VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Childtime Childcare, Inc. - Old Lane
4311 Old Lane
Chester, VA 23831
(804) 751-0399

Current Inspector: Molly Muscat (804) 588-2367

Inspection Date: Oct. 23, 2023

Complaint Related: Yes

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. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Comments:

A complaint inspection was initiated on October 23, 2023 in response to a complaint that was received on October 5, 2023 in reference to a child injury. Documentation was gathered and interviews were conducted. The preponderance of evidence gathered during the investigation supports violation of standards in regard to the complaint. Please complete the plan of correction and ?date to be corrected? for each violation cited on the violation notice, sign, and return it to me within 5 business days from today, 11/6/2023. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again, and 3) person(s) responsible for implementing each step and/or monitoring any preventative measure(s).

Violations:

Standard #:	22.1-289.035-A
Complaint related:	No
Description:	Repeat Violation Based on records review, the center failed to ensure that background checks are conducted every five years. Evidence: 1. The record for staff #4, date of employment 05/26/2015, contained criminal background check dated 03/12/2018. A repeat criminal background check was due on or before 03/12/2023.
Plan of Correction:	DM completed a retraining on background checks processes with management at the October District meeting. Management also partnered with a peer for some hands-on training as well on October 25, 2023. Staff #4 was informed that they needed to provide an updated background check on October 20, 2023. Staff #4's background check results were received on October 25, 2023 and placed in the file. Records for staff #4 are now in compliance. To ensure compliance moving forward management created a spreadsheet for tracking items that require updates. Management will inform staff 2 months prior to expiration dates of any updates needed.
Standard #:	22.1-289.035-B-4
Complaint related:	No
Description:	Based on record review, the center failed to obtain a copy of the results of a criminal history check, a sex offender registry check, and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years. Evidence: The record for staff #2, date of employment 08/22/2023, indicated that staff #2 has lived outside of Virginia in the preceding five years. The record did not contain out of state background checks for that state.
Plan of Correction:	DM completed a retraining on background checks processes (including out of state background checks) with management at the October District meeting. Management also partnered with a peer for some hands-on training as well on October 25, 2023. The referenced out of state background check was completed on October 28, 2023. Records for staff #2 are now in compliance. Moving forward new hires will not begin their 1st day on the job until all required VDOE documents are on file.
Standard #:	8VAC20-780-130-A
Complaint related:	No
Description:	Based on record review, and interview, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for child #1, date of enrollment 04/27/2023, did not contain documentation of immunizations. Staff #1, confirmed that the record did not contain immunizations.
Plan of Correction:	Child #1 is no longer enrolled. Moving forward families will be required to provide all necessary paperwork prior to their child(ren)'s 1st day of attendance. If all required paperwork is not provided their start date will be delayed.
Standard #:	8VAC20-780-140-A
Complaint related:	No
Description:	Repeat Violation Based on record review, and interview, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: The record for child #1, date of enrollment 04/27/2023, did not contain documentation of a physical examination. Staff #1 confirmed that the record did not contain documentation of a physical examination.
Plan of Correction:	Child #1 is no longer enrolled. Moving forward families will be required to provide all necessary paperwork prior to their child(ren)'s 1st day of attendance. If all required paperwork is not provided their start date will be delayed.
Standard #:	8VAC20-780-160-A
Complaint related:	No
Description:	Repeat Violation Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record for staff #2, date of employment 08/22/2023, contained a tuberculosis screening dated 08/31/23.
Plan of Correction:	DM completed a retraining on VADOE & LCG required staff file documents, with management at the October District meeting. Moving forward new hires will not begin their 1st day on the job until all required VDOE documents are on file.
Standard #:	8VAC20-780-160-C
Complaint related:	No
Description:	Based on record review, the center failed to ensure that staff obtain and submit the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening or testing. Evidence: 1. The record for staff #4, date of employment 05/26/2015 contained documentation of tuberculosis screening dated 05/15/21. A follow up screening was due on or before 05/15/2023.
Plan of Correction:	DM completed a retraining on VADOE & LCG required staff file documents, with management at the October District meeting. Staff #4 was informed that they needed to provide an updated TB test/screening on October 20, 2023. Staff #4's TB screening results were received on October 30, 2023 and placed in the file. Records for staff #4 are now in compliance. To ensure compliance moving forward management created a spreadsheet for tracking file items that require updates. Management will inform staff 2 months prior to expiration dates of any updates needed.
Standard #:	8VAC20-780-430-A
Complaint related:	Yes
Description:	Repeat Violation Based on interview, and documentation review, the center failed to ensure that furnishings, equipment, and materials shall be of an appropriate size for the child using it. Evidence: Review of child injury report and interviews with staff #1, staff #2, staff #3, and staff #4 revealed that child #1, age 2 years, was sitting on the bench of an adult sized picnic table and fell off. When child #1 fell off the table child #1 hit their eye causing it to swell and close. Child #1 was taken to the hospital for follow up treatment.
Plan of Correction:	Picnic tables were removed from the school on September 20, 2023