VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Woodlake Child Development Center
14750 Meyer Cove Drive
Midlothian, VA 23112
(804) 739-3709

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: April 13, 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. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minors records 22.1 Background Checks Code, Carbon Monoxide 22.1 Early Childhood Care and Education

Comments:

An unannounced monitoring inspection was initiated and concluded on 4/13/2023. The inspector was on site from approximately 8:37 am-12:50 pm. There were 98 children present, ranging in ages from 5 months to 6 years, with 16 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition and background checks. A total of 10 child records and 10 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. 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. You will need to 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.

Violations:

Standard #:	8VAC20-770-60-C-2
Description:	Based on a review of 10 staff records and interview, the center did not ensure to obtain a central registry finding for two staff by the end of the 30th day of employment as required. Evidence: 1. The record of staff #2 (date of employment: 3/3/23) did not contain a central registry finding. The record of staff #5 (date of employment: 3/3/23) did not contain a central registry finding. 2. Administration acknowledged that the findings had not been obtained within the 30 days of employment as required.
Plan of Correction:	the central registry has been submitted for both employees. Going forward it will be submitted on day of hire.
Standard #:	8VAC20-780-130-A
Description:	Based on a review of 10 children's records and interview, the center did not ensure to obtain documentation that one child had received the immunizations required by the State Board of Health before the first date of attendance. Evidence: 1. The record of child #6 (date of attendance: 1/16/23) contained an immunization record dated 1/27/23. 2. Administration acknowledged that the immunization record was received late.
Plan of Correction:	We will ensure immunizations are received prior to first day.
Standard #:	8VAC20-780-160-A
Description:	Based on a review of 10 staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for one staff at the time of employment and prior to coming into contact with children as required. Evidence: 1. The record of staff #2 (date of employment: 3/3/23) contained a TB screening dated 3/7/23. 2. Administration acknowledged that the TB screening was completed after the first date of employment.
Plan of Correction:	We will ensure that TBs are completed before day of hire.
Standard #:	8VAC20-780-70
Description:	Based on a review of 10 staff records and interview, the center did not ensure that complete records were kept for two staff. Evidence: 1. The record of staff #2 (date of employment: 3/3/23) was missing one of the two required reference checks. The center is required to obtain documentation that two or more references as to character and reputation as well as competency were checked before employment. The record of staff #5 (date of employment: 3/3/23) did not contain reference check documentation. 2. Administration acknowledged that the missing reference checks had not been completed and the records were incomplete.
Plan of Correction:	1. The second reference was left a message and didn't return our call. We will make sure to have a 3rd going forward. 2. References will be completed before first day.
Standard #:	8VAC20-780-550-G
Description:	Based on review of documentation and interview, the center did not ensure that documentation of emergency evacuation drills were maintained. Evidence: 1. Monthly evacuation drills were not documented from November of 2022 to March of 2023. 2. Administration stated that the drills had been conducted but not documented.
Plan of Correction:	monthly drills will be documented as soon as they are completed