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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 Tin Soldiers Educational Center
199 East Mercury Boulevard
Hampton, VA 23669
(757) 727-0780

Current Inspector: Michele Patchett (757) 439-6816

Inspection Date: May 10, 2019

Complaint Related: No

Areas Reviewed:
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 May 10, 2019 to review supplemental health and safety requirements. Licensing inspector arrived at 9:50am and departed at 3:00pm to conduct a Subsidy Health and Safety Inspection. There were 23 children present upon arrival to the center with five staff members. Additional staff arrived throughout the course of the inspection who were on site for administrative and support purposes. There is a total enrollment of 52 children. The children were observed during center time and playing freely in three classrooms. Five children's records were reviewed. Five staff records were reviewed. Medications are currently not being administered. The exit interview was conducted with the Interim Program Director. A licensing inspection was also conducted on 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.

Violations:
Standard #: 22VAC40-665-500-F
Description: Based on observation and inspection of the facility, the vendor did not maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: The center did not keep a dated allergy list in each room or area where children are present.

Plan of Correction: The Director will put the allergy list in each classroom so that staff know of all children's allergies.

Standard #: 22VAC40-665-500-E
Description: Based on observation and inspection of the facility, the vendor did not inform all staff who work with children of children's allergies, sensitivities, and dietary restrictions. Evidence: All staff who worked in the center were not aware of each child's allergies, sensitivities and dietary restrictions.

Plan of Correction: The Director will put the allergy list in each classroom so that staff know of all children's allergies.

Standard #: 22VAC40-665-510-B
Description: Based on observation and inspection of the facility, the vendor did not maintain a written hard copy record of daily attendance that documented the arrival and departure of each child in care as it occurred. Evidence: In three of three classrooms, there was no documentation of a written hard copy record of daily attendance that documented the arrival and departure of each child in care as it occurred.

Plan of Correction: Director will look over each attendance record every day and make sure that the staff are documenting the children in their group.

Standard #: 22VAC40-665-520-B-3
Description: Based on record review, in four of five children's records reviewed, the vendor did not ensure that each child's record contained all required parent contact information. Evidence: The work addresses of one or both parents were not documented in the records for Child #2, Child #3, Child #4 and Child #5.

Plan of Correction: Director will give the paperwork to the parents so that they can put in the work addresses.

Standard #: 22VAC40-665-540-A
Description: Based on record review, in three of five staff records reviewed, the vendor did not ensure that each staff shall submit at the time of employment and prior to coming into contact with children a statement that the individual is determined to be free of communicable tuberculosis (TB). The documentation shall have been completed within the last 30 calendar days of the date of employment. Evidence: The TB screenings for the following staff members had not been completed within the last 30 calendar days of the date of employment: Staff #2 (date of hire 4/15/19)-TB screening dated 9/25/18 Staff #3 (date of hire 3/5/19)-TB screening dated 10/29/18 Staff #4 (date of hire 4/24/19)-TB screening dated 3/11/19

Plan of Correction: The staff members will obtain a current TB screening.

Standard #: 22VAC40-665-580-B
Description: Based on record review, in one of five staff records reviewed, the vendor did not ensure that within the first 90 days of employment all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. Evidence: There was no documentation of Virginia Preservice Training for Staff #5.

Plan of Correction: The staff member has completed the Preservice Training, it's just misplaced.

Standard #: 22VAC40-665-650-E
Description: Based on observation and inspection of the facility, the vendor did not develop and implement 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 center had not developed a consistent care policy.

Plan of Correction: The policy will be created today.

Standard #: 22VAC40-665-770-B-5
Description: Based on observation and inspection of the facility, the vendor did not ensure that the emergency preparedness plan had continuity of operations procedures to ensure that essential functions are maintained during an emergency. Evidence: The center's emergency preparedness plan had not been updated to include continuity of operations procedures.

Plan of Correction: The policy will be created today.

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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