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Winchester Day Nursery, Incorporated
133 Lincoln Street
Winchester, VA 22601
(540) 662-2629

Current Inspector: Amy Tomblin (804) 629-3923

Inspection Date: May 22, 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
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide

Comments:
An unannounced monitoring inspection was conducted on 05/22/2023 from 11:00 a.m. to 12:45 p.m. There were 27 children present, ranging in ages from two to five years old with nine 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.

If you have any questions or concerns, please contact the Licensing Inspector at (804) 629-3923.

Violations:
Standard #: 8VAC20-780-40-M
Description: Based on observation and interview, the center failed to maintain a current written list of all children?s allergies, sensitivities and dietary restrictions.
Evidence:
1. In the three-year-old classroom, four-year-old classroom and the Pre-classroom, there was no allergy list posted.
2. The list in the two-year-old classroom was dated June of 2022. Staff #2 and #7 confirmed that the list had not been updated to include Child #3.
3. Child #3?s file indicated that Child #3 had a peanut allergy. Staff #2, #6 and #7 confirmed that Child #3 had a peanut allergy.

Plan of Correction: All allergy list has been updated and are hung up in every room.

Standard #: 8VAC20-780-60-A
Description: Based on review of records and interview, the center failed to maintain a record for each child that contained the required information.
Evidence:
1. Child #1?s record did not contain the place of employment or a phone number for the place of employment for either parent.
2. Child #3?s record did not contain a phone number for the parent?s place of employment.
3. Staff #6 and Staff #7 confirmed that information was missing from the files.

Plan of Correction: Will be getting work phone # and employment today.

Standard #: 8VAC20-780-200-A
Description: Based on review of records and interview, the center failed to have a qualified program director or qualified back-up program director on site at least 50% of the center?s hours of operations.
Evidence:
1. Staff #6 and Staff #7 confirmed that the director (Staff #8) had not been present at the center since mid-April of 2023. Staff #6 and Staff #7 confirmed that Staff #6 was the appointed back up director in the absence of Staff #8.
2. Documentation provided by Staff #6 showed that Staff #6 does not qualify as a director or back up director.

Plan of Correction: Staff #6 will have 10 credit hours by the end of June 2023. I will send them over as soon as they are given to me.

Standard #: 8VAC20-780-500-A
Description: Based on observation and interview, the center failed to ensure that children?s hands are washed after toileting and staff?s hands are washed after a diaper change.
Evidence:
1. In the two-year-old classroom, Staff #3 was observed changing two diapers and did not wash their hands or the children?s hands after the diaper change.
2. Staff #3 confirmed that they did not wash their hands or the children?s hands after the diaper change.

Plan of Correction: Talk with the teachers and make sure they are washing hands after changes.

Standard #: 8VAC20-780-500-B
Description: Based on observation and interview, the center failed to ensure that the diapering surface was cleaned with soap and water and sanitized after each use.
Evidence:
1. In the two-year-old classroom, Staff #3 was observed changing two diapers and did not clean or sanitize the diapering surface after each diaper change.
2. Staff #3 confirmed that they had not cleaned or sanitized the diapering surface after each diaper change.

Plan of Correction: Talked with both teachers letting them know that they must wash diapering surface after each diaper change.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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