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Discovery Kids RVA
13000 Gayton Road
Henrico, VA 23233
(540) 420-3513

Current Inspector: Ivey Newman (804) 662-9762

Inspection Date: Oct. 5, 2018 and Oct. 18, 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 renewal inspection was completed on October 5, 2018 from approximately 2:30p.m. to 4:45p.m. Eight children were in care during the inspection. Staff and children were observed in one classroom space with adequate staff ratios. Children and staff were observed engaging in activities to include completing homework, toileting, snack time and free play time to include the use of electronics. Children?s equipment, learning materials, classroom space, restrooms, the vehicle used for the center's transportation and first aid and emergency supplies were inspected. Five children?s records, three staff records, annual fire and health inspections, fire drill and shelter in place logs, daily health observation certifications, injury reports, daily attendance, liability insurance policy, the emergency preparedness and response plan and required postings were reviewed. The center does not administer medications. The Owner/Director, was available for interview and the inspection and was present at the exit interview at which time inspection findings were reviewed and an Acknowledgement of Inspection form was signed and left with the licensee. There were twelve citations for violations of the Standards. See the violation notice on the Department?s public web site for violations of the Standards. Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return it within five business days of receipt. Specify how the deficient practice will be or has been corrected. The plan of correction should contain: 1) step(s) to correct the noncompliance with the standard(s), 2) measure(s) to prevent the noncompliance from occurring again and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s).

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on a review of children?s records, the licensee failed to maintain all the required elements of a child?s record for five of five children. Evidence: 1. Child #1, Child #2, Child #3, Child #4 and Child #5 were enrolled at the child care center on September 5, 2018. 2. Child #1?s record lacked documentation of an address for one of the two required emergency contacts, date of enrollment, parent's place of employment and parent's place of employment phone numbers. Child #2, Child #3, Child #4 and Child #5's records lacked date of enrollment, parent's place of employment and parent's place of employment phone numbers. 3. Administrator #1 acknowledged this information was not documented in these records in part because the current registration form does not capture all this information.

Plan of Correction: All child?s records that were reviewed have been corrected, and a new registration form has been created for any new students. Our Program Lead has added on biweekly children?s folder monitoring to her job to insure that each folder is correct and up to date.

Standard #: 22VAC40-185-70-A
Description: Based on a review of staff records and interview, the licensee failed to maintain all the elements of staff?s records for two of three staff. Evidence: 1. Staff #2 was hired on October 7, 2015 and Staff #3 on October 1, 2018. 2. Staff #2's record lacked documentation of completed central registry check findings although a previous inspection revealed the findings have previously been reviewed. Staff #3's record lacked documentation of date of employment, address, verification of age, job title, an emergency contact, references and any information about any health problems. 3. Administrator #1 acknowledged this information was not documented in these staff records.

Plan of Correction: Staff #3 is no longer employed to work with the students directly. New Central Registry Findings on Staff #1 and Staff #2 have been received.

Standard #: 22VAC40-185-240-A
Description: Based on a review of staff records, the licensee failed to ensure staff received required training by the end of their first day of assuming job responsibilities for one of three staff. Evidence: 1. Staff #3 was hired on October 1, 2018. 2. Staff #3?s record lacked documentation of training required by the end of Staff #3's first day of assuming job responsibilities. 3. Administrator #1 acknowledged this training was not completed.

Plan of Correction: Staff #3 is no longer employed. Director will make sure each new staff member is properly trained.

Standard #: 22VAC40-185-240-C
Description: Based on a review of staff records, the licensee failed to ensure staff obtained 16 clock hours of annual training for one of three staff. Evidence: 1. Staff #1 was hired on October 1, 2017. 2. Staff #1?s record reflected approximately nine and a half hours of annual training for 2017-2018. 3. Administrator #1 acknowledged that Staff #1 had not completed the required amount of annual training.

Plan of Correction: Staff #1 has since attained more hours for the 2018 year. Training documentation has been submitted to licensing.

Standard #: 22VAC40-185-240-D-5
Description: Based on a review of staff records, observation and interview, the licensee failed to ensure there is always at least one staff member on duty who has obtained within the last three years instruction in performing the daily health and observation of children. Evidence: 1. Upon arrival, five children were observed in the care of Staff #3, hired October 1, 2018, for approximately thirty minutes before another staff arrived on the premises. 2. A review of Staff #3?s record and interview with Administrator #1 revealed that Staff #3 has not completed daily health and observation training.

Plan of Correction: Staff #3 is no longer employed. Staff #1 and #2 both have their DHO. Documentation has been submitted to licensing.

Standard #: 22VAC40-185-280-B
Description: Based on observation of the classroom space, the licensee failed to keep hazardous materials locked using a locking method that prevents access by children. Evidence: 1. Cleaning supplies, to include window and bleach cleaner, were observed in an unlocked cabinet, accessible to children, and a neighboring cabinet door held the key. 2. Administrator #1 acknowledged the cleaners were not locked and that the key was accessible when kept in the cabinet door.

Plan of Correction: Keys have been moved to a safer location. Chemical cabinet is now locked, unless being opened to retrieve cleaning supplies. After use they will be immediately returned and locked again.

Standard #: 22VAC40-185-340-C
Description: Based on observation, review of staff records and interview, the licensee failed to ensure that during the stated hours of operation, when one or more children are present, one staff member who meets the qualifications of a program leader or program director and an immediately available staff member, volunteer or other employee who is at least 18 years of age, with direct means of communication between the two of them is on the premises.
Evidence: 1. Upon arrival at the inspection, Staff #3, hired October 1, 2018, was observed caring for five children alone for approximately thirty minutes. 2. In an interview with Staff #3, it was determined that no other individual was present on the premises but her. Staff #3 reported that she cares for the children daily until another staff member arrives at the center after picking up all the enrolled children from area schools. 2. A review of Staff #3?s record and interview with Administrator #1 reveled that Staff #3 is not a qualified program leader and that on the day of the inspection there was no other staff or other person on the premises.

Plan of Correction: Discovery Kids RVA and Discovery United Methodist Church now have an agreement in place that a member of their staff will be in the building each day during our hours of operation. With the use of a larger van that was the main reason behind needed staff #3 for that week of October 1st-5th, all children arrive on site at the same time. Before the sale, Discovery Kids owned two vans that let Staff #1 and Staff #2 stay with the children at all times. We no longer have to worry about the above issues regarding Staff #3.

Standard #: 22VAC40-185-340-D
Description: Based on observation, review of staff records and interview, the licensee failed to ensure that in each grouping of children at least one staff member shall be regularly present who meets the qualifications of a program leader or program director.
Evidence: 1. Upon arrival at the inspection, Staff #3 was observed caring for five children alone for approximately thirty minutes. 2. In an interview with Staff #3, hired October 1, 2018, it was determined that no other staff was present, but her, caring for the children. Staff #3 reported that she cares for the children daily until another staff arrives at the center after picking up all the enrolled children from area schools. 2. A review of Staff #3?s record and interview with Administrator #1 reveled that Staff #3 is not a qualified program leader and that on the day of the inspection there was no qualified program leader present until Staff #2 arrived.

Plan of Correction: Staff #3 is no longer employed to work with students. With the use of a larger van that was the main reason behind needed staff #3 for that week of October 1st-5th, all children arrive on site at the same time. Before the sale, Discovery Kids owned two vans that let Staff #1 and Staff #2 stay with the children at all times. We no longer have to worry about the above issues regarding Staff #3.

Standard #: 22VAC40-185-340-F
Description: Based on observation and interview, the licensee failed to ensure that children under 10 years of age were within actual sight and sound supervision of staff. Evidence: 1. Staff #3, hired October 1, 2018, was observed caring for five children, to include those ages seven to ten years old, upon arrival. The children were observed during the toileting process, in which they were allowed to go to the restroom unsupervised, if needed. The restrooms were observed to be located on the other side of a foyer, which separates the classroom space and the hallway that contains the restrooms, and through a set of doors marked to remain closed. The foyer included an outside entrance to the church, which houses the child care center, and an interior door from inside the church, in which individuals who are not staff or persons allowed to pick children up can access. 2. In an interview with Staff #3, it was determined that this is the daily toileting process.

Plan of Correction: Children will be walked to the restrooms on a set schedule each afternoon, 3pm & 5pm. The students, staff, and parents have all been made aware of the change. If a child needs to use the restroom in an emergency situation, then a staff member may walk them. If the program lead or director is left alone with the children, the whole group will walk to the restrooms.

Standard #: 22VAC40-185-530-A
Description: Based on observation, a review of staff records and interview, the licensee failed to ensure that at least one staff member trained in first aid, cardiopulmonary resuscitation, and rescue breathing is on premises wherever children are in care. Evidence: 1. Staff # 3, hired October 1, 2018, was observed caring for five children upon arrival. 2. In an interview with Staff #3, it was determined that she is the only staff present on the premises daily, until other staff members arrive after picking up all the enrolled children from area schools. 3. A review of Staff #3's record and an interview with Administrator #1 revealed that Staff #3 does not possess CPR and First Aid certifications.

Plan of Correction: Staff #3 is no longer employed to work with students. Staff #1 and Staff #2 both are 1st aid and CPR trained. Documentation has been submitted to licensing.

Standard #: 22VAC40-191-60-C-2
Description: Based on a review of staff records, the licensee failed to obtain a central registry finding within 30 days of employment for one of three staff and employment was not discontinued. Evidence: 1. Staff #1 was hired on October 1, 2017. 2. Staff #1?s record contained a central registry finding with no results documented on the form. The record did not contain any documentation of follow up on the results. 3. Administrator #1 acknowledged the form did not contain results and that no follow up occurred.

Plan of Correction: Director has received new Central Registry Findings on Staff #1 and Staff #2.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on review of staff records and interview, the licensee failed to obtain fingerprint results prior to employment for one of three staff.
Evidence: 1. According to an interview with Administrator #1, Staff #3 began employment on October 1, 2018. 2. Staff #3?s record lacked fingerprint results. 3. Administrator #1acknowledged this staff began employment prior to obtaining the fingerprint results.

Plan of Correction: Staff #3 is no longer employed to work with the students directly. Staff #3 will not be around children alone in any capacity. Director will ensure that all checks are completed on staff before employment.

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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