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Childtime Learning Center
4000 Newby's Bridge Road
Chesterfield, VA 23832
(804) 276-4736

Current Inspector: Florence Martus (804) 662-9772

Inspection Date: Aug. 13, 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.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Technical Assistance:
n/a

Comments:
The licensing inspector conducted an unannounced renewal inspection on Tuesday, August 13, 2019 from approximately 10:55am to 3:30pm. The center's director assisted the inspector throughout the inspection. The census for today's inspection consisted of 71 children in the direct care of 16 staff. Additional staff were available on site. The children were engaged in a variety of activities during the inspection. Infants were observed playing on the floor, sleeping in their cribs, interacting with staff, and being held while being fed bottles. The children in the Infants II classroom were observed reading books, dancing, and later washing hands as they prepared for lunch. The children in the Twos and Early Preschool were observed during a special activity and later in their designated playground. The children in the Preschool classrooms were observed during music, crafting, and engaged in teacher-led activities. In the annex building, the licensing inspector observed the school age children eating lunch and interacting with peers and staff. The staff were observed having positive interactions with the children. The menu was posted and it consisted of chicken/hamburger on whole wheat buns, tossed salad, pineapple, and milk. All areas of the center including classrooms, hallways, kitchen, playgrounds, one bus, and bathrooms were inspected. The center was equipped with toys and supplies, and items were available to the children.

The following information was reviewed: injury reports, daily sheets, daily attendance, practiced emergency drill logs, parent agreements, staff training information and liability insurance. The center's first aid kit and emergency supplies were inspected. Medication is administered, and medication and authorization forms were reviewed. The required information was posted.

Last documented health inspection: 04/11/2019 Last documented fire inspection: 08/01/2019

During the inspection, seven children's and seven staff records were reviewed.

If you have any questions about this inspection, please contact the licensing inspector, Florence Martus at (804) 662-9772.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on a review of seven children's records and interview on 08/13/2019, the center did not obtain documentation that one child had received the immunizations required by the State Board of Health within the required time frame. Evidence: 1) Child #3, who was enrolled on 03/25/2019, did not have documentation of immunizations prior to attendance. The immunization record was dated as signed by the physician on 07/29/2019. 2) During interview, a member of management confirmed there was no other documentation of immunizations on file for Child #3. The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Plan of Correction: Corrected. Children's records are assigned to a particular person and they will follow up to make sure it is submitted timely.

Standard #: 22VAC40-185-140-A
Description: Based on a review of seven children's records and interview on 08/13/2019, the center did not ensure that two children shall have a physical examination by or under the direction of a physician before the child's attendance; or within one month after attendance. Evidence: 1) The record for Child #1, who was enrolled on 02/25/2019, did not contain a physical examination. 2) The record for Child #3, who was enrolled on 03/25/2019, contained a physical examination that was dated as signed by the physician on 07/29/2019. 3) During interview, a member of management reported the physical examination for Child #1 could not be located.

Plan of Correction: The physical examination for Child #1 was requested from the parents while the inspector was on site. The center has assigned children's records to a particular person and they will follow up to make sure it is submitted timely.

Standard #: 22VAC40-185-160-A
Description: Based on a review of seven staff records and interview on 08/13/2019, the center did not ensure that two staff members shall submit documentation of a negative tuberculosis (TB) screening no later than 21 days after employment or volunteering. Evidence: 1) The record for Staff #3, hired on 04/01/2019, contained the results of a negative TB screening that were dated 07/23/2019. 2) The record for Staff #5, hired on 03/27/2019, did not contain the results of a negative tuberculosis screening. 3) During interview, a member of management reported the TB screening for Staff #5 was completed, but it could not be located while the inspector was on site.

Plan of Correction: A copy of the TB results for Staff #5 was requested. In the future, staff will have to be sure to have TB before hire. Admin will check to make sure.

Standard #: 22VAC40-185-270-A
Description: Based on observation on 08/13/2019, the center did not ensure that areas and equipment of the center, inside and outside, shall be 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: 1) In the school age girl's bathroom in the annex building, the Licensing Inspector observed a broken soap dispenser that had become detached from the wall. The area where the soap dispenser was originally hung had three broken tiles, one of which had sharp edges around it. The broken tile was accessible to the children in care.

Plan of Correction: A work order was submitted on 08/13/2019. The broken tile was covered with tape and the broken soap dispenser removed from the bathroom.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on a review of seven staff records and interview on 08/13/2019, the center did not ensure that one staff obtained fingerprint results prior to hire. Evidence: 1) Staff #1, hired on 04/29/2019, did not obtain fingerprint results prior to hire. The fingerprint results were dated 05/03/2019. 2) During interview, a member of management reported that Staff #1 was not placed in the classroom with children, but received orientation training on 04/30/2019, prior to the center obtaining the fingerprint check letter of eligibility.

Plan of Correction: Corrected. In the future, staff will not complete orientation until fingerprint results are in.

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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