VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Lilly's Learning Pad - Jackson Ward Campus
300 W. Clay Street
Richmond, VA 23220
(804) 344-0072

Current Inspector: Cindy Horne (804) 297-4469

Inspection Date: March 22, 2023

Complaint Related: No

Areas Reviewed:

X 8VAC20-780 Administration X 8VAC20-780 Physical Plant X 8VAC20-780 Staffing and Supervision X 8VAC20-780 Programs X 8VAC20-780 Special Services X 8VAC20-820 THE LICENSE. X 8VAC20-770 Background Checks

Comments:

An unannounced monitoring inspection was initiated on 3/22/23 in response to a self-report that the Office of Child Care Health and Safety received on 3/14/23 regarding Nutrition and food service and Special feeding needs. The Office of Child Care Health and Safety also received a complaint on 3/16/23 regarding Nutrition and food services and Special feeding needs.The inspection concluded on 3/28/23. Two inspectors were on site at the center on 3/22/23 from approximately 9:00 am to 10:30 am. There were a total of 16 children in care ranging from 2 months to 4 years of age. A total of four staff were supervising. Interviews with staff were completed during the on-site inspection. The center director was not present during the on-site inspection. Observations were made in the center and the records for 3 infants were reviewed. The record for one staff was requested while on-site, but was not available. Information for the staff was provided by the center director on 3/22/23 and 3/23/23. The center?s Food Policies were reviewed as part of this inspection. Telephone interviews were conducted with the center director on 3/22/23 and 3/23/23. Additional documentation was requested via email on 3/22/23, 3/23/23 and 3/27/23. Information gathered during the inspection determined non-compliance with applicable standards or laws and violations were documented on the violation notice issued to the program. 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. Please specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable. Your plan of correction must 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 measures. Please do not use staff names; list staff by positions only. If you have any questions about this inspection, please contact NeShara Gaston, Licensing Inspector at 540-280-0742 or e-mail neshara.gaston@doe.virginia.gov.

Violations:

Standard #:	8VAC20-780-130-A
Description:	Based on record review, the center failed to ensure each child received the immunizations required by the state Board of Health before the child can attend the center. Evidence: At the time of review, the record for Infant 2(first day of attendance: 9/6/21) failed to document immunizations.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-140-A
Description:	Based on review of two infant?s records, the center failed to ensure each child completed a physical examination by or under the direction of a physician before the child?s attendance or within 30 days after the first day of attendance. Evidence: At the time of review, the records for Infant 2 (first day of attendance: 9/6/21) and Infant 3 (first day of attendance: 11/28/22) did not document a physical.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-40-E
Description:	Based on review of the center?s Food Policies and the records for three infants, the center failed to follow it?s own policies and procedures. Evidence: The center?s food policies state, ?Teachers are to record each meal, the type of food/formula fed the starting amount and the ending amount as well as the amount consumed.? The feeding record for 3 infants failed to document the starting and ending amount as well as the amount consumed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Based on review of records, the center failed to ensure records for each child contained the required information. Evidence: The record for Infant 1 failed to include: a second emergency contact person to call if a parent cannot be reached. The record for Infant 2 failed to include; written agreements between the parent and the center as required by 8VAC20-780-90 and documentation of viewing proof of the child?s identity and age.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: The wall in the 2 year old room and the wall leading from the kitchen had chipped paint areas within the reach of children. The front half gate/wall and post had yellow, grey and red stains on it. The floor surrounding the front half/wall gate post had black and brown stains on it. The kitchen floor had brown and red stains, and particles on the floor throughout the kitchen. The center?s refrigerator where infant formula and food was stored had brown stains on the bottom interior and exterior area. The interior of the freezer had red and brown stains. The low open cabinet area in the kitchen had brown stains and peeling paint. The storage bins located in the low open cabinets had brown stains.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the center failed to ensure hazardous substances such as cleaning material, insecticides, and pesticides were kept in a locked place using a safe locking method that prevents access by children. Evidence: The open storage area leading into the areas for children contained 2 bottles of all purpose cleaning solution. The open director?s office adjacent to the infant room had 2 chemical bottles on the floor. A bottle of Clorox wipes within reach of children was observed to be on a table in the 2 year old room.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-D
Description:	Based on observation, the center failed to ensure cleaning and sanitizing materials were not located above food and stored in areas physically separate from food. Evidence: The center?s unlocked kitchen was observed to have a bottle of cleaner/degreaser with the warning: keep out of reach of children, caution, and avoid contact with skin, hanging from a top rack located directly above numerous food items. A bottle of Clorox wipes with the warning: caution, hazard to humans and domestic animals and numerous food items were on an open table at the height of children in the 2 year old classroom area.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-560-G
Description:	Based on observation, the center failed to ensure food brought from home was clearly dated and labeled to identify the owners. Evidence: The refrigerator used to store infant?s formula contained 3 bottles with no name or date on them and Lunchables that did not include the child?s name and date.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-560-N
Description:	Based on observation, the center failed to ensure food was stored in a clean and sanitary manner. Evidence: There were piles of food items on an open table, the height of children in the 2 year old room. Children were observed reaching for food of other children on the table.
Plan of Correction:	Not available online. Contact Inspector for more information.