VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Tots and Company Childcare
3401 Old Halifax Road
South boston, VA 24592
(434) 575-1008

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: April 26, 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 04/26/2023. There were 54 children, ages 6 months-5 years, and 15 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 in the following: in learning activities, in free choice play, in large motor outdoor play, having lunch and during rest time. A total of 5 children?s records and 5 staff records were reviewed. The inspector discussed the following with staff: safe sleep, field trips and areas and equipment. The inspector arrived for the inspection at 10:15 am and departed at 1:45 pm. 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 #:	8VAC20-770-60-B
Description:	REPEAT VIOLATION Based on record review and discussion with staff, the center failed to ensure that an employee must not be employed until the agency has the person?s completed sworn statement or affirmation. Evidence: Staff 6 stated that the hire date for Staff 4 was 04/10/2023. There was not a sworn statement available for review during the inspection.
Plan of Correction:	The sworn statement was completed during the inspection.
Standard #:	8VAC20-780-130-A
Description:	Based on record review, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record for Child 1 contained a documented start date of 02/06/2023. The date on the immunization record was 02/10/2023. 2. The record for Child 4 contained a documented start date of 03/13/2023. The date on the immunization record was 03/31/2023.
Plan of Correction:	Will get all immunization records prior to attendance.
Standard #:	8VAC20-780-130-E
Description:	Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for Child 3 contained a documented start date of 05/02/2022. Child 3 was determined to be 21 months old. The record for Child 3 contained one immunization record dated 03/30/2022; additional immunizations were not obtained every 6 months.
Plan of Correction:	Will get from the parent today.
Standard #:	8VAC20-780-70
Description:	REPEAT VIOLATION Based on record review, the center failed to ensure that staff records shall contain all of the elements as required by the standards. Evidence: The record for Staff 4 did not contain the following information: job title and date of employment; and documentation that two or more references as to character and reputation as well as competency were checked before employment.
Plan of Correction:	Will add the information to the record.
Standard #:	8VAC20-780-80-A
Description:	Based on document review and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. The attendance record in the Pre-K room indicated 13 children present. There were 14 children in care at the time the attendance record was reviewed. The attendance did not document the arrival as it occurred. 2. The attendance record in the infant room indicated 10 children present. There were 12 children in care at the time the attendance record was reviewed. The attendance did not document the arrival as it occurred.
Plan of Correction:	Will take attendance as it occurs.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: The filing cabinet drawer that contained the cleaning supplies located in the Pre-K classroom was unlocked. The unlocked drawer contained the following: an aerosol spray bottle of disinfecting spray, a container of disinfecting wipes and a spray bottle of window cleaner.
Plan of Correction:	Will lock the drawer today.
Standard #:	8VAC20-780-280-G
Description:	REPEAT VIOLATION Based on observation, the center failed to ensure that when hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents. Evidence: 1. There was a clear plastic spray bottle containing a pink liquid solution in the Pre-K room that was not labeled to indicate the contents; the label on the bottle was partially peeled off and it was not possible to read the label. 2. There was a clear plastic spray bottle containing clear liquid solution in the 2-3 year that was labeled ?air sanitizer?. Staff 4 stated that the bottle contained a bleach/water solution. The clear plastic spray bottle was not labeled to clearly indicate the contents of the bottle.
Plan of Correction:	Will label today.
Standard #:	8VAC20-780-290-A-3
Description:	Based on observations, the center failed to ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers. Evidence: 1. There were two uncovered electrical outlets on a green extension cord in the Pre-K classroom. 2. There was an uncovered electrical outlet near the swings in the infant room.
Plan of Correction:	Will cover today.
Standard #:	8VAC20-780-330-C
Description:	Based on observation and discussion, the center failed to ensure that ground supports for playground equipment shall be covered with materials that protect children from injury. Evidence: There were 2 exposed concrete ground supports used to anchor the blue/green/yellow/red Little Tykes playground equipment. The children were observed playing on the playground and using the equipment during the 04/26/2023 inspection.
Plan of Correction:	Will till up the surfacing and cover the ground supports.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, the center failed to ensure that disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member?s hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: The trashcan in the 2-3 year old classroom was motion activated and was not in working order. Staff 4 was observed using their hands to open the trashcan to dispose of a diaper.
Plan of Correction:	Will replace the trashcan today.
Standard #:	8VAC20-780-570-D
Description:	Based on observation and discussion, the center failed to ensure that infants shall be fed on demand. Evidence: Staff 5 stated that the children in the Walkers Infant Class follow a daily schedule for meal service and that they are not fed on demand. The youngest child in the Walkers Infant Class was determined to be 15 months old.
Plan of Correction:	Will discuss with the staff and make the necessary changes.
Standard #:	8VAC20-780-570-E
Description:	Based on observation, the center failed to ensure that prepared infant formula shall be refrigerated, dated and labeled with the child?s name. Evidence: There were three bottles observed in the refrigerator of the infant room that were not dated.
Plan of Correction:	Will make sure that all bottles are labeled and dated.