VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Cadence Academy Preschool
365 Ferry Road
Fredericksburg, VA 22405
(540) 371-9300

Current Inspector: Angela Dudek (804) 629-8167

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. 8VAC20-820 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 32.1 Report by person other than physician 63.2 Child Abuse & Neglect

Comments:

An unannounced monitoring inspection was conducted on 01/17/2022 from 10:00am to 1:00pm. There were 155 children ages 4 months to age 5 years old supervised by 23 staff. The physical plant, outdoor playground area, programming, attendance, menus, 5 staff records, 5 children?s records, 8 medications with corresponding authorization records, emergency drills, injury reports, emergency supplies, and policies were reviewed. Children were observed participating in tummy time, circle time, speech therapy, Math, Reading and outside play. Diapering and handwashing procedures were also observed. There was an adequate number of staff present with current certification in Medication Administration Training (MAT), CPR and First Aid, and Daily Health Observation (DHO) training. Areas of non-compliance are identified in the Violation Notice. Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the Violation Notice, and then return a signed and dated copy to the licensing office by 5pm on 1/19/23. Please email me at angela.dudek@doe.virginia.gov with any questions.

Violations:

Standard #:	22.1-289.058
Description:	Based on observation and staff interview, the center did not ensure that the building was equipped with at least one working carbon monoxide detector. Evidence: There was no carbon monoxide detector in the building.
Plan of Correction:	Carbon-monoxide monitors will be installed.
Standard #:	8VAC20-770-60-B
Description:	Based on review of 5 staff records, the center did not obtain documentation of a completed sworn disclosure statement for each staff prior to date of hire. Evidence: The record for Staff #4 (date of hire 5/31/22) did not contain documentation of a completed sworn disclosure statement prior to the date of hire.
Plan of Correction:	All employee paperwork will be obtained prior to date of hire.
Standard #:	8VAC20-780-130-E
Description:	Based on review of 5 child records, the provider did not obtain documentation of updated immunizations once every six months for children under the age of two years. Evidence: The record for Child #2 (DOB 5/13/21) and Child #4 (DOB 1/31/20) did not contain updated immunizations every 6 months up to the age of 2 years old. The last immunization update on record for Child #2 was dated 7/14/21 and the last immunization update on record for Child #4 was dated 5/5/21.
Plan of Correction:	Documentation of updated immunizations will be obtained once every 6 months for children under the age of 2.
Standard #:	8VAC20-780-160-A
Description:	Based on review of Five staff records, the center did not obtain documentation of a negative tuberculosis (TB) test or screening for staff at the time of employment and prior to contact with children. Evidence: The file for Staff #4 (date of hire 5/31/22) did not contain documentation of a negative tuberculosis (TB) test or screening.
Plan of Correction:	All employees will provide proof of TB prior to start of employment.
Standard #:	8VAC20-780-60-A
Description:	Based on review of 5 child records, the provider did not obtain the required annual documentation of review of the child?s record and the parent?s confirmation of the review. Evidence: The record for Child #2 was last reviewed by the parent on 7/15/21, the record for Child #3 was last reviewed by the parent on 7/13/21, and the record for Child #4?s was last reviewed by the parent on 9/2/21.
Plan of Correction:	Annual documentation of file will be obtained by parent as required.
Standard #:	8VAC20-780-320-B
Description:	Based on observation, the center did not ensure that it had sinks supplied with running warm water that does not exceed 120 degrees F. Evidence: During inspection in the Preschool 3A classroom, it was determined, using a thermometer, that the water in the sink was 125 degrees F.
Plan of Correction:	Water temp will be corrected and maintained at appropriate temp.
Standard #:	8VAC20-780-330-B
Description:	Based on observation and inspection of the playground, the licensee did not to ensure that the required amount of resilient surfacing was under playground equipment with moving parts or climbing apparatus to create a sufficient fall zone. Evidence: 1)On the School Age playground, the platform and spiral slide that measure 91 inches from the ground had 3? of wood chips in front of the slide and 3? of wood chips surrounding the platform. The required depth of wood chips in this area is 9 inches. 2)On the Threes and Fours playground, the platform and slide that measure 41 inches from the ground had 2? of wood chips in front of the slide and 2? of wood chips surrounding the platform. The required depth of wood chips in this area is 6 inches. 3)On the Threes and Fours playground, the slide that measures 61 inches from the ground had 3? of wood chips in front of the slide. The required depth of wood chips in this area is 6 inches. 4)On the Twos playground, the platform and slide that measure 50 inches from the ground had 2? of wood chips in front of the slide and 2? of wood chips surrounding the platform. The required depth of wood chips in this area is 6 inches. 5)On the Twos playground, the slide that measures 26 inches from the ground had 2? of wood chips in front of the slide. The required depth of wood chips in this area is 6 inches. 6)On the Toddler playground, the slide that measures 26 inches from the ground had 3? of wood chips in front of the slide. The required depth of wood chips in this area is 6 inches.
Plan of Correction:	More mulch will be obtained. Procedure to be implemented to keep mulch in fall zones in compliance by raking extra mulch into fall zone areas.
Standard #:	8VAC20-780-510-E
Description:	Based on review of 8 medications and medication authorizations, the center did not ensure they follow the policy for administration of medication. Evidence: 1)For medications for Child #6 and Child #7, the duration of the parent?s authorization was not renewed after 10 workdays nor was written medication authorization given from the child?s physician and parent for a long-term medication. 2)The medication for Child #6 had expired on 12/2022.
Plan of Correction:	All medication authorizations will be obtained as required and all expired med will be discarded or returned.