VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Merit School of Doc Stone (#67)
95 Dunn Drive
Stafford, VA 22556
(540) 628-4999

Current Inspector: Beth Velke (804) 629-8302

Inspection Date: June 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. 8VAC20-780 Special Services. 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

8VAC20-780-40 Discussed Operational Responsibilities providing access for inspections. 8VAC20-780-40-E Discussed License Posting Requirements for most recent inspection, license and enforcement documents. 8VAC20-780-290.3 Discussed Protective Covers for Outlets size requirements.

Comments:

An unannounced monitoring inspection was conducted on 6/21/23 from 10:30 a.m. ? 2:00 p.m. There were one hundred and seven children present with seventeen staff providing supervision. The ages of the children ranged from 2 months to 12 years. Five staff files and five children?s files were reviewed. Children were observed in centers and free play. Lunch was cheeseburger, mixed vegetables, pears and milk. Handwashing was also observed. Attendance, menus, and emergency drills were reviewed. There was an adequate number of staff present with certification in Medication Administration Training (MAT), CPR, First Aid and Daily Health Observation (DHO) training. Six medications and their corresponding authorizations were reviewed. Required postings were observed. The last emergency drill was conducted on 6/16/23. The first aid kit, flashlight, and battery operated radio were observed. Areas of non-compliance are identified in the Violation Notice. 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 5 p.m. on July 13, 2023. Please email me at beth.velke@doe.virginia.gov or 804-629-8302 with any questions.

Violations:

Standard #:	8VAC20-770-60-C-2
Description:	8VAC20-770-(BC)-60-C-2 Based on a review of five staff records, the center did not obtain documentation of the results of a central registry search within 30 days of employment for all staff. Evidence: The record for Staff #5, with a start date of 3/2/23, did not contain documentation of the results of a search of a central registry search at the time of inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-140-A
Description:	Based on a review of five child records, the center did not have documentation of a physical in each child record within 30 days after the first day of attendance. Evidence:The record for Child #5, with a start date of 8/8/20, had a physical dated 6/15/22.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Based on review of five child files, the center did not obtain all of the required documentation for a child record. Evidence: The record for Child # 2, did not contain documentation that the center had viewed proof of the child?s identity and age.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	Based on a review of five staff records, the center did not obtain all required documentation for staff records. Evidence: 1. The record for Staff #3 did not contain documentation of an emergency contact. 2.The record for Staff #2, with a start date of 11/10/22, contained documentation of one reference. 3.The record for Staff #5, with a start date of 3/2/23 did not contain documentation of two references.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-80-A
Description:	Based on review of the written attendance record, the center did not ensure they maintained a written record of daily attendance for each group of children documenting arrival and departure of each child in care as it occurs. Evidence: 1. In the Infant A and B class there were eleven children present in the classroom, the written record reflected there were nine. 2. In the toddler class there were ten children present in the classroom, the written record reflected there were nine.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the center did not ensure all areas and equipment of the center were maintained in a safe condition. Evidence: 1. In the Infant A class, Child #2 had a crib sheet that was loose and did not fit the mattress tightly. 2. In Prep Jr. K class, a piece of yarn was tied in a half loop hanging down from the shelves in the restroom enclosure. The cord was hanging low enough to be within reach of the children, causing a strangulation hazard. 3. In the Montessori A class a carpet, under the sensory table, at the entrance of the restroom curled up and was folded on top of itself creating a trip hazard. 4. In the Stepping Stones class a carpet under the sensory table was curling at the corners creating a trip hazard.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children Evidence: 1. In the School Age class, there were nine bottles of essential oils on the table with labels stating, keep out of reach of children. 2. The kitchen, located on the perimeter of the school age class, was left open during lunch service; several large containers of cleaning solutions were accessible to children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, the center did not ensure that diapering procedures were always followed. Evidence: 1. In the toddler class, after diapering a child, staff #5 cleaned the surface, applied the disinfectant solution and immediately wiped it off, not allowing the surface to air dry as required. 2. In the Preschool Explorers room, the restroom contained a small foot operated trash can with no lid, filled to the top with soiled diapers.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-540-E
Description:	Based on observation and interviews the center did not have all the required nonmedical emergency supplies at the center. Evidence: The center did not have a battery operated flashlight on site.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-560-G
Description:	Based on observation, the center did not ensure that when food is brought from home that it is labeled in a way that identifies the owner. Evidence: In the School Age class there were two lunch boxes with no name and date and in the Montessori class there two lunch boxes that had no name and date.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-570-E
Description:	Based on observation the center did not always ensure that infant formula was dated and labeled with the child?s name Evidence:In the Infant A class, there was a bottle in the refrigerator that was not labeled with the child?s name and dated.
Plan of Correction:	Not available online. Contact Inspector for more information.