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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Little Peeples World, LLC
30 W. Williamsburg Road
Sandston, VA 23150
(804) 322-7377

Current Inspector: Sharon Curlee (804) 662-9758

Inspection Date: Jan. 30, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-665 INTRODUCTION
22VAC40-665 ADMINISTRATION
22VAC40-665 STAFF QUALIFICATIONS & TRAINING
22VAC40-665 PHYSICAL PLANT
22VAC40-665 STAFFING & SUPERVISION
22VAC40-665 PROGAMS
22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES
22VAC40-665 SPECIAL SERVICES

Comments:
A Subsidy Health and Safety inspection was conducted on (insert date) to review supplemental health and safety requirements. The inspector arrived at 9:40 am and concluded the inspection at 1:50 pm. Upon the inspectors arrival The pre-school children were at the table reviewing letters and sounds. Children also worked on a worksheet identifying shapes. Later children played with toys and floor puzzles. The Infants were observed playing in the exersaucer and on the floor with rattles and board books. Toddlers had circle time where they reviewed flash cards of shapes and colors and sang songs. Diapering was observed in the toddler room along with hand washing. Today's lunch consisted of turkey, wheat bread, pineapples, corn and milk. After lunch children had nap time. Staff interacted in a positive and nurturing manner. All classrooms, rest rooms, kitchen and hallway area were inspected. The classrooms are equipped with age and stage appropriate materials for literacy, art, fine and gross motor skills and creative play. The facility had the required information posted to include the License, last inspection notice, emergency numbers, attendance sheets, allergy list, daily schedule, evacuation maps and various parent information. The first aide kit and non-medical emergency supplies were inspected and found complete for the building and the van used for transporting children. The inspector interacted with staff and children in care. A licensing inspection was also conducted this date; the two inspections combined cover all subsidy health and safety requirements. Only subsidy requirements that are not covered in licensing standards are reviewed during this supplemental inspection. Violations were found during the supplemental subsidy health and safety inspection requirements and are identified on the violation notice Five staff records were reviewed during today's inspection along with the records of five children. Staff have CPR, First aid and Virginia pre-service training. Per the director, medications are not being administered. Today's Ratio: (Infants): 3 children with 1 staff. (Toddler): 3 children with 1 staff. (Pre-school): 8 children with 1 staff. School age children were not is care during today's inspection. The last emergency evacuation drill was conducted on 01/25/2019. The two required shelter-in-place drills for the 2018 year were documented on 09/17/2018 and 10/11/2018. A lock down drill was conducted on 10/11/2018. POS device on cite If you have questions regarding this inspection, please contact the licensing inspector at 804-662-9758.

Violations:
Standard #: 22VAC40-665-520-B-11
Description: Based on review of children's records, the facility did not obtain a written allergy care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: Child #4, who had documentation of a diagnosed food allergy, did not have a written allergy care plan on file.

Plan of Correction: Per the director: I have asked the parent for the allergy care plan however she has not given me one. I will request again that she submit an allergy plan.

Standard #: 22VAC40-665-540-A
Description: Based on review of staff records, the facility did not obtained documentation of a tuberculosis screening for staff at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: 1. Staff #3, hired 12/10/2018, had documentation of a tuberculosis screening dated 12/29/2018, exceeding the time of hire . 2. Staff #4, hired 12/17/2018, had documentation of a tuberculosis screening dated 10/30/2018, exceeding 30 days prior to the date of hire.

Plan of Correction: Per the director: I will have staff submit tuberculosis test at date of hire.

Standard #: 22VAC40-665-650-E
Description: Based on interview, the facility did not develop a written policy and procedure that describes how the vendor will ensure that each group of children receives care by consistent staff or team of staff members. Evidence: The director reported a written plan of policy and procedures describing how the vendor will ensure that each group of children receives care by consistent staff had not been developed.

Plan of Correction: Per the director: I will create a plan for staff to follow for grouping and consistent staffing.

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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