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Little Tin Soldiers Educational Center
199 East Mercury Boulevard
Hampton, VA 23669
(757) 727-0780

Current Inspector: Michele Patchett (757) 439-6816

Inspection Date: June 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.
63.2 Licensure and Registration Procedures
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was conducted on June 7, 2018. There were 21 children present upon arrival to the center with four staff members. Additional staff arrived throughout the course of the inspection who were on site for administrative and support purposes. There is a total enrollment of 50 children. The children were observed during circle time, playing in centers and having snack. The infants were observed resting and playing freely. Five children's records were reviewed. Five staff records were reviewed. Medications are currently not being administered. The exit interview was conducted with the Interim Program Director.

Violations:
Standard #: 22VAC40-185-140-A
Description: Based on record review, in one of five children's records reviewed, the licensee did not ensure that each child shall have a physical examination by or under the direction of a physician: before the child attends the center or within one month after attendance. Evidence: During the inspection conducted on June 7, 2018, there was no documentation of a physical examination in the record for Child #5 (start date 9/11/17).

Plan of Correction: Parent will be contacted to get a copy of the physical.

Standard #: 22VAC40-185-60-A
Description: Based on record review, in one of five children's records reviewed, the licensee did not ensure that each child's record was maintained with all required information. Evidence: During the inspection conducted on June 7, 2018, the record for Child #2 did not include documentation of previous child care, the name of any additional schools or programs that the child attends, the work phone number for both parents, and the name, address, phone number and place of employment for one parent

Plan of Correction: The record will be updated by the parent today.

Standard #: 22VAC40-185-70-A
Description: Based on record review, in four of five staff records reviewed, the licensee did not ensure that each staff record was documented with all required information. Evidence: During the inspection conducted on June 7, 2018, the following information had not been documented in each staff person's record: Staff #2-two references checked before employment Staff #3 and Staff #5-two references checked before employment and an address of a person to contact in the event of an emergency Staff #4-two references checked before employment, an address of a person to contact in the event of an emergency and written information to demonstrate that the individual possesses the education, staff development, certification, and experience required by the job position and orientation training.

Plan of Correction: Emergency contact addresses were corrected. The staff member will redo the orientation document. References will be added.

Standard #: 22VAC40-185-240-D-5
Description: Based on observation and inspection of the facility, the licensee did not 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 (DHO) of children. Evidence: During the inspection conducted on June 7, 2018, there was not a staff member present with current DHO training.

Plan of Correction: Program Director will try to get at least three staff members to take the training.

Standard #: 22VAC40-185-270-A
Description: Based on observation and inspection of the facility, the licensee did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: During the inspection conducted on June 7, 2018, the following was observed: Six white wooden posts at the entrance to the facility had chipped, flaking and peeling paint In the Toddler classroom there were several areas of peeling paint on the wall In the Infant play area, the base of the door frame at the exit door was rusted and there were flakes of paint on the floor

Plan of Correction: Program Director will contact the owner to have the areas addressed.

Standard #: 22VAC40-185-280-B
Description: Based on observation and inspection of the facility, the licensee did not ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. If a key is used, the key shall not be accessible to the children. Evidence: During the inspection conducted on June 7, 2018, the following unlocked hazardous substances, labeled keep out of reach of children and warning, were in an unlocked closet with the key in the lock accessible to the children in care: a bottle of bleach water solution, a container of disinfecting wipes and a canister of bleach cleaner

Plan of Correction: This was corrected during the inspection.

Standard #: 22VAC40-185-320-B
Description: Based on observation and inspection of the facility, the licensee did not ensure that each restroom area provided for children shall be equipped with all required supplies. Evidence: During the inspection conducted on June 7, 2018, the boys restroom did not have toilet paper.

Plan of Correction: This was corrected during the inspection.

Standard #: 22VAC40-185-550-B
Description: Based on review, the licensee did not ensure that the emergency preparedness plan shall contain all required procedural components. Evidence: During the inspection conducted on June 7, 2018, the following components were not included in the emergency preparedness plan: 1. Emergency Communication: establishment of center emergency officer and back-up officer to include 24-hour contact telephone number for each; and Notification of local media 2. Evacuation: assembly points, primary and secondary means of egress, method of communication after the evacuation 3. Shelter-In-Place: Scenario applicability, inside assembly points, head counts, primary and secondary means of access and egress; Securing essential documents (sign-in records, parent contact information, etc.) and special health supplies to be carried into the designated assembly points; and Method of communication after the shelter-in-place 4. Facility containment procedures 5. Staff training requirement, drill frequency, and plan review and update

Plan of Correction: The emergency plan will be updated to include all components.

Standard #: 22VAC40-185-550-D
Description: Based on review, the licensee did not ensure that the center shall implement a monthly practice evacuation drill and a a minimum of two shelter-in-place practice drills per year for the most likely to occur scenarios. Evidence: During the inspection conducted on June 7, 2018, the following drills had not been practiced or documented: 1. There was no documentation of two shelter-in-place drills conducted in 2017. 2. There was no documentation of evacuation drills practiced in January, March, April and May of 2018.

Plan of Correction: The drills have been done and we are looking for documentation.

Standard #: 22VAC40-185-560-F
Description: Based on observation and inspection of the facility, the licensee did not ensure that all requirements are followed when centers choose to provide meals or snacks. Evidence: During the inspection conducted on June 7, 2018, the following was observed: 1. The Toddler classroom was observed having snack which consisted of animal crackers. The staff member indicated that the children could get water from the water fountain to have with their snack. The water is not recognized as a food component with USDA. 2. The center did not have a menu posted for the current one week period. The posted menu was dated 6/8/18.

Plan of Correction: Two components will be served for snack. The menu will be posted for the current week.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review, in four of five staff records reviewed, the licensee did not deny continued employment to a staff member when the center did not have Central Registry results by the end of the 30th day of employment. Evidence: During the inspection conducted on June 7, 2018, there was no documentation of Central Registry Findings in the record for the following staff: Staff #1-hire date 2/5/18 Staff #3-hire date 4/2/18 Staff #4-hire date 3/16/18 Staff #5-hire date 3/18/18

Plan of Correction: We attempted to mail them but they were returned. The forms will be resubmitted.

Standard #: 22VAC40-80-120-E-2
Description: Based on observation and inspection of the facility, the licensee did not ensure that the findings of the most recent inspection of the facility were posted. Evidence: During the inspection conducted on June 7, 2018, the findings from the inspection conducted on December 13, 2017 were not posted. The facility had inspection findings posted dated August 4, 2016.

Plan of Correction: The most recent will be posted today.

Standard #: 63.2-1720.1-B-2
Description: Based on record review, in four of five staff records reviewed, the licensee did not ensure that staff have fingerprinting results prior to employment. Evidence: During the inspection conducted on June 7, 2018, there was no documentation of fingerprinting results in the records for the following staff: Staff #1-hire date 2/5/18 Staff #3-hire date 4/2/18 Staff #4-hire date 3/16/18 Staff #5-hire date 3/18/18

Plan of Correction: All staff will submit to fingerprinting.

Standard #: 63.2-1720.1-B-3
Description: Based on record review, in two of five staff records reviewed, the licensee did not obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 and any child abuse and neglect registry or equivalent registry maintained by any other state in which the individual has resided in the preceding five years for any founded complaint of child abuse or neglect against him. Evidence: During the inspection conducted on June 7, 2018, the center had not obtained out of state central registry checks for Staff #1 (hire date 2/5/18) and Staff #5 (hire date 3/18/18). Both staff members indicated living out of the state of Virginia within the past five years on their Sworn Statements or Affirmations.

Plan of Correction: The two staff members will fill out the forms today and they will be mailed.

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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