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Cynthia's Child Care Center LLC
100 North Carter Street
La crosse, VA 23950
(434) 253-3052

Current Inspector: Roshon Casey (804) 662-9760

Inspection Date: Sept. 10, 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)

Technical Assistance:
none

Comments:
The licensing inspector conducted an unannounced monitoring inspection Tuesday, September 10, 2019 from 11:00am to 3:00pm. The children were observed engaged in a variety of activities ranging from eating lunch, resting on cots, and playing with toys.
Five children's records and five staff records were reviewed during this inspection.
The center's first aid kit and emergency supplies were inspected.
Last emergency drill: 08/08/2019
Last shelter in place drill: 05/10/2019
Total enrollment today: 18
Today, the following child to staff ratios were observed:
Infants: 4:1
Older Infants/Toddlers-4:1
Twos-6:1
Preschool-4:1
A licensing inspection was conducted on the same date as the SHSI supplemental inspection; 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.
If you have any questions about this inspection, please contact your licensing inspector, Roshon Casey, at (804) 662-9760.

Violations:
Standard #: 22VAC40-185-130-B
Description: Based on a review of children's records on 09/10/2019 the center did not ensure that documentation of additional immunizations were obtained once every six months for children under the age of two years.

EVIDENCE:

The most recent immunizations in the record of Child #2, who is 23 months, is dated 10/15/2018.

Plan of Correction: Parent contacted today to bring in immunizations by tomorrow.

Standard #: 22VAC40-185-160-C
Description: Based on a review of staff records on 09/10/2019, the center did not ensure that at least every two years staff members shall obtain and submit the results of a follow-up tuberculosis(tb) screening.

EVIDENCE:

The most recent tb screening in the record of Staff #2 is dated 08/01/2017

Plan of Correction: Staff is making appointment to have tb test done by 09/17/2019.

Standard #: 22VAC40-185-60-A
Description: Based on a review of children's records on 09/10/2019, the center did not ensure that each child's record contained the required information.

EVIDENCE:

1. The record of Child #4 did not contain an address for the second emergency contact listed.
2. The record of Child #5 did not contain documentation of the phone number for the child's physician.
3. The record of Child #3 did not contain documentation of allergies

Plan of Correction: Corrected on site. The missing information was obtained during the inspection

Standard #: 22VAC40-185-70-A
Description: Based on a review of staff records on 09/10/2019, the center did not ensure that each staff record contained the required information.

EVIDENCE:

1. The records of Staff #3, Staff #4, Staff #5 did not contain the address of a person to be notified in an emergency.
2. The records of Staff #3, Staff #4, Staff #5 did not contain information about any health problems which may interfere with fulfilling the job responsibilities.
3. The record of Staff #5 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.

Plan of Correction: Will begin to use a new application form that has that information on it. Will have all staff complete it tomorrow.
Will have staff bring in reference letters tomorrow

Standard #: 22VAC40-185-430-L
Description: Based on observation and staff interview the center did not ensure that infant walkers shall not be used.

EVIDENCE:

There were two infant walkers observed in the infant room. Staff stated that they used the walkers.

Plan of Correction: Corrected on site. Walkers were removed from the class.

Standard #: 22VAC40-185-440-L
Description: Based on observation 09/10/2019, the center did not ensure that pillows and filled comforters shall not be used by children under two years of age.

EVIDENCE:

1. An infant was observed sleeping on a pillow in the crib.
2. There were pillows observed in the play area of the infant room.

Plan of Correction: Corrected on site. Pillows were removed

Standard #: 22VAC40-185-500-A
Description: Based on observation on 09/10/2019, the center did not ensure that staff wash their hands with soap and running water before and after helping a diaper change, and before helping children with feeding.

EVIDENCE:

1. Staff was observed using hand sanitizer and disposable wipes after changing a diaper.
2. Staff was observed using hand sanitizer and disposable wipes before helping the children with their lunch.

Plan of Correction: Ordered a portable sink. It will arrive by September 20th. Will have staff go to the bathroom down the hall until it arrives.

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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