on records review, the center failed to maintain documentation that each child has had a physical examination within 30 days after the first day of attendance. Evidence: The record for child #2, date of enrollment 8/30/21, did not contain documentation of a physical.
Plan of Correction:	Per the Director "prior to enrollment, I will make sure that all documentation has been turned in before a child can be enrolled for care. Children will not be enrolled until all paperwork has been turned in."
Standard #:	8VAC20-780-60-A
Description:	Based on records review, the center failed to maintain a separate record for each child enrolled. Evidence: The record for child #2, date of enrollment 8/30/21, did not contain the required information including 1) name, home address, and home phone number of the parent, 2) name and phone number of child?s physician, 3) name, address, and phone number of two designated people to call in an emergency, 4) names of persons authorized to pick up the child, 5) allergies and intolerance and actions to take in an emergency situation.
Plan of Correction:	Per the Director "parents will not be allowed to fill out a single registration form for siblings. Parents will be given multiple forms for siblings. If one sibling has all of the documentation and the other sibling does not, then only the sibling with all of the documentation will be enrolled into the center. The other sibling will be enrolled once all of the documentation has been received."
Standard #:	8VAC20-780-260-B
Description:	Based on records review, and interview, the center failed to obtain an annual inspection from the health department. Evidence: The most recent health inspection was conducted on 8/21/21. When interviewed the Director stated that she has tried multiple times to schedule the annual health inspection with the health department but they have not come out yet.
Plan of Correction:	Per the Director "the health inspection was conducted on January 10, 2023. In the future I will schedule the inspection 2 months in advance to ensure the inspection is done in a timely manner."
Standard #:	8VAC20-780-450-C
Description:	Based on interview, the center failed to ensure that crib sheets are washed daily. Evidence: When interviewed the Director stated that crib sheets are washed weekly.
Plan of Correction:	Per the Director "crib sheets will be washed on a daily basis. More sheets have been purchased to ensure there are enough sheets on hand."
Standard #:	8VAC20-780-560-J
Description:	Based on interview, the center failed to ensure that the tables and highchair trays are sanitized before and after each use for feeding. Evidence: When asked how the tables and highchair trays are sanitized staff stated that they use disposable sanitizing wipes. Sanitizing means that ?the surface of the item is sprayed or dipped into the disinfectant solution and allowed to air dry. If not using a bleach/water solution, the spray must be a commercial chemical disinfectant approved by the US EPA. The label should indicate ?hospital grade? germicide or disinfectant.
Plan of Correction:	Per the Director "bleach/water solution will be used at all times. Bleach test strips have been purchased to ensure that the proper amount of bleach is being used."