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: Feb. 20, 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. 8VAC20-820 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 having a plan in place with the parent when a child has a condition which may require emergency medication, but their parent chooses not to keep the emergency medication at the center. It is strongly suggested that you obtain in writing, signed by the parent, what they intend for you to do in this type of emergency.

Comments:

An unannounced Renewal inspection was conducted on 2/20/2024 from 11:50 am- 3:25 pm. At the time of entrance, 32 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 washing hands, eating lunch brought from home, being read to from children's literature and resting quietly at nap time. Medication administration was not observed. However, medication stored on site was reviewed with regard to storage, written authorization and required documentation. 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.

Violations:

Standard #:	8VAC20-780-150-B
Description:	Based on a review of children's records, the licensee did not always ensure that physical examination results and immunizations documentation are signed by a physician, his designee, or an official of a local health department. Evidence: Five children's records were reviewed. The records for child #1 who enrolled 7/3/2023 and child #2 who enrolled 1/3/2023 both contained Physical Exam results and Immunization records which were not signed by a physician, his designee, or an official of a local health department.
Plan of Correction:	The program director will speak with Child #1 and Child #2's parents to request that a signed copy of their child's Immunization and Physical Forms be obtained and submitted within 2 weeks.
Standard #:	8VAC20-780-60-A-8
Description:	**Repeat Violation*** Based on a review of records, the licensee did not always ensure that a written care plan is obtained for each child with a diagnosed food allergy, 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 #1 who enrolled 7/3/2023 and whose record contains documentation that she is allergic to Peanuts, Shellfish and unbaked eggs did not contain a written care plan to be followed in the event that child #1 inadvertently ingests one of the three foods she is allergic to. The program Director confirmed that a written care plan had not been received for child #1.
Plan of Correction:	The Program Director has requested this documentation from Child #1's parent but will follow up today and require that the documentation be submitted to the center within 2 weeks.