VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Kid's Cottage
10057 Kings Highway
King george, VA 22485
(540) 625-2059

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: April 12, 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. 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Technical Assistance:

n/a

Comments:

An unannounced monitoring inspection was conducted on Friday, April 12, 2019 to determine the center's compliance with licensing standards that could not be determined during the initial inspection. The inspector arrived at the center at 11:15am and concluded the inspection at 2:34pm. The center's site director assisted the inspector throughout the inspection. The census for today's inspection consisted of eight preschool children in the direct care of one staff member and one director. The children were observed during a variety of activities to include playing with toys in their designated classroom, playing in the playground, and doing a yoga exercise in review of the letter "Y." Later, the children were observed taking bathroom breaks, washing their hands, and eating lunch. The staff were observed having positive interactions with the children. Five children's records and two staff's records were reviewed. The center does not administer medication as this time. There are several staff trained in First Aid and CPR. If you have any questions about this inspection, please contact the licensing inspector, Florence Martus, at (804) 662-9772.

Violations:

Standard #:	22VAC40-185-160-A
Description:	Based on a review of two staff records on 04/12/2019, the center did not ensure that one staff member shall submit documentation of a negative tuberculosis screening within the required timeframe. Evidence: 1) The record for Staff #1 (DOH: 02/07/2019) contained the results of a negative tuberculosis screening that was dated 03/05/2019. Documentation of the screening shall be submitted no later than 21 days after employment and shall have been completed within 12 months prior to or 21 days after employing or volunteering.
Plan of Correction:	The center will ensure a TB screening or test is submitted timely for future hires.
Standard #:	22VAC40-185-60-A
Description:	Based on a review of five children's records on 04/12/2019, the center did not ensure that one child's record contained the required information. Evidence: 1) The record for Child #4 (DOE: 09/04/2018) did not contain the home address, and home phone number of each parent who has custody.
Plan of Correction:	The center will obtain the missing information and ensure all the required information is on file for each child's record.
Standard #:	22VAC40-185-70-A
Description:	Based on a review of two staff records on 04/12/2019, the center did not obtain the required information for two staff members. Evidence: During the review of staff records, the licensing inspector observed the following: 1) The record for Staff #1 (DOH: 02/07/2019) did not contain documentation of at least two character references prior to the staff beginning employment. The two references located in the record for Staff #1 were dated 02/11/2019. 2) The record for Staff #2 (DOH: 03/19/2019) did not contain a second reference prior to the staff beginning employment. Each staff record shall include documentation that two or more references as to character and reputation were checked before employment or volunteering. 3) The record for Staff #1 and Staff #2 did not contain a designated contact along with address and phone number or information regarding any health problems which may interfere with fulfilling the job responsibilities. 4) The record for Staff #1 and Staff #2 did not contain documentation of a completed orientation training.
Plan of Correction:	The second reference will be obtained and orientation training completed. In the future, the provider will ensure the information is obtained and kept in each staff record as required.
Standard #:	22VAC40-185-240-D-5
Description:	Based on a review of two staff records, observation, and interview on 04/12/2019, the center did not ensure that at least one staff member on duty has obtained within the last three years, instruction in performing the daily health observation of children. Evidence: 1) The licensing inspector did not observe daily health observation training in the records for Staff #1 (DOH: 02/07/2019) or Staff #2 (03/19/2019). Staff #1 and Staff #2 were the two staff on duty at the time of this inspection. 2) During interview, Staff #1 confirmed she was not sure if she had current daily health observation training.
Plan of Correction:	The center will schedule this training for all staff that need it and will ensure at least one staff member on duty has current daily health observation training.
Standard #:	22VAC40-191-60-B
Description:	Based on a review of two staff records and interview on 04/12/2019, the provider did not ensure that one staff completed a sworn statement or affirmation prior to employment. Evidence: 1) The record for Staff #1 (DOH: 02/07/2019) did not have a complete sworn statement or affirmation. 2) During interview, Staff #3 stated that a sworn statement was signed prior to employment, but was not able to locate it during the inspection.
Plan of Correction:	Staff #1 signed a new sworn statement while the inspector was on site. In the future, the center will ensure the sworn statement is on file prior to employment.