VIRGINIA DEPARTMENT OF SOCIAL SERVICES

L'il Folks Learning Center, Inc.
15012 Omera Drive
Carrollton, VA 23314
(757) 238-8278

Current Inspector: Melinda Popkin (757) 802-5281

Inspection Date: Nov. 9, 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 Early Childhood Care and Education 63.2 Child Abuse & Neglect

Technical Assistance:

Today we discussed the timing of New Employee Orientation / Training, TB Screenings, and Background checks with regard to staff hire dates. Child food allergies / sensitivities and other allergies or health conditions were discussed in terms of having the required documentation / authorizations from the parent and the child's physician to allow staff to properly care for a child in the event of a probable or potential emergency.

Comments:

An unannounced monitoring inspection was conducted on 11/9/2023 from 11:50 pm to 2:15 pm. At the time of entrance, 37 children, ages 2 to 5 years old, were in care with 6 staff members present. The sample size consisted of 5 children?s records and 5 staff records. Children were observed during lunch time, transitioning to rest period and resting on cots. Handwashing and table sanitizing were observed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Repeat violations were found and are identified within this report. However the repeat violations cited were documentation related, had not occurred after the standards were cited at the previous inspection.

Violations:

Standard #:	22.1-289.035-B-2
Description:	***REPEAT VIOLATION*** Based on record review and interview with staff, the licensee did not obtain a fingerprint based national criminal record check prior to the first day of employment. Evidence: The director confirmed that staff #5's criminal record check results were dated 10/28/2022 and staff #5's employment began 10/24/2022.
Plan of Correction:	The violation for staff #5 has been corrected - her Criminal record check is dated 10/28/2022. Future staff will not be hired / employed until after their criminal history check results have been obtained.
Standard #:	8VAC20-770-60-B
Description:	Based on record review and staff interview the licensee did not ensure that an employee who is alone with, in control of, or supervising one or more children shall have a sworn statement prior to their first day of employment. Evidence: The director confirmed that staff #5 Signed a Sworn Statement which was dated 10/26/2022 and whose date of employment was 10/24/2022.
Plan of Correction:	The correction has been made to the extent that it can for staff #5. Her Sworn Statement was obtained on 10/26/2023. As new staff are hired, a sworn statement will be obtained prior to employment.
Standard #:	8VAC20-780-160-A
Description:	***REPEAT VIOLATION*** Based on record review and interview the licensee did not ensure documentation of the Tuberculosis screening is submitted at the time of employment and prior to coming into contact with children. Evidence: The Program Director confirmed that Staff #4?s TB screening was dated 10/31/2022 and staff #5's date of employment was 10/24/2022.
Plan of Correction:	This violation was already corrected for staff #5 as her results had already been obtained. The timing of Tuberculosis screenings for staff in the future will ensure results are back before the staff has contact with the children in the center.
Standard #:	8VAC20-780-60-A
Description:	Based on a review of records and interview, the licensee did not keep a complate record containing all required information for each enrolled child. Evidence: Five children's records were reviewed. The record for child #2 did not contain the addresses for the two designated people to call in an emergency if a parent cannot be reached; The records for child #2 and child #5 did not have the child's date of enrollment documented. The program director acknowledged that this information was not listed in child #2's record and child #5's record at the time of inspection.
Plan of Correction:	Emergency contacts addresses and date of enrollment will be added to child #2's record. Enrollment date will be added to child #5's record. Records will be reviewed for completion at each child's date of enrollment or annual record update / review.
Standard #:	8VAC20-780-60-A-8
Description:	Based on a review of records and interview, the licensee did not ensure that each enrolled child with a diagnosed food allergy has, on file, a written care plan to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: Five children's records were reviewed. The record for child #5 contained documentation from the parent that child #5 has an allergy to Soy. The child's physician documented the food allergy to Soy on child #5's physical examination. However, the program director confirmed that a written allergy care plan had not been obtained for child #5 who attends the program.
Plan of Correction:	The parent will be contacted today to request that a care plan from child #5's physician be submitted within 2 weeks, describing what actions should be taken if child #5 is exposed to / ingests / has a reaction to soy while in care.
Standard #:	8VAC20-780-90--A
Description:	Based on a review of records and interview, the licensee did not ensure that for every child enrolled, a written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance to include a written authorization for emergency medical care. Evidence: Five children's records were reviewed, The program director confirmed that the record for child #2 did not contain the signed parent authorization for emergency medical care.
Plan of Correction:	A written, signed authorization form for emergency medical care will be obtained from child #2's parent within1 week. Written parent agreement, to include authorization for emergency medical care, will be obtained at the time of enrollment for each child and reviewed annually with the annual record review.