4247 Creighton Road
Richmond, VA 23223
Current Inspector: Kandra Brown (804) 662-9038
Inspection Date: Dec. 20, 2018
Complaint Related: No
- Areas Reviewed:
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
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)
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.
The licensing inspector conducted an unannounced monitoring inspection on 12/20/2018 from 9:54am to 3:45pm. The children were observed playing with toys, participating in art projects, dancing, reading, eating snack and lunch, and preparing for nap. A formal observation was completed with the Infant and Two year old classrooms. Lunch consisted of meatballs, green beans, pineapples, bread and milk. The menu was posted. Interviews were held with staff throughout the inspection, and the inspector interacted with children in each classroom when appropriate. All classrooms and the playground were inspected today as well as the facility?s mini buses.
Five children?s records and five employee records were reviewed during this inspection. The center administers medication; however they did not have any being given at this time. Five injury reports were reviewed.
The center's first aid kit and emergency supplies were inspected.
Last emergency drill: 11/28/2018
Last shelter-in-place drill: 09/17/2018
Last fire inspection: 11/28/2018
Today, the following child to staff ratios were observed:
Infants ? 7:3
Toddler I ? 4:1
Twos ? 9:2
Threes ? 7:1
Fours - 9:1
School Age #1 - 9:1
School Age #2 - 6:1
The violations from the previous inspections were checked for corrections. There were four repeat violations found during today?s inspection.
If you have any questions about this inspection, please contact the licensing inspector, Kandra Brown, at (804) 662-9038.
Standard #: 22VAC40-185-130-C Description: Based on record review, the center did not ensure that two of five children's records contained documentation of additional immunizations once between each child's fourth and sixth birthdays.
1. The record of child #2 (start date: 1/21/2012) did not contain documentation of up to date immunizations. The last documented immunizations were dated 1/23/2014.
2. The record of child #4 (start date: 11/28/08) did not contain documentation of up to date immunizations. The last documented immunizations were dated 12/9/2011.
Plan of Correction: Parents will be in today to bring updated immunizations.
Standard #: 22VAC40-185-160-A Description: Based on review, the center did not ensure that one of five staff records contained documentation of a negative Tuberculosis screening. Evidence: The record of staff #2 (start date: 9/18/18) did not contain documentation of a negative tuberculosis screening. Plan of Correction: Employee will return to work with updated TB results.
Standard #: 22VAC40-185-60-A Description: Based on a review of five children's records on 12/20/2018, the center did not ensure that each child's record contained all of the required information. Evidence: 1. Child #4 (start date: 5/19/2009) did not have documentation and confirmation of up-to-date information. The record was last updated 5/19/09. Documentation and confirmation of up-to-date information must be obtained at least annually for each child. 2. Child #5 (start date: 10/03/2018) did not have documentation of all of the required parent information, allergies, health problems, and physician information. Plan of Correction: Parents will be in today to update and complete applications.
Standard #: 22VAC40-185-70-A Description: Based on observation, the center did not ensure that five of five staff records contained documentation of two or more references, as to character and reputation as well as competency, before employment. Evidence: The record of staff #1 (start date: 6/25/18), staff #2 (start date: 9/18/18), staff #3 (start date: 10/29/18), staff #4 (start date: 8/13/18), and staff #5 (start date: 8/22/18) did not contain documentation of references as to character and reputation as well as competency. Plan of Correction: Will complete staff references today.
Standard #: 22VAC40-185-280-B Description: Based on observation, the center did not ensure that hazardous substances such as cleaning materials, were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The two year old classroom had unlocked cleaners on top of the paper towel holder in the children's restroom and in an unlocked cabinet in the classroom. 2. The school age #2 classroom had cleaners in an unlocked cabinet within the reach of school age children. Plan of Correction: Corrected during the inspection.
Standard #: 22VAC40-185-340-D Description: Based on observation, the center did not ensure that at least one staff member in each grouping of children met the qualifications of a program leader or program director and that staff member was regularly present. Evidence: Staff #2 was supervising 6 school age children alone but did not meet program leader or program director qualifications. Plan of Correction: Staff #2 will go online to complete her last 12 hours of training.
Standard #: 22VAC40-185-500-B Description: Based on observation, the center did not ensure that disposable diapers were disposed in a leakproof or plastic-lined storage system that is either foot operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: The Toddler and Two year old classroom did not have the required storage system for the disposal of soiled diapers. Plan of Correction: We will get proper trash cans today.
Standard #: 22VAC40-185-550-M Description: Based on review, the center did not ensure that the written record of injuries contained all of the information. Evidence: Four out of the five injury reports reviewed were missing the second required signature. Plan of Correction: Corrected during the inspection.
Standard #: 22VAC40-185-570-C Description: Based on observation, the center did not ensure to obtain a record of the brand of formula and feeding schedule for each child. Evidence: The center did not have documentation of the brand of formula for six enrolled infants. The center did not have documentation of the feeding schedules for the infants in care. Plan of Correction: Corrected during the inspection.
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.