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Childtime Children's Center
2 Manhattan Square
Hampton, VA 23666
(757) 766-6260

Current Inspector: Michele Patchett (757) 439-6816

Inspection Date: April 30, 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.
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Comments:
An unannounced monitoring inspection was conducted on April 30, 2019, from approximately 9:30 am to 12:25 pm. Upon entrance there were 15 staff were present with 85 children and there were additional staff on site for administrative purposes and program support. The sample size of records reviewed included 9 children's and 9 staff records. Areas of non-compliance are identified on the violation notice. 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 copy to the licensing office within 5 days of receipt. The provider?s responses for the "Description of Action To Be Taken" was not received as of May 14, 2019 and will not appear on this" Violation Notice". Please contact the Licensing Inspector, Christine Mahan with any questions (757) 404-0568.

Violations:
Standard #: 22VAC40-185-140-A
Description: Based on a review of nine children's records and staff interviews, the licensee did not ensure each child shall have a physical examination by or under the direction of a physician in the record within one month of first date of attendance. Evidence: During the inspection on April 30, 2019, the records for child #7, start date 1-23-19 and child #9, start date 3-4-19 did not have physicals in their records.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-150-B
Description: Based on a review of nine children's records and staff interviews, the licensee did not ensure each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department. Evidence: During the inspection on April 30, 2019, the records for child #6, start date 11-12-18 and child #9, start date 3-4-19 had immunization records that did not include a signature from a physician, his designee, or an official of a local health department.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-160-A
Description: Based on a review of nine staff records and staff interviews, the licensee did not ensure each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening (TB). Documentation of the screening shall be submitted no later than 21 days after employment or volunteering and shall have been completed within 12 months prior to or 21 days after employing or volunteering. Evidence: During the inspection on April 30, 2019, the record for staff #2, date of hire was 2-25-19 and it did not include the results a of a TB screening.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-40-J
Description: Based on documentation review and staff interviews, the licensee did not ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: During the inspection on April 30, 2019, the most recent injury prevention plan available for review was dated 2017-2018 school year.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-60-A
Description: Based on a review of nine children's records and staff interviews, the licensee did not ensure each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required information. Evidence: During the inspection on April 30, 2019, the following records were determined to be incomplete; 1) The record for child #7, start date 1-23-19 did not include the physicians name and there was not a second emergency contact name, phone number or address. 2) The record for child #9, start date 3-4-19 did not include the employment phone number for both parents listed.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-270-A
Description: Based on observation, the licensee did not ensure areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: During the inspection on April 30, 2019, the following areas were observed and determined to pose a risk to the children in care; 1) On the older children's playground, there are two places where the plastic cover on the stairs is coming off. Place one, is approximately 30 inches long and the plastic is coming off and the metal is exposed and in place two, the plastic is approximately 9 inches long the plastic edges are broken and sharp. 2) In the Pre K-4 Girls Bathroom, the tile on the floor around the drain, in the center of the room is broken. The broken tile is approximately 6 inches by 3 inches, has sharp edges and poses a tripping hazard.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-500-A
Description: Based on observation, the licensee did not ensure the children's hands shall be washed with soap and running water after toileting and any contact with blood, feces or urine. Evidence: During the inspection on April 30, 2019, two children in the Toddler 1 room were observed during their diaper changing process and their hands were not washed with soap and running water after their diapers were changed.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-500-B
Description: Based on observation, the licensee did not ensure the diapering surface shall be used only for diapering or cleaning children, and it shall be cleaned with soap and at least room temperature water and sanitized after each use. Evidence: During the inspection on April 30, 2019, a child was observed in the Toddler 2 room and the diaper changing table was not sanitized after the diaper change. Center staff was observed changing a child and after they sprayed the diaper changing table with a soap/water solution and a bleach/ water solution and then immediately wiped it down. The table was not sanitized as required. "Sanitized" means treated in such a way to remove bacteria and viruses from inanimate surfaces through using a disinfectant solution (i.e., bleach solution or commercial chemical disinfectant) or physical agent (e.g., heat). The surface of item is sprayed or dipped into the disinfectant solution and allowed to air dry after use of the disinfectant solution.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 63.2(17)-1721.1-B-3
Description: Based on review of nine staff records and staff interview, the licensee did not ensure the child day center obtained a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 and any child abuse and neglect registry or equivalent registry maintained by any other state in which the individual has resided in the preceding five years for any founded complaint of child abuse or neglect against him. Evidence; During the inspection on April 30, 2019, the following staff do not have documentation of obtaining out of state checks. 1) The record for staff #9 has documentation of submitting a background check request for the state where they have lived out side of VA within the last five years, however the licensee did not receive it and did not follow up after 45 days of submitting the check. Staff #9 date of hire was 9-4-18. 1) The record for staff #7 does not include documentation of submitting a background check request for the state where they have lived out side of VA within the last five years. Staff #7 date of hire was 12-12-18.

Plan of Correction: Not available online. Contact Inspector for more information.

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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