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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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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:
22VAC40-665 INTRODUCTION
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

Technical Assistance:
n/a

Comments:
A Subsidy Health and Safety Inspection was conducted on Tuesday, August 13, 2019 to review supplemental health and safety requirements. The inspector was on site 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 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 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, 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.
A licensing inspection was also conducted this date; the two inspections combined over all subsidy health and safety requirements. Only subsidy requirements that are not covered in licensing standards are reviewed during this supplemental inspection. Violations were cited and are identified on the violation notice.

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

Violations:
Standard #: 22VAC40-665-520-B-11
Description: Based on a review of seven children's records on 08/13/2019, the vendor did not maintain a written allergy care plan for one child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction. EVIDENCE: 1) The record for Child #4 (DOE:02/23/2019) indicates the child has a diagnosed food allergy, but the record does not contain a written allergy care plan. 2) During interview, a member of management confirmed the record for Child #4 did not contain a written allergy care plan.

Plan of Correction: Will be requested from parent and will be submitted by 08/13/2019.

Standard #: 22VAC40-665-540-A
Description: Based on a review of seven staff records and interview on 08/13/2019, it was determined that the vendor did not ensure that six staff shall be evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB) within the required time frame. Evidence: 1) The record for Staff #1, hired on 04/29/2019, contained documentation of a TB screening dated 11/06/2018 and a second one dated 07/21/2019. 2) The record for Staff #3, hired on 04/01/2019, contained documentation of a TB screening dated 07/23/2019. 3) The record for Staff #4, hired on 07/03/2019, contained documentation of a TB screening dated 07/17/2019. 4) The record for Staff #5, hired on 03/27/2019, did not contain documentation of a TB screening. 5) During interview, a member of management reported Staff #5 completed a TB screening, but the results could not be located while the inspector was on site. 6) The record for Staff #6, hired on 07/08/2019, contained documentation of a TB screening dated 07/21/2019. 7) The record for Staff #7, hired on 06/06/2019, contained documentation of a TB screening dated 12/06/2018 and a second one dated 07/19/2019. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.

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

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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