VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Piedmont Child Care Center
9121 John Mosby Highway
Upperville, VA 20185
(540) 592-3908

Current Inspector: Angela Dudek (804) 629-8167

Inspection Date: June 14, 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 (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced monitoring inspection was conducted on 6/14/23 from 9:50am to 12:15pm with the Assistant Director. There were 52 children in care, ranging in age from four-months to 12-years-old, supervised by 12 staff. The children were observed eating morning snack, having free play, doing crafts, playing foosball, making Father?s Day cards, and participating in a music class. Six child records and four staff records were reviewed. The Center has 11 staff with current certification in CPR and First Aid, and 15 staff trained in Daily Health Observation Training. Two medications and authorization forms were reviewed and the center has seven staff current in Medication Administration Training (MAT). Required postings were observed. The attendance, menu, and emergency drill log were reviewed. The most recent Fire Inspection on file was dated 3/9/23 and the most recent Health Inspection on file was dated 8/20/22. Morning snack served was yogurt and cereal bars. If you have questions regarding this inspection, please contact the Licensing Inspector, Laura Brindle, at laura.brindle@doe.virginia.gov or 540-905-2062. Please complete the "Plan of Correction" and "Date to be Corrected" areas on the Violation Notice for each violation cited and return to me by close of business on 6/16/23. Plans of correction should include steps to correct the noncompliance with the standard, and measures to prevent the noncompliance from occurring again.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on review of four staff records, the center did not ensure that the results of a national fingerprint-based criminal history check were obtained prior to employment for one staff. Evidence: The record for Staff #2, with an employment date of 5/30/23, did not contain fingerprint results.
Plan of Correction:	Followed up with office of background investigations on 6/14.
Standard #:	8VAC20-780-130-E
Description:	Based on review of six child records, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The most recent immunizations on record for Child B (DOB 12/7/19), were dated 9/18/20. The most recent immunizations on record for Child D (DOB 2/1/22), were dated 4/4/22.
Plan of Correction:	Sent out vaccine update request forms to applicable parents.
Standard #:	8VAC20-780-130-F
Description:	Based on review of six child records, the center did not obtain documentation of additional immunizations once between each child?s fourth and sixth birthdays. Evidence: The most recent immunizations on record for Child E (DOB 4/1/15), were dated 6/2/15.
Plan of Correction:	Sent out vaccine update request forms to applicable parents.
Standard #:	8VAC20-780-160-A
Description:	Based on review of four staff records, the center did not ensure each staff member submitted documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: The record for Staff #2, with an employment date of 5/30/23, did not contain TB test results.
Plan of Correction:	Staff provided negative TB screening results on 6/16.
Standard #:	8VAC20-780-60-A
Description:	Based on review of six child records, the center did not obtain all of the required documentation for child records. Evidence: The records for Child A (start date 10/20/20), Child B (start date 2/11/20), Child D (start date 4/25/22), and Child E (start date 7/20/15) did not contain documentation of child updates and annual confirmation of up-to-date information in the child?s record.
Plan of Correction:	Sent out center wide annual confirmation forms to be completed.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a safe and operable condition. Evidence: 1. Multiple wooden fence posts that separate the playgrounds were observed to be deteriorating and pose a scratch or splinter hazard. Multiple tree stumps on the playground were observed that were deteriorating and pose scratch or splinter hazards. 2. A swing on the infant playground was observed to be missing a strap for the buckle that had broken off. 3. S-hooks at the top of the swings on the infant playground were observed to be opened more than the width of a penny. 4. On the preschool playground, one dark green slide had four cracks at the base of the slide that pose a scratch or pinch hazard. 5. On the preschool playground, a ride-on car toy was observed to have a crack on the handle bar, posing a scratch or pinch hazard.
Plan of Correction:	1. Check fences regularly to ensure there are no potential hazards. Plan in action to replace fencing with PVC in near future. 2. Removed swing on 6/14. 3. Closed remaining swings until hooks are replaced with approved material. 4. Closed slide until it can be properly fixed or replaced. 5. Removed car from playground and disposed.