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Cuddlebugs Child Development Center - The Spot
4274 Richmond Road
Warsaw, VA 22572
(804) 250-2047

Current Inspector: Ivey Newman (804) 662-9762

Inspection Date: Nov. 20, 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)

Comments:
An unannounced renewal inspection was completed on November 20, 2018 from approximately 3:30p.m. to 5:00p.m. Twenty-seven children were in care during the inspection. Staff and children, school age, were observed in one open classroom space with adequate staff ratios. Children and staff were observed engaging in activities to include the children arriving at the center after school, hand washing, snack time and outside time. Children?s equipment, learning materials, outdoor and classroom space, rest rooms, the center's bus and the first aid and emergency supplies were inspected. Medications are not currently administered. Five children?s records, five 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, injury prevention plan and required postings were reviewed. 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 five citations for violations of the Standards for Child Day Centers. See the violation notice on the Department?s public web site for violations of the Standards.

Violations:
Standard #: 22VAC40-185-160-C
Description: Based on a review of staff records, the licensee failed to ensure that staff obtain and submit results of a follow-up tuberculosis screening a least every two years for one of five staff. Evidence: 1. Staff #3 was hired on April 1, 2008. 2. The most recent negative tuberculosis screenings in Staff #3's record are dated June 10, 2016 and August 7, 2018 and therefore not within the required two year time frame. 3. Administrator #1 acknowledged the follow-up screening was not completed timely.

Plan of Correction: This cannot be corrected. The Owner/Director will review the process with staff and remind them when subsequent TB screenings are due.

Standard #: 22VAC40-185-40-J
Description: Based on a review of records and interview, the licensee failed to update the injury prevention procedures at least annually based on documentation of injuries and a review of the activities and services. Evidence: 1. A review of the injury prevention plan revealed the last update was completed June 8, 2017. 2. In an interview with Administrator #1, it was determined an annual update had not been completed since June and was overdue.

Plan of Correction: The Owner/Director will update the injury prevention plan.

Standard #: 22VAC40-185-60-A
Description: Based on a review of children?s records, the licensee failed to maintain all the elements of a child?s record for four of five children. Evidence: 1. Child #1 was enrolled at the child care center on April 16, 2018, Child #3 on August 20, 2018, Child #4 on June 19, 2017 and Child #5 on an unknown date. 2. Child #1?s record lacked documentation of any chronic problems/accommodations, Child #2's record lacked documentation of any chronic problems/accommodations or allergies and emergency action to be taken, Child #4's record lacked documentation of any allergies and emergency action to be taken and Child #5's record lacked a start date. 3. Administrator #1 acknowledged this information was not documented in these records.

Plan of Correction: The Owner/Director will obtain the missing information from parents.

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 two of five staff. Evidence: 1. Staff #1 was hired on August 29, 2016 and Staff #3 on April 1, 2008. 2. Staff #1?s record reflected approximately ten hours of annual training and Staff #3?s approximately seven hours for the last training period. 3. Administrator #1 acknowledged Staff #1 and Staff #3 lacked the required amount of annual training.

Plan of Correction: The Owner/Director will have these staff catch up on their training.

Standard #: 22VAC40-185-550-B
Description: Based on a review of records, the licensee failed to update the emergency response and preparedness plan. Evidence: 1. The emergency response and preparedness plan was reviewed and the last documented update was dated June 2016 and the plan contains staff no longer employed by the center. 2. Administrator #1 acknowledged the emergency preparedness plan has not been updated as required.

Plan of Correction: The Owner/Director will update the plan.

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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