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Creative Critters Learning Center III
6540 Emmaus Church Road
Suite 103
Providence forge, VA 23140
(804) 577-2688

Current Inspector: Tiffany Harris (757) 403-3045

Inspection Date: Sept. 12, 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 September 12, 2018. At arrival to the facility, seven staff were present with 36 children. Additional staff were on site for support and administrative purposes. Children were observed having breakfast for lunch which consisted of french toast sticks, sausage patties, carrots, oranges and milk. Toddlers and Preschoolers were observed during circle time, storytime and napping. Infants were observed being fed, resting in their cribs and sitting in bouncy seats and swings. Five children's records and six staff records were reviewed on this date. Six medications were reviewed. Licensing Inspector reviewed supervision, activities, equipment, hand washing procedures, nutrition, documentation, children and staff records, emergency evacuation and shelter-in-place drill documentation, fire and health inspection reports, liability insurance coverage, emergency supplies and required postings. Violations were reviewed with and verified by the Program Director on this date. The outdoor play equipment was not reviewed due to inclement weather.

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 have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: During the inspection conducted on September 12, 2018, there was no documentation of a physical examination in the record for Child #1 (first date of attendance 6/18/18).

Plan of Correction: The parent has been contacted and a copy of the physical will be obtained.

Standard #: 22VAC40-185-60-A
Description: Based on record review, in two 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 September 12, 2018, the following information had not been documented in each child's record: Child #1-place of employment and work phone number for one parent Child #2-work phone number for one parent

Plan of Correction: The parents have been contacted and the information has been updated or will be updated by the end of the day.

Standard #: 22VAC40-185-70-A
Description: Based on record review, in four of six staff records reviewed, the licensee did not ensure that each staff member's record was documented with all required information. Evidence: During the inspection conducted on September 12, 2018, the following information had not been documented in each staff member's record: Staff #2-There was no documentation of two signatures for references that were checked over the phone and the job title was not indicated. Staff #3-There was no documentation of the job title, two reference checks completed prior to employment, orientation training, and a name address and phone number of a person to contact in the event of an emergency Staff #5-There was no documentation that two reference checks were completed prior to employment and the job title Staff #6-There was no documentation of the staff person's job title, that two reference checks were completed prior to employment and orientation training.

Plan of Correction: Documentation that orientation was completed will be added to all staff files, emergency contact will be obtained, and job titles will be added.

Standard #: 22VAC40-185-380-A
Description: Based on observation and inspection of the facility, the licensee did not ensure that there was a posted daily schedule that allows for flexibility as children's needs require. Evidence: During the inspection conducted on September 12, 2018, there was not a posted daily schedule in the CAT1 classroom.

Plan of Correction: The schedule was posted while the inspector was present.

Standard #: 22VAC40-185-510-N
Description: Based on observation and inspection of the facility, the licensee did not ensure that when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center. Evidence: During the inspection conducted on September 12, 2018, the medication authorization form for an emergency medication expired on 8/27/18 and the center had not contacted the parent to renew the authorization or disposed of the medication as it was observed in the medication bag on the date of the inspection.

Plan of Correction: The parent has been contacted and a copy of a new authorization form will be obtained.

Standard #: 22VAC40-185-560-F
Description: Based on observation and inspection of the facility, the licensee did not ensure that when centers choose to provide meals or snacks, there shall be a posted dated menu of foods served for the current one week period. Evidence: During the inspection conducted on September 12, 2018, the posted menu in the lobby of the center was dated for the week of September 4th.

Plan of Correction: The menu was updated during the inspection.

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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