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Grow and Blossom Preschool Center
6315 Beulah St.
Alexandria, VA 22310
(571) 236-5153

Current Inspector: Pernille Brandt (703) 203-8659

Inspection Date: July 25, 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.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Technical Assistance:
Discussed best practice for recording injury/accident reports.

Comments:
A complaint investigation was initiated on July 25, 2015 and ended on 8/2/19 regarding a staff qualifications, ratios, supervision and safety of the center playground. Interviews were conducted, documentation was reviewed, and a safety inspection of the playground was conducted. There was not a preponderance of evidence to support the allegation regarding ratios, supervision, and playground safety, however, the complaint was deemed valid with regard to staff qualifications. The complaint related violations and non-related violations are identified in the Violation Notice. Should you have any questions regarding this investigation, please contact Licensing Inspector, Georganne Buccine (georganne.buccine@dss.virginia.gov)

Violations:
Standard #: 22VAC40-185-70-A
Complaint related: No
Description: Based on staff record review, staff records were incomplete. Evidence: 1. Staff#1 was missing documentation of an Application for Employment, and documentation that two or more references as to character and reputation, as well as competency, were checked before employment. 2. Staff#3 was missing documentation that two or more references as to character and reputation, as well as competency, were checked before employment

Plan of Correction: Documentation of resume including required information was in sheet protector back of file not fully visible. File re-arranged with visible references checked on 4/19

Standard #: 22VAC40-185-210-A
Complaint related: No
Description: Based on record review, documentation qualifying staff as Program Leader was not available for review. Evidence: Staff#2, who was being used as a Program Leader in the 2 1/2 yr old room with 5 children, did not have documentation of Program Leader qualifications.

Plan of Correction: Staff#2 will not be used as a Program Leader until she meets additional 24 hours training. Training current certificates added to professional development binder.

Standard #: 22VAC40-185-240-A
Complaint related: No
Description: Based on record review, staff did not receive training by the end of their first day of assuming job responsibilities. Evidence: 1. Staff #1 (start date 6/17/19) did not have documentation of Orientation and Playground Safety training. 2. Staff #2 ( start date 12/10/18) did not have documentation of recognizing Child Abuse and Neglect training. 3. Staff#3 (start date 5/1/19) did not have documentation of Orientation and Playground Safety training. 4. Staff#4 (start date 4/30/18) did not have documentation of recognizing Child Abuse and Neglect training.

Plan of Correction: Staff#1 did receive training on hire date. Supervisor forgot to sign off. In file 8/5/19. Staff#2 completed training on 7/30/19. Staff#3 along with other documents were found in a drawer (dated 5/20/19) and added to the file 8/5/19. Staff#4 completed training on 7/31/19.

Standard #: 22VAC40-185-340-A
Complaint related: No
Description: Based on observation, staff are not always ensuring the care, protection, and guidance when they are supervising children. Evidence: Staff#4 was observed removing a child from the Pre-school room and bringing them into the kitchen. Staff stated they needed to do this daily to maintain ratios during meal prep, however, the room would have been in ratio with the child present. There were 8 children (3-5 yrs) present with 1 staff member. Ratio for the room was 10:1.

Plan of Correction: Staff#4 and current staff was reminded and trained on health and safety. A sign keeping children out of the kitchen with the door closed at all times was permanently posted.

Standard #: 22VAC40-185-340-D
Complaint related: No
Description: Based on record review, each grouping of children did not have at least one staff member who meets the qualifications of a program leader. Staff#2, who is not qualified as a Program Leader, was observed alone with 5 children (ages 2 1/2-3).

Plan of Correction: Staff#2 will continue to receive and work on her additional 24 hours of training. New Lead teacher to start following day. Director supported room.

Standard #: 22VAC40-185-510-L
Complaint related: No
Description: Based on record review and interviews with staff, the Center did not keep a record of medication given children. Evidence: Current Staff and Previous Staff stated they administered medication to Child#1 from 6/12/19 to 6/21/19, however, the medication log only had documentation of medication administered on 6/12, 6/24. and 6/25.

Plan of Correction: New Director created a medication log binder that includes all forms for Administration and records all administration of each dose for Child#1 on 6/24 and 6/25. Retraining of all staff on requirements.

Standard #: 22VAC40-191-60-B
Complaint related: No
Description: Based on record review, a current staff member was employed without a completed sworn statement or affirmation. Evidence: Staff#3 (start date 5/20/19) did not have documentation of a completed and signed Sworn Disclosure Statement.

Plan of Correction: A completed sworn statement for Staff#3 was discovered loosly in a drawer dated and signed on 5/20/19. Document was added to the staff file.

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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