VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Little Tikes Family Care II LLC
3619 Mechanicsville Turnpike
Richmond, VA 23223
(804) 217-1762

Current Inspector: Molly Muscat (804) 588-2367

Inspection Date: Jan. 3, 2024

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

Comments:

An unannounced monitoring inspection was conducted on January 3, 2024 from approximately 9:55 am to 1:00 pm. There were 15 children in attendance and a total of 4 staff present. 6 staff records and 15 children?s records were viewed. All areas of the center were observed including classrooms, bathrooms, and the playground. The children were observed coloring, playing with blocks, getting diapers changed, eating lunch, and taking a nap, while the licensing inspector was on-site. Violations were cited as a result of this inspection. 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, 01/19/2024. 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 #:	8VAC20-770-60-C-2
Description:	Based on record review, the center failed to obtain the results of a central registry finding within 30 days of employment. Evidence: The record for staff #4, date of employment 10/23/23, did not contain the results of a central registry finding.
Plan of Correction:	Central Registry was completed twice because it had not been received. I am now aware that if the findings are not back within 30 days, the staff will not be able to continue employment until it has been received.
Standard #:	8VAC20-780-130-A
Description:	Based on record review, the center failed to obtain documentation that each child has received the immunizations required before the child can attend the center. Evidence: The record for child #8, date of enrollment 05/15/23, did not contain documentation of immunizations.
Plan of Correction:	Immunizations had been received prior to enrollment. The file was being reviewed and the Director forgot to place it back in the file. Upon reviewing files, the Director will go down the Children's File Checklist to ensure all paperwork has been placed back in the file and will then sign off on the file.
Standard #:	8VAC20-780-140-A
Description:	Based on record review, the center failed to obtain documentation of a physical examination within 30 days of the first day of attendance. Evidence: The record for child #8, date of attendance 05/15/23, did not contain documentation of a physical examination.
Plan of Correction:	Physical Examination had been received prior to enrollment. The file was being reviewed and the Director forgot to place it back in the file. Upon reviewing files, the Director will go down the Children's File Checklist to ensure all paperwork has been placed back in the file and will then sign off on the file.
Standard #:	8VAC20-780-160-C
Description:	Based on record review, the center failed to ensure that at least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: The record for staff #6, contained a tuberculosis screening dated 10/23/21. A repeat screening was due on or before 10/23/23.
Plan of Correction:	There is a policy in place to alert when screenings expire. The Owners information had not been added. The screenings list has been updated with the Owners information.
Standard #:	8VAC20-780-70
Description:	Based on record review, the center failed to document in a staff record the date of separation from employment. Evidence: Staff #4 is no longer employed at the center. The record did not have documented the date of separation from employment.
Plan of Correction:	The Director and Assistant Director will make sure to record employee separation dates as soon as the separation occur.
Standard #:	8VAC20-780-245-L
Description:	Based on observation, record review, and interview, the center failed to ensure that there shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: When the Licensing Inspector arrived staff #1, staff #2, and staff #3 were present. Review of the staff records for staff #1, staff #2, and staff #3 did not reveal documentation of daily health observation instruction. Interview with the Director confirmed that staff #1, staff #2, and staff #3 did not have instruction in performing the daily health observation of children and that there was no one on duty with instruction in performing daily health observation of children when the Licensing Inspector arrived.
Plan of Correction:	As of January 8, 2024, staff has been trained on daily health and observation training. At the time of inspection both the Director and Assistant Director was out sick, and at that time were the only 2 trained in this area. To date, staff has been trained, so there will always be someone present trained in performing the daily health observation of children.
Standard #:	8VAC20-780-280-B
Description:	REPEAT VIOLATION Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: There was a bottle of Febreze on top of the paper towel holder in the bathroom. The bottle states "caution" and "keep out of reach of children".
Plan of Correction:	Staff are very much aware that hazardous substances are to be locked up when not in use. After speaking with the staff member, it was stated that one thought the other put it away. We have a "if you use it put it away" policy. Both staff members have been reprimanded for this action.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, the center failed to ensure that staff wash hands before and after a diaper change. Evidence: Staff #2 changed a child's diaper. Staff #2 did not wash their hands before or after the diaper change.
Plan of Correction:	Staff are very much aware of the handwashing policy. After speaking with the staff member, it was stated that, for some reason, she was nervous during the inspection and was focusing on making sure the diaper change and sanitizing the changing area was correct. It was explained to the staff to always stay focused and perform the job that they know how to do. The staff has been reprimanded for this action.
Standard #:	8VAC20-780-550-P
Description:	Based on record review it was determined the center did not ensure the written record of children's serious and minor injuries contained all of the required information. Evidence: The injury record for child #10 dated 7/24/23 did not contain the time and method of parent notification. The injury record for child #14 did not contain the time when parents were notified.
Plan of Correction:	Staff has been trained on filling out all of the required information on the child's injury report. To ensure staff is filling the form out completely and correctly, a sample completed form has been placed in the injury report folder.
Standard #:	8VAC20-780-570-B
Description:	REPEAT VIOLATION Based on observation, the center failed to ensure that bottles shall not be used while the child is in his designated sleeping location. Evidence: Child A was in their crib trying to go to sleep. Staff #2 walked over to child A and gave the child a bottle to drink while in the crib.
Plan of Correction:	Staff are very much aware that cups and bottles are not allowed in the cribs with the children. After speaking with the staff member, it was stated that, for some reason, she was nervous during the inspection and made a mistake. The staff member has been reprimanded for this action.