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Cadence Academy Preschool
9807 Patriot Highway
Fredericksburg, VA 22407
(540) 834-0060

Current Inspector: Beth Velke (804) 629-8302

Inspection Date: March 27, 2019

Complaint Related: Yes

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)
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Comments:
An unannounced Complaint Inspection was conducted today in response to a complaint that was received by the Virginia Department of Social Services, Licensing Division on March 25, 2019. A monitoring inspection visit was also conducted at the time. Interviews were conducted with staff relating to allegations of staff to child ratios, nap time procedures, and policies and procedures related to staff illnesses and breaks. Based upon a preponderance of evidence, the information gathered during the investigation supports the allegation of staff to child ratios not consistently in compliance, and the complaint is determined to be VALID. Please complete the columns for 'description of action to be taken' and 'date to be corrected' for each violation cited on the violation notice, and then return a signed and dated copy to the licensing office within 10 business days. If you have any questions, contact your licensing inspector, Keesha Minor at keesha.minor@dss.virginia.gov

Violations:
Standard #: 22VAC40-185-160-A
Complaint related: No
Description: Based on review, the facility did not ensure that staff had documentation of a negative TB screening submitted no later than 21 days after employment. Evidence: Reviewed 10 staff records and found that 1 did not have documentation of a TB screening submitted within 21 days of after employment.

Plan of Correction: Ensure new hires have TB test completed within 21 days of employment.

Standard #: 22VAC40-185-40-J
Complaint related: No
Description: Based on review, the facility did not have documentation of an annual review/update of the injury prevention procedures based on documentation of injuries and a review of the activities and services. Evidence: Reviewed the facility's procedures and identified through staff statements that they did not have documentation of a annual review/update of injury prevention procedures based on injuries, activities and services.

Plan of Correction: Complete annual review/update of injury prevention procedures.

Standard #: 22VAC40-185-60-A
Complaint related: No
Description: Based on review, the facility did not ensure that children's records were maintained with the required information. Evidence: 1. Reviewed 7 children's records and found that 4 did not have documentation of parent work numbers. 2. Reviewed 7 children's records and found that 5 did not have documentation of parent's/guardian's annual review/update of children's records.

Plan of Correction: Review children files to ensure all information is provided. Annual re-registration paperwork completed.

Standard #: 22VAC40-185-70-A
Complaint related: No
Description: Based on review, the facility did not ensure that documentaiton of 2 or more references were kept in staff records. Evidence: Reviewed 10 staff records and found that 1 did not have documentation of 2 references completed prior to employment.

Plan of Correction: Ensure all new hires have 2 references.

Standard #: 22VAC40-185-270-A
Complaint related: No
Description: Based on observation, the facility did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. Observed chippping and flaking paint along the orange wall in the Toddler Classroom 2. Observed in the Pre-K classroom, peeling paint and crumbling drywall along the white and purple walls.

Plan of Correction: Have maintenance touch up dry wall and paint in classrooms.

Standard #: 22VAC40-185-280-B
Complaint related: No
Description: Based on observation, the facility did not ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. Observed in the Two's classroom, bleach water and soap water easily accessible to children in a low cabinet that was unlocked, and not in use. 2. Observed in the kitchen, the door was wide open and the cabinet under the sink was unlocked and accessible to children with concentrated bleach and steamine (sanitizer for food surfaces).

Plan of Correction: Ensure cabinets are locked at all times.

Standard #: 22VAC40-185-280-D
Complaint related: No
Description: Based on observation, the facility did not ensure that cleaning and sanitizing materials are not located above food, food equipment, utensils or single-service articles and shall be stored in areas physically separate from food. Evidence: Observed in the Pre-K classroom, popcorn that was stored next to a bottle of dish soap (Palmolive).

Plan of Correction: Ensure all art supplies are stored away from food items.

Standard #: 22VAC40-185-290-3
Complaint related: No
Description: Based on observation, the facility failed to ensure that electrical outlets have protective covers. Evidence: 1. Observed in the Computer Lab: 4 uncovered electrical outlets on power strips and along the wall. 2. Observed in the Two's room: 1 uncovered electrical outlet along the wall.

Plan of Correction: Ensure electrical outlets are covered at all times.

Standard #: 22VAC40-185-350-E-3
Complaint related: Yes
Description: Based on review of staff completed count sheets, the facility did not ensure that staff to child ratios for two year old children were maintained. Evidence: 1. On 3/20/19, staff documented that there were 17 children and 2 staff in the Twos room from 9 to 9:30am 2. On 3/18/19, staff documented that there were 16 children and 1 staff from 7:55am to 9am.

Plan of Correction: Adjust staff schedules accordingly. Refresher trainng on how to complete name to face.

Standard #: 22VAC40-185-350-E-4
Complaint related: Yes
Description: Based on review of staff completed count sheets, the facility did not ensure that for children 3 years of age to eligibility to attend public school, that staff to child ratios were one staff member for every 10 children. Evidence: 1. On 3/22/19, staff documented that in the Creative Arts Room (3 year old class), there were 17 children with 1 staff member from 8:20am to 9:10am. 2. On 3/20/19, staff documented that in the STEM classroom (4s and 5s), there were 20 children with 1 staff member. 3. During the inspection walkthrough, the inspector observed in the Pre-K room (4 year olds), 12 children and 1 staff member.

Plan of Correction: Adjust staff schedules accordingly. Refresher training on how to complete name to face.

Standard #: 22VAC40-185-560-G
Complaint related: No
Description: Based on observation and staff interviews, the facility did not ensure that when food is brought from home, it is clearly dated and labeled in a way that identifies the owner. Evidence: Observed that all children bring their lunches to school, but only a handful were labeled with names and only the infant's food was dated. None of the other lunches were labeled, identifying the owner, nor were they dated.

Plan of Correction: Ensure all children's lunch boxes are labeled and dated daily.

Standard #: 22VAC40-191-60-B
Complaint related: No
Description: Based on review, the facility did not ensure that staff had documentation of a completed sworn statement or affirmation. Evidence: Reviewed 10 staff records and found that Staff 1 did not have documentation of a sworn statement.

Plan of Correction: Ensure all new hire paperwork is completed at the time of hire.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. To find programs participating in Virginia Quality, click here.

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