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Creative Critters IV
159 Kristiansand Drive
Williamsburg, VA 23185
(804) 477-4895

Current Inspector: Tiffany Harris (757) 403-3045

Inspection Date: Jan. 16, 2019

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.
22VAC40-191 Background Checks (22VAC40-191)
63.2 Facilities & Programs.

Comments:
The licensing inspector conducted an unannounced renewal inspection on Wednesday, January 16, 2019 from approximately 10:00 am to 2:15 pm determine the provider's compliance with licensing standards at the child day center. During this inspection, there were twenty two children and six staff present at the center. The licensing inspector completed observations of the children in care participating in a variety of activities to include participating in floor time while looking at various book, engaged in circle time with staff, interacting with peers and staff, playing with age appropriate equipment, diapering, painting, and working in centers to include salt trace, eating lunch activity, and transitioning into napping. The children's lunch today consisted of chicken nuggets, carrots, mango, and milk. The center's classrooms, bathroom, and facility areas were inspected. The first aid kit and emergency supplies, posted emergency contacts, and emergency drills were reviewed by the inspector. There were five children's and four staff's records reviewed during this inspection. The center is currently not administering medication or providing transportation at this time. The Department has received a complete renewal application and annual fee from the center. If you have any questions about this inspection, please contact the licensing inspector, Tiffany Harris, at (757)-403-3045.

Violations:
Standard #: 22VAC40-185-140-A
Description: Based on review of children's record and interview with staff, the center did not ensure to obtain a physical examination for each child. Evidence: During the inspection on January 16, 2019, in one out of five children's record, Child#2's (start date 11/16/18) was missing a physical examination. The physical examination for children must be received within one month after attendance. Interview with staff confirmed there was not a physical examination available for review during the inspection.

Plan of Correction: The Director of operation has followed up with parent via email and will request required document in person today.

Standard #: 22VAC40-185-70-A
Description: Based on review of staff records, the center did not ensure to obtain all required information.

Evidence: During the inspection on January 16, 2019, in Staff#2's record (date of hire: 11/02/18) the signature of person making the calls for two of the references were not found.

Plan of Correction: The Director of operation corrected during the inspection

Standard #: 22VAC40-185-270-A
Description: Based on observation, the center did not ensure all areas were maintained in a clean, safe, and operable condition. Evidence: During the inspection on January 16, 2018, in the Caterpillar 1 room there was an area of cracked of the crown molding with internal materials exposed and accessible to the children in care.

Plan of Correction: The Director will contact maintenance today. The Director of operation put a book shelf in the area during the inspection.

Standard #: 22VAC40-185-280-B
Description: Based on observations at the center, the center did not ensure all hazardous substances were kept in a locked place.

Evidence: During the inspection on January 16, 2019, the following observations were made:
1. In a storage closet nearby the main entrance of the center, there were three bottles of hazardous substances on a shelf with the labels "danger" and "keep out of reach of children".
2. In the Caterpillar 2 bathroom area, there was a bottle of odor eliminator product located on the shelf with the label "keep out of reach of children".

Plan of Correction: The director of operation will remind staff to make sure the storage closet is locked. The staff removed the product from the bathroom area during the inspection.

Standard #: 22VAC40-185-290-3
Description: Based on observations, the center did not ensure all electrical outlets have protective covers. During the inspection January 16, 2019, in the Preschool classroom there were two electrical outlets missing protective covers.

Plan of Correction: Corrected during the inspection.

Standard #: 22VAC40-185-350-C
Description: Based on observation and interview with staff, the center did not ensure ratio applicable to youngest child applies. Evidence: During the inspection on January 16, 2019, in the Caterpillar 1 room the observation ratio was 1:5 with the youngest child being identified by staff as Child#1 (14 months). Interview with the staff confirmed the youngest child in the room during the inspection.

Plan of Correction: The director of operation was unaware an additional child arrival after placing child in the room for transition. The classroom's staff to children ratio was in compliance initially. The center will ensure compliance of ratios in each group.

Standard #: 22VAC40-191-60-C-2
Description: Based on review of staff records and interview with staff, the center did not ensure to obtain central registry findings within 30 days of employment or volunteer service. Evidence: 1. During the inspection on January 16, 2018, in Staff#2's record (date of hire: 11/02/18) the central registry findings was not found. Interview with staff confirmed the central registry document was returned with a stamp but the findings were not found. 2. In Staff#4's record (date of hire 09/10/18) there was no central registry findings found.

Plan of Correction: The director of operation will follow up with Central registry contact until results have been received by the center

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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