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Bears and Blankets Academy of Early Learning
317 N. Lewis Street
Staunton, VA 24401
(540) 886-4472

Current Inspector: Maureen Gallagher-McLeod (540) 430-9259

Inspection Date: Oct. 22, 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.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Technical Assistance:
We discussed the requirements for injury reports, infant formula, nap equipment and linens. The risk assessments for violations were provided. We talked about playground use and scheduled outside time for each group. The toddler playground will not be used until plans for improvements are completed. Also, we reviewed the requirement for regular outside time for infants. We reviewed the age appropriate use of infant swings and indoor equipment.

Comments:
Thank you for your assistance during today's unannounced inspection conducted from 9:10 AM to 4:05 PM. Today, there were fifty children, ages infancy through five years, with ten staff. I viewed program activities, staffing, supervision, interactions with children, equipment, infant care and records, diapering procedures, posted information, injury records, emergency supplies and drill records, agency inspection reports, nutrition/menu, five records for children, six staff records, staff qualifications, staff training, indoor and outdoor areas. The children were provided a variety of toys and interest areas for activities. Seasonal and activity themed art and craft experiences have been provided. Let me know if you need any assistance. 540/430-9259

Violations:
Standard #: 22VAC40-185-440-G
Description: Based on observation of the sleep arrangements and equipment for infants, and interviews with staff, a crib was not used for an infant under twelve months of age in the older infant room. Evidence: Child 1I was sleeping on a mat on the floor that had a built in border. Staff indicated that the mat was brought from home. Staff indicated that the parent's provided the mat after the infant was transitioned from the younger infant area that had cribs. The inspector confirmed that the age of the child was eight months old.

Plan of Correction: The director arranged for a crib to be used by the infant for sleeping. The director and staff will make sure all infants under age twelve months and any older infant who needs a crib rather than a mat has an assigned crib for sleeping. The director will check on sleep arrangements of infants.

Standard #: 22VAC40-185-450-A
Description: Based on observation of the children's nap times, and the linens used with mats, there were children in the toddler room that did not have a bottom cover or a one-piece covering which was both a top and bottom cover. Evidence: Five of the children's mats only had top linens. These children have been sleeping directly on the mats.

Plan of Correction: The director is arranging for staff to request and obtain additional linens so that each child has a top and bottom cover during rest time. Teachers will make sure the required linens are obtained from parents for all children.

Standard #: 22VAC40-185-550-M
Description: Based on a review of recent injury records, and interviews with staff, there was required documentation missing from the records. Evidence: Injury records viewed for June 5, June 21, July 25, July 26, August 3, 2018 did not have information about the date, time and method of parent notification of minor injuries. A report for June 21, 2018 did not include the circumstances of the injury. An incident report indicated that a child sustained a minor injury on October 1, 2018. However, the injury report could not be located. Staff member 6 indicated that the injury reports have been placed in mailboxes for parents to sign and the October 1 report was likely picked up by the parent and not kept at the center.

Plan of Correction: The director will have staff use a revised report form for injuries and will be instructed to make sure all required information is documented and maintained at the center. The director or assigned staff member will review the injury reports before they are filed to make sure they are complete. The director will work with the staff to develop a procedure for parents to view and sign injury records and only take copies of records from the center.

Standard #: 22VAC40-185-570-C
Description: Based on a review of the children who have been fed formula at the center, a review of infant records and interviews with staff, the record for a child on formula did not contain the brand of formula. Evidence: The feeding schedule kept in the younger infant room for child 1F did not include the brand of formula in writing. Staff indicated they did not know the brand of formula brought to the center in bottles.

Plan of Correction: The director revised the feeding schedule form and arranged for parents to update the records for infants and provide the brand of formula. The information for child 1F was obtained for use by staff. The teachers will make sure the feeding schedule forms are completed and current at all times.

Standard #: 22VAC40-185-570-I
Description: Based on a review of infants who consume formula, and interviews with staff, the center did not maintain the one-day's emergency supply of bottles, nipples and commercial formula for all children in care. Evidence: Child 1F has been fed formula while in care in the younger infant room and staff indicated that a one-day's supply in the event of an emergency has not been either requested from parents or stored by the center.

Plan of Correction: The director will make sure a one-day's supply of bottles, and commercial formula are obtained for child 1F and any other infant. The director and staff will always make sure parents are asked to provide the emergency supply of formula and bottles when new infant's are enrolled.

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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