VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Little Blessings Child Care, Inc.
1133 Locust Drive
Cascade, VA 24069
(434) 685-2458

Current Inspector: Monique Anderson (540) 309-2397

Inspection Date: April 19, 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 8VAC20-770 BACKGROUND CHECKS 22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE 63.2 CHILD ABUSE AND NEGLECT

Comments:

An unannounced monitoring inspection was conducted on 04/19/2023. There were 24 children, ages 3 months- 4 years, and 5 staff members present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, staffing and supervision, physical plant, programs, emergencies and nutrition. The children were observed during outside large motor play, free choice activities and lunch. Infants were observed being fed and sleeping on demand. A total of 5 children?s records, 5 staff records, and 1 medication were reviewed. The inspector arrived for the inspection at 08:40 am and departed at 11:30 am. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on document review and staff interviews, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: The record for Staff 4 contained a documented hire date of 01/17/2023. The eligibility letter for Staff 4 was dated 01/23/2023.
Plan of Correction:	Will not hire or train until the fingerprint results are back.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the center failed to ensure that areas and equipment, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. There were multiple broken riding toys in the outside play area that had sharp edges which created pinch points. Children were observed playing in the area during the inspection. 2. The playhouse in the outside play area had numerous cracks and missing pieces that created sharp edges and pinch points. Children were observed playing in the area during the inspection. 3. There was a sharp rusted wire sticking out from the fence around the deck area in the outdoor play space. The sharp rusted wire was accessible to children. Children were observed playing in the area during the inspection.
Plan of Correction:	Will do maintenance on the playground.
Standard #:	8VAC20-780-330-B
Description:	Based on observation, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: 1. There was dirt visible in the fall zone area of the swing set on the Pre-K playground. The fall zone did not have the required resilient surfacing that complies with the minimum safety standards. Children were observed on the swing set during the inspection. 2. There was visible dirt in the fall zone area of the climbing wall on the large piece of play equipment on the Pre-K playground. The fall zone did not have the required resilient surfacing that complies with the minimum safety standards. Children were observed on the climbing wall during the inspection.
Plan of Correction:	Will do maintenance on the playground.
Standard #:	8VAC20-780-430-C
Description:	Based on observation, the center failed to ensure that the S-hooks on play equipment shall not be open more than the thickness of a penny. Evidence: The opening of the S-hooks on the swing set on the Pre-K playground were open greater than the thickness of a penny.
Plan of Correction:	Will do maintenance on the playground.
Standard #:	8VAC20-780-560-J
Description:	Based on observations, the center failed to ensure that tables shall be sanitized before and after each use for feeding. Evidence: The Toddler/2 year old class was observed sitting down to eat their lunch after the Pre-K class. One of the tables used by the children was not sanitized between the lunch service of the Pre-K class and the toddler/2 year old class.
Plan of Correction:	Will post a sign to remind staff to sanitize the tables after each use.
Standard #:	8VAC20-780-570-B
Description:	Based on observation, the center failed to ensure that bottles shall not be used while the child is in their designated sleeping location. Evidence: Child 4 was observed lying in their crib while drinking a bottle.
Plan of Correction:	Will post a sign to remind staff to not allow bottles in cribs.
Standard #:	8VAC20-780-570-C
Description:	REPEAT VIOLATION Based on document review and discussion with staff, the center failed to ensure that the record for each child on formula shall contain the brand of formula; and the child?s feeding schedule. Evidence: Staff 2 stated that there were four children on formula in the infant room. The record for three of the four children on formula did not include the child?s feeding schedule.
Plan of Correction:	Will get the information from the parents today.