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Grace Children's Learning Center
9750 Wellington Road
Manassas, VA 20110-6086
(703) 393-2345

Current Inspector: Sharon Allen (540) 272-2941

Inspection Date: May 7, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was conducted from 11:00 am - 3:00 pm. There were 161children in care being supervised by 23 staff members. The children were observed participating in structured center play, crafts, outdoor play, and preparing for lunch. Lunch is brought from home. Ten children's records were reviewed. Eight staff records were reviewed. Eight medications were reviewed. Training records were reviewed to observe staff with CPR, First Aid, Daily Health Observation and MAT (Medication Administration Training). If you have questions regarding this inspection you may contact Sharon Allen at 540-272-2941 or sharon.l.allen@dss.virginia.gov.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on review of ten children's records it was determined that not all records contained documentation of immunizations before the first day of attendance. Evidence: Child A with a start date of 01/08/2016 did not have documentation of immunizations on file.

Plan of Correction: Sent letters and phoned parents missing items. Gave them until 5/23/18 to submit.

Standard #: 22VAC40-185-140-A
Description: Based on review of ten children's records it was determined that not all records contained documentation of a physical within the first 30 days of enrollment. Evidence Child A (start date: 01/08/2016) and Child B (start date: 01/03/2017) did not have documentation of a physical on file.

Plan of Correction: Sent letters and phoned parents missing items. Gave them until 5/23/18 to submit.

Standard #: 22VAC40-185-240-D-1
Description: Based on review of training certificates and interview with administration it was determined that there is not always an employee on site to administer emergency medication during the program's operating hours. Evidence: The one staff member employed who is certified to administer medications has a work schedule as follows: Monday, Wednesday, Friday from 9:00 a.m. - 3:00 p.m. The school operating hours are Monday - Friday, 7:00 a.m. - 5:00 p.m. There are currently six children enrolled in the program who have emergency medication on site.

Plan of Correction: Our nurse was willing to extend her hours for M-F until MAT training is complete. We have several employees who have completed the online independent study and we are scheduled with a trainer for June 1, 2018 at 1:30 pm. We also obtained certificate from a second staff member's nursing certificate.

Standard #: 22VAC40-185-280-B
Description: Based on observation of the program's classrooms it was determined that not all hazardous substances were kept locked and not accessible to children. Evidence: 1. Disinfectant wipes, cleaning solution, and hand sanitizer were observed in unlocked cabinets in two of the Pre-K classrooms and Kindergarten Classroom. 2. Dispenser's were observed with hand sanitizer on the wall in each classroom of the program accessible to children.

Plan of Correction: Verified all teachers cabinets locks were in working order and reminded teachers their cabinets need to be locked when they are not physically getting things out. Spoke with church and it was decided we would pull the bags of sanitizer from dispensers and wall units will be removed when rooms are scheduled to be painted.

Standard #: 22VAC40-185-280-G
Description: Based on observation of the Pre-K classroom it was determined that cleaning containers were not clearly labeled with their contents. Evidence: A spray bottle that reportedly contained cleaning solution was not labeled with the name of the contents.

Plan of Correction: Floating assistant was assigned to go through and label all bottles, remove contents if unknown. Also labeled soap and water cleaning solution bottles.

Standard #: 22VAC40-185-340-F
Description: Based on observation of the infant room it was determined that not all infants remained in sight and sound supervision. Evidence: The Licensing Inspector observed an infant sleeping in a crib in the conjoined room without sight and sound supervision of staff.

Plan of Correction: We have taken disciplinary action and provided additional training. We have divided the nursery into two groups using each room for four children each. I also placed a third teacher that helps as needed on both sides. A portable sink/changing table ordered.

Standard #: 22VAC40-185-500-A
Description: Based on observation in the infant room it was determined that staff and children did not always wash their hands after diapering. Evidence: During a diaper change staff A failed to wash their hands and the child's hands immediately after a diaper change.

Plan of Correction: Reviewed diaper changing policy and have been doing more training and observation with nursery staff.

Standard #: 22VAC40-185-500-B
Description: Based on observation of the infant room and two year old room it was determined that not all diapering procedures were followed. Evidence: 1. Staff A failed to use the foot operated trash can, placing a soiled diaper directly onto the changing table in the infant room. 2. The foot operated mechanism on the trash can used for diapering in the two year old room no longer operates.

Plan of Correction: Purchased new can for 2 year old room. Reviewed diaper changing policy and had them move trash can so it is by table and they can reach it without leaving changing table.

Standard #: 22VAC40-185-570-E
Description: Based on observation of the infant room it was determined that not all bottles were refrigerated, dated and labeled. Evidence: 1.) The prepared bottles in the infant room are kept in diaper bags with ice packs and not in a refrigerator as required. 2.) Two bottles and one sippy cup were observed that did not have the child's name and date to identify the owner.

Plan of Correction: Refrigerator was added to the room on 5/7/18. Notes were sent home to remind parents to label all belongings and teachers were reminded to write child's name with a sharpie whenever they are not labeled.

Disclaimer:
A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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