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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: Nov. 9, 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)
63.2(17) License & Registration Procedures

Comments:
An unannounced monitoring inspection was conducted on November 9, 2018. There were 17 children present upon arrival to the center with three 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 center time and playing freely in two classrooms. Five children's records were reviewed. Five staff records were reviewed. Medications are currently not being administered. The outdoor play area was not inspected due to inclement weather. The exit interview was conducted with the Interim Program Director.

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on record review, in one of five staff records reviewed, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted no later than 21 days after employment or volunteering and shall have been completed within 12 months prior to or 21 days after employing or volunteering. Evidence: During the inspection conducted on November 9, 2018, there was no documentation of a TB screening in the record for Staff #1 (hire date 10/02/18).

Plan of Correction: Director spoke with the staff and will pay for the TB screening.

Standard #: 22VAC40-185-70-A
Description: Based on record review, in two 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 November 9, 2018, there was no documentation of two or more references in the records for Staff #4 and Staff #5.

Plan of Correction: Director will get reference letters from the staff.

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. Evidence: During the inspection conducted on November 9, 2018, the following potentially unsafe conditions were observed in the Infant-Toddler classroom: 1. A cord from a television was dangling down to the floor in an area that could be accessed by the children in care. 2. There were two warped and bulging ceiling tiles. 3. The backing of a bookshelf approximately four feet tall had become detached from the shelves and there were exposed and protruding nails. The bookshelf was not secured to the wall and easily leaned when pushed causing a tipping hazard.

Plan of Correction: 1. The cord was fixed during the inspection. 2. A maintenance request has already been submitted. 3. The bookshelf will be discarded.

Standard #: 22VAC40-185-350-E-2
Description: Based on observation and inspection of the facility, the licensee did not ensure that ratios were maintained for children from 16 months to two years old: one staff member for every five children. Evidence: During the inspection conducted on November 9, 2018, there were 13 children with two staff members in the Two-Three Year Old Classroom. The youngest child in the group, Child #3, was 23 months old.

Plan of Correction: Director will assign the child to the Two Year Old age group with permission from the parent and assessments by the Director and the teacher.

Standard #: 22VAC40-185-440-B
Description: Based on observation and inspection of the facility, the licensee did not ensure that cribs shall be identified for use by a specific child. Evidence: During the inspection conducted on November 9, 2018, there were two occupied cribs that were not identified for use by a specific child.

Plan of Correction: Director will speak with the staff person about labeling the cribs.

Standard #: 22VAC40-185-440-J
Description: Based on observation and inspection of the facility, the licensee did not ensure that there was thirty inches of space between service sides of occupied cribs and other furniture where that space is the walkway for staff to gain access to any occupied crib. Evidence: During the inspection conducted on November 9, 2018, there were two occupied cribs with less than 30" of space between the service sides.

Plan of Correction: Staff corrected during the inspection.

Standard #: 22VAC40-185-500-B
Description: Based on observation and inspection of the facility, the licensee did not ensure that the diapering surface shall be used only for diapering or cleaning children. Evidence: During the inspection conducted on November 9, 2018, there were boxes of gloves, wipes and diapers stored on the diapering surface.

Plan of Correction: Staff corrected during the inspection.

Standard #: 22VAC40-185-560-F
Description: Based on observation and inspection of the faciltiy, the licensee did not ensure that there was menu posted dated for the current one week period. Evidence: During the inspection conducted on November 9, 2018, the menu posted was dated for one day (November 9) and not the current one week period.

Plan of Correction: The menu for the month will be posted.

Standard #: 22VAC40-185-570-E
Description: Based on observation and inspection of the facility, the licensee did not ensure that bottles were refrigerated, dated and labeled with the child's name. Evidence: During the inspection conducted on November 9, 2018, a bottle was observed on a wooden cubby that was not dated or labeled with the child's name.

Plan of Correction: Director will speak with the staff about labeling bottles.

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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