VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Little Light House Care LLC
15679 Warwick Boulevard
Newport news, VA 23608
(757) 527-3260

Current Inspector: Anita Drewry (757) 404-5261

Inspection Date: May 2, 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 8VAC20-820 THE LICENSE. 22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE

Comments:

A monitoring inspection was conducted on May 2, 2023. There were twenty-five children present, ranging in ages from infants to preschool age, with four 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 five child records and five 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 #:	8VAC20-770-60-B
Description:	Based on review and interview, facility did not ensure 1 of 5 staff have a completed sworn statement or affirmation prior to beginning employment. Evidence: The record for staff #4 did not have a completed sworn statement or affirmation. The sworn statement or affirmation in the record was completed for a different facility. Staff reported she previously worked at this facility in 2021 but left 12/2021 and returned 4/28/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-C-2
Description:	Based on review, facility did not ensure 1 of 5 staff have a completed central registry search within 30 days of beginning employment. Evidence: The record for staff #3 (start date 2/13/2023) did not have a completed central registry search.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-A
Description:	Based on review, facility did not ensure 2 of 5 staff records have documentation of a negative tuberculosis screening at the time of employment and completed within the last 30 calendars days. Evidence: The records for staff #4 (reported start date 4/28/2023) and staff #5 (start date 5/1/2023) did not have a negative tuberculosis screening or test.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-40-K
Description:	Based on review and interview, facility did not ensure there is required written procedures. Evidence: There was not documentation of 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. Missing procedures were confirmed by staff member in charge.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-40-M
Description:	Based on review and interview, facility did not ensure there is a current written list of all children?s allergies, sensitivities, and dietary restrictions kept confidential in each room or area where children are present. Evidence: The record for child #1 had documentation on the physical examination dated 1/31/2023 of a special diet specification and that was not documented on a written list of food allergies, sensitivities and dietary restrictions in the child?s classroom. Missing information was confirmed by staff member in charge.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Based on review and interview, facility did not ensure 2 of 5 children?s records have documentation of required information. Evidence: The following was found during review of children?s records: 1. The record for child #3 (start date 5/1/2023) did not have documentation of father?s home address, legal paperwork when a parent is listed as not authorized to pick up the child and previous programs attended. 2. The record for child #5 (start date 2/27/2023) had documentation of a food allergy noted on the physical examination dated 6/11/2022 and there was not a written care plan including instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. 3. Missing information was verified by staff member in charge.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	Based on review and interview, facility did not ensure 2 of 5 staff records have documentation of required information. Evidence: The following was found during review of staff records: 1. The record for staff #4 did not have documentation of start date of employment and emergency contact information. Staff #4 stated she worked at this facility in 2021 but had not worked here in 2022 and returned on 4/28/2023. 2. The record for staff #5 (start date 5/1/2023) did not have documentation of two references and emergency contact information.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-80-A
Description:	Based on observation and review, facility did not ensure 2 of 3 groups of children have a written record of daily attendance that documents the arrival and departure of each child in case as it occurs. Evidence: The following was observed: 1. The infant?s attendance record had documentation of 6 children in attendance however 7 children were observed present in the room. Staff #5 stated one child had not been signed in. 2. The 3?s & 4?s attendance record had documentation of 8 children in attendance however 9 children were observed present in the room. Staff #2 stated one child had not been signed in.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-240-C
Description:	Based on review, facility did not ensure required topics are included in the orientation training. Evidence: Facility orientation training does not include prevention of sudden infant death syndrome, use of safe sleep practices, prevention of shaken baby syndrome and abusive head trauma, including procedures to cope with crying babies or distraught children. Missing topics were confirmed by staff member in charge.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, facility did not ensure areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Evidence: The following was observed: 1. In the 3?s & 4?s room, an approximately 29? flat screen television was observed sitting on a bookcase approximately 27? from the floor. The television was not secured and was within reach of children. 2. Two of four toilets are not operational. One hall bathroom had a sign on the door ?out of order?. Staff attempted to flush the toilet and the bowl filled with water but did not flush. One of the toilets in the infant room bathroom had low water full of toilet tissue and brown water. Staff stated it was clogged and they are not using it right now. 3. On the outside playground, the back gate was propped open with a child sized chair leaving an approximate 2.5? opening to the following: ? Landscaping with overgrown brush to include high grass, woody vegetation, branches and trees. ? The terrain initially was a flat area and then declined an undetermined length down to a dirt road. The distance down to the dirt road could not be determined due to the overgrowth of brush and weeds. ? A piece of broken glass approximately 5?x 5? was sitting on the ground by the shed building and near a child sized chair. ? There were 2 child sized chairs and multiple pieces of broken toys to include a soccer goal, two balls, infant/toddler bouncy seat, table toys, etc.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-F
Description:	Based on observation, facility did not ensure children under 10 years of age are always within actual sight and supervision of staff. Evidence: In the front infant room, staff #3 was observed leaving child #4 (16 months) alone multiple times for up to approximately 1 ? 2 minutes each time. Staff member in charge came to the room and witnessed child #4 alone in this room napping in a crib.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-350-B-2
Description:	Based on observation and review, facility did not ensure there is at least 1 staff per 5 children when the youngest in the group is of toddler age (16 months up 24 months). Evidence: At approximately 10:14 AM, staff #1 was observed with 9 children in the 2?s room. Child #4, age 16 months, was the youngest in the group. Staff stated the child was in her classroom while eating breakfast. Staff #1 stated the child was in her group for approximately 10 minutes and no other staff were present in her group during this time.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-440-B
Description:	Based on observation and interview, facility did not ensure cribs are identified for use by a specific child. Evidence: Child #4 was observed napping in a crib that was labeled with another child?s name.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-440-H
Description:	Based on observation and interview, facility did not ensure there is no more than 1? between the mattress and the crib. Evidence: Child #4 was observed napping in a crib that had 3? ? 4? of space between the mattress and the crib in the corners of the crib. Staff member in charge stated parents have been told to provide fitted sheets that fit the mattress properly.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-490-E
Description:	Based on observation, facility did not ensure when any surface has been contaminated with body fluids, it shall be cleaned and sanitized. Evidence: In the infant room at approximately 10:45 am, a child was observed spitting up and the fluid landed on the vinyl floor mat. Staff wiped up the vomit with a paper towel but did not clean or sanitize the surface.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, staff did not wash their hands with soap and running water after completing a diaper change. Evidence: In the infant room at approximately 10:40 am, staff was observed changing a child?s diaper and she did not wash her hands after completing the diaper change.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, facility did not ensure diapering surfaces are used only for diapering or cleaning children and it shall be cleaned with soap and water and sanitized after each use. Evidence: In the infant room at approximately 10:40 am, staff was observed changing a child?s diaper. The diapering surface was sprayed with soap and water but it was not sanitized. Staff confirmed she sprayed the surface with soap water and the bottle was labeled as such.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-530-A
Description:	Based on observation and review, facility did not ensure at least one staff in each classroom or area with children are CPR and first aid certified. Evidence: Staff #1 was the only staff present in the 2?s classroom. The record for staff #1 did not have CPR and first aid certification. Missing information was verified by staff member in charge.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-560-F
Description:	Based on observation, facility did not ensure there is a menu posted in a location conspicuous to parents or given to parents. Evidence: The menu posted at the facility entrance was dated April 4 ? 14 which is not the current week. Staff #4 stated she had not printed and posted the current menu.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-570-B
Description:	Based on observation, facility did not ensure bottled fed infants who cannot hold their own bottles are held when fed. Evidence: In the infant room at approximately 10:55 AM, staff was observed sitting on the floor in front a child in an infant seat feeding the child a bottle. The staff was not holding the infant that was not able to hold their own bottle.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-570-E
Description:	Based on observation, facility did not ensure prepared infant formula shall be labeled with the child?s name and date. Evidence: In the infant room at approximately 10:55 AM staff was observed feeding a child a bottle with prepared infant formula. The bottle was not dated.
Plan of Correction:	Not available online. Contact Inspector for more information.