VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Children of America - Doc Stone, LLC
75 Dunn Drive
Stafford, VA 22556
(540) 657-4567

Current Inspector: Angela Dudek (804) 629-8167

Inspection Date: July 12, 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. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 32.1 Report by person other than physician 63.2 Child Abuse & Neglect

Comments:

An unannounced monitoring inspection was conducted on 07/12/2023 from 10:40am to 2:10pm. There were 109 children ages 6 months to age 10 years old supervised by 18 staff. The physical plant, outdoor playground area, programming, attendance, menus, 5 staff records, 5 children?s records, 7 medications with corresponding authorization records, and emergency drills were reviewed. Children were observed participating in group play, reading and outside play. Diapering and handwashing procedures were also observed. There was an adequate number of staff present with current certification in Medication Administration Training (MAT), CPR and First Aid, and Daily Health Observation (DHO) training. 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 5pm on 7/20/23. Please email me at angela.dudek@doe.virginia.gov with any questions.

Violations:

Standard #:	8VAC20-770-60-B
Description:	Based on review of five staff records, the center did not obtain documentation of a completed sworn disclosure statement for each staff prior to date of hire. Evidence: The record for Staff #1 (date of hire 7/11/23) did not contain documentation of a completed sworn disclosure statement prior to the date of hire.
Plan of Correction:	Ensure that all staff members have fully completed Sworn Disclosure.
Standard #:	8VAC20-780-60-A-8
Description:	Based on review of 5 child records, the provider did not ensure they had a written care plan for each child with a diagnosed food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for Child #5 did not contain an allergy care plan for their physician diagnosed food allergy.
Plan of Correction:	Obtain allergy care plan for all children with a diagnosed food allergy.
Standard #:	8VAC20-780-330-B
Description:	Based on observation and inspection of the playground, the licensee did not to ensure that the required resilient surfacing surrounding playground equipment with moving parts or climbing apparatus created a sufficient fall zone. Evidence: 1)The Toddler playground has a climber with slide that is 17 inches in height that is touching the fence and does not allow for a sufficient fall zone of resilient surfacing. The required fall zone for resilient surfacing is 6 feet from the equipment. 2)The Toddler playground has a climber with slide that is 28 inches in height that is 13 inches from the fence and does not allow for a sufficient fall zone of resilient surfacing. The required fall zone for resilient surfacing is 6 feet from the equipment.
Plan of Correction:	Remove Toddler climber until resilient surfacing is installed on play area.
Standard #:	8VAC20-780-340-D
Description:	Based on interview and review of 5 staff records, the center failed to ensure that each grouping of children had at least one staff member that met the qualifications of program leader or program director regularly present. Evidence: The Director stated and the documentation on file shows that Staff #5 who was alone in an infant classroom does not meet the qualifications of a program leader or program director.
Plan of Correction:	Ensure that at least one staff member meets the qualifications of lead teacher is regularly present.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, the center did not ensure that the surface for diapering was non-absorbent. In the Toddler classroom, the diapering pad was torn at the corner causing the surface to not be non-absorbent as required.
Plan of Correction:	Replace diapering pad in Toddler classroom.
Standard #:	8VAC20-780-510-E
Description:	Based on review of 7 medications and medication authorizations, the center did not ensure they follow the policy for administration of medication. Evidence: For the medications for Child #6 and Child #7 written medication authorization was not given from the child?s physician for a long term medication.
Plan of Correction:	Ensure that written medication authorization is given from child's physician for long term medication.
Standard #:	8VAC20-780-520-B
Description:	Based on observation, the center did not ensure that sunscreen was kept inaccessible to children under 5 years of age. Evidence: During inspection in the Preschool 2 classroom, in a child?s cubby, there is a bottle of sunscreen where children have access.
Plan of Correction:	Ensure that all sunscreen is kept inaccessible to children.