VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sunshine Faces LLC-2042
2042 Nickerson Boulevard
Hampton, VA 23663
(757) 224-3852

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: March 7, 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 20 Access to minor?s records 22.1 Early Childhood Care and Education 63.2 Child Abuse & Neglect

Comments:

A monitoring inspection was initiated on 3-7-2023 and concluded on 3-8-2023. There were 30 children present, age range 7 months to 4 years, with 5 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 5 child records and 5 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

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on record review and staff interview the licensee did not ensure to obtain a copy of the results of a criminal history record information check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: Director confirmed that they had not obtained an out of state child abuse and neglect record check for California and they had not obtained an out of State criminal history check for California or Louisiana where staff #4 (hire date 3-7-2022) had lived within the last five years.
Plan of Correction:	An out of state background check was conduced from Louisiana. The director will conduct an out of state background check for California.
Standard #:	8VAC20-780-40-K
Description:	Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: Staff confirmed that the center's written procedures did not include abusive head trauma.
Plan of Correction:	The director will add procedures of abusive head trauma to the policies and procedures.
Standard #:	8VAC20-780-40-M
Description:	Based on observation and staff interview, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: Staff confirmed that child #7 has a known food sensitivity and that there was no allergy list in the infant classroom.
Plan of Correction:	The director will update the allergy and sensitivity list for each classroom.
Standard #:	8VAC20-780-260-A
Description:	Based on record review and staff interview the licensee did not ensure the center shall provide an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: Staff confirmed that the most recent fire inspection was dated 10-1-2021.
Plan of Correction:	The director will ensure that the fire marshal leave proper paper from his inspections.
Standard #:	8VAC20-780-330-A
Description:	Based on observation and staff interview the licensee did not ensure playgrounds shall be located and designed to protect children from hazards. Evidence: The director confirmed that the outside play was not designed to protect children from hazards and was located directly behind the building, openly in an area, where vehicular traffic is present. Staff #1 confirmed children from the preschool classroom were outside on the play are on the day of the inspection.
Plan of Correction:	The director will discontinue the back outdoor space.
Standard #:	8VAC20-780-330-B
Description:	Based on observation and staff interview the licensee did not ensure where playground equipment is provided, resilient surfacing shall comply with minimum safety standards from the National Program for Playground Safety?s Surface Materials. Surfacing shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child's trajectory in the event of a fall while the equipment is in use. Falls zones shall not include barriers for resilient surfacing. Evidence: Staff/Director confirmed the following playground equipment did not have the required depth of at least six inches of resilient surfacing: 1. The red slide (20" high) and the see saw (31 1/2" high) were placed directly on asphalt. 2. The blue climber (17" high) was placed on a plastic covered mat. 3. Staff #1 confirmed children from the preschool classroom were outside on the play are on the day of the inspection.
Plan of Correction:	The director will discontinue the back outdoor space.
Standard #:	8VAC20-780-350-B-1
Description:	Based on observation and staff interview the licensee did not ensure the required staff to child ratios were maintained whenever children are in care. Evidence: The center did not ensure to maintain a staff to child ratio of 1:4 for children birth up to 16 months. 1. Staff #3 confirmed that from approximately 8:00am-8:34am, in the infant classroom, they were alone with five children and the youngest child in the group was 9 months old. 2. Between 8:34am-10:09am, four additional children arrived, totaling nine children being supervised alone by Staff #3. 3. A second staff member did not arrive until 10:09am.
Plan of Correction:	The director will assure that there will be proper coverage when a staff calls out.
Standard #:	8VAC20-780-410-2
Description:	Based on observation and staff interview the licensee did not ensure enclosure in a small, confined space or any space that the child cannot freely exit himself is a forbidden action Evidence: In the infant room staff #3 confirmed that child #3 and child #8 were put in their highchairs, not for their intended purpose but because they hit and bite and because they were short staffed. Child #8 was in highchair from approximately 9:55 until 10:25 and child #3 was in highchair from approximately 9:55 until 10:20 as confirmed by staff #3.
Plan of Correction:	The director will ensure that proper training will be conduced on behavior management. As well as have proper staffing.
Standard #:	8VAC20-780-440-A
Description:	Based on observation and staff interview the licensee did not ensure cribs shall be provided for children during the designated rest period. Evidence: Staff was observed putting child #8 (date of birth 6-2-2022) in a baby bouncer for nap time. Staff #3 confirmed it was easier than using the crib because they were short staffed.
Plan of Correction:	The director will ensure proper staffing.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, the licensee did not ensure children?s hands shall be washed with soap and running water after toileting and staff shall wash their hands with soap and running water before and after diapering. Evidence: Staff #3 was observed conducting diaper changes for child #5 and child #9. Neither child?s hands were washed after their diaper change and staff #3 did not wash their hands before and after each diaper change.
Plan of Correction:	The director will ensure proper training for diapering and handwashing techniques.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, the licensee did not ensure the diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Evidence: Staff #3 was observed not cleaning or sanitizing the diapering surface after changing child #4 and child #9 diapers
Plan of Correction:	The director will ensure proper training for diapering and sanitation.