VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Nikki's Christian Daycare Inc. Pam's Place
1549 Old Bridge Road
Suite 210
Woodbridge, VA 22192
(703) 427-2053

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: May 30, 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

Comments:

An unannounced monitoring inspection was conducted from 1:15 - 3:15pm. There were 17 children, ranging from 23 months to five years of age, present with four staff on site. Children were observed napping and waking up. Two child records and three staff records were reviewed, along with the emergency drill log, written daily attendance, written allergy list, fire and health inspections, ratios, and required posted information. Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the violation notice, and then return a signed and dated copy to the licensing office by 4:00pm on Friday, 6/9/2023. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on review of three staff records, it was determined that not all staff had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check prior to their first day of employment. Evidence: the record for staff #3 (date of hire: unknown) who was observed supervising a group of children alone, did not have an OBI fingerprint determination letter.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-C-2
Description:	Based on review of three staff records, it was determined that not all staff had an original central registry report within 30 days of employment. Evidence: the records for staff #1 (date of hire: 5/26/2022) and staff #3 (date of hire: unknown) did not contain documentation of a central registry report.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-A
Description:	Based on review of three staff records, the facility did not have documentation of a tuberculosis (TB) test/ screening for staff as required - at the time of employment and prior to coming into contact with children. Evidence: the record for staff #1 (date of hire: 5/26/2022) did not contain documentation of a TB test/screening. The record for staff #3 (date of hire: unknown) did not have documentation of a TB test/screening. Staff #1 and #3 were observed supervising children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-40-L
Description:	Based on staff interview, the facility failed to inform all staff who work with children of children?s allergies, sensitivities and dietary restrictions. Evidence: when asked, not all staff could state which children in the group had allergies, sensitivities and/or dietary restrictions.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	Based on review of three staff records, it was determined that not all records contained all required information. Evidence: the record for staff #1 (date of hire: 5/26/2022) did not contain documentation that two or more references were checked before employment, of first aid/CPR certification, or documentation that the individual possesses the education certification and experience required by the job position. The record for staff #2 (date of hire 2/6/2023) did not contain documentation of first aid/CPR certification, or documentation that the individual possesses the education certification and experience required by the job position. There was no record onsite for staff #3 who was observed alone with children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the facility did not ensure all areas and equipment of the center outside were maintained in a clean, safe and operable condition. Evidence: The wire fence in the younger children?s playground has multiple protruding, rusted, sharp ends at the top and bottom of the fence and parts of the fence are broken and/or damaged leaving gaps at the bottom of the fence in some locations.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-320-B
Description:	Based on observation, the facility failed to ensure that all restrooms were equipped as required. Evidence: There was no toilet paper in the upstairs bathroom accessible to the children and no paper towels in the downstairs bathroom.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-D
Description:	Based on observation, staff interviews, and review of documentation, it was determined that the facility did not ensure that in each grouping of children at least one staff member meets the qualifications of a program leader. Evidence: Staff #2 was designated as the program leader in the 3?s class, and was observed working alone with children. The record for staff #2 does not include documentation indicating they meet the qualification of program leader.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-F
Description:	Based on observation, it was determined that the facility did not ensure that children under 10 years of age are always within actual sight and sound supervision of staff. Evidence: when the inspector arrived, at approximately 1:15pm, there were nine children observed in the overflow classroom and there was no staff member present. Staff #1 and staff #2 were observed in the two's classroom. Staff #2 returned to the overflow classroom shortly after the LI's arrival. At approximately 2:30pm, staff #2 left the classroom of eight children for approximately 2-3 minutes in order to assist a child in the restroom. There was no sight and sound supervision of the children in the classroom until the LI informed the owner of this.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-450-A
Description:	Based on observation, not all cots used by children during rest time contained linens consisting of a top cover and a bottom cover. Evidence: five of the nine cots in the overflow classroom did not contain a bottom cover. Four of the eight cots in the songbird classroom did not contain a bottom cover.
Plan of Correction:	Not available online. Contact Inspector for more information.