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Learn N' Play Child Care Center
130 Camden Street
Danville, VA 24541
(434) 797-4586

Current Inspector: Kelly Ann Campbell (540) 309-2494

Inspection Date: Oct. 8, 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)

Comments:
An unannounced renewal inspection was conducted today 10/08/2019. There were eighteen children present with four staff supervising the children. The inspector arrived at 10 A.M. and departed the program at 1 P.M.. Eight staff's and five children's records were reviewed during the inspection.

Observed children during: arrival, free play, morning snack, outside play and hand washing.

Discussion with owner and office administrator: phase 2 training in the Licensing office on November 18.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on review of seven children's records, the center failed to ensure that all immunization records were obtained prior to starting.

Evidence:
1. Child # 1 started the program on 8/12/2019 and did not have an immunization record.

Plan of Correction: The office administrator will have the parents to bring in a copy and will ensure that all new enrollments have the required paperwork prior to starting.

Standard #: 22VAC40-185-140-A
Description: Based on review of seven children's records, the center failed to ensure that all physical exams were obtained within 30 days of starting the program.

Evidence:
1. Child # 1 started the program on 8/12/2019 and did not have a physical exam on the day of the inspection.
2. Child # 5 started the program on 7/9/2019 and did not have a physical exam on the day of the inspection.
3.Child # 6 started the program on 7/20/2019 and did not have a physical exam on the day of the inspection.

Plan of Correction: The program administrator will obtain the physical exam and will monitor records.

Standard #: 22VAC40-185-150-B
Description: Based on review of seven children's records, the center failed to ensure that all physical exams and immunizations were signed by a physician or his designee.

Evidence:

1. Children # 3, 4 and 5 did not have signatures from the physician or designee on the immunization record.

Plan of Correction: The office administrator will obtain an immunization record with all the required signatures.

Standard #: 22VAC40-185-60-A
Description: Based on review of seven children's records, the center failed to ensure that all records were complete.

Evidence:
1. Children # 5 and 6 did not have chronic physical problems completed on the enrollment form.
2. Child # 4 did not complete addresses for the two required emergency contacts.
3. Child # 3 was missing one the two required emergency contacts. The one emergency contact documented did not have a complete address.
4. Child # 2 did not have proof of birth verified.

Plan of Correction: The office administrator will work on all records to ensure that all items were obtained.

Standard #: 22VAC40-185-70-A
Description: Based on review of eight staff's records, the center failed to ensure that all records were complete with required information.

Evidence:
1. All staff records reviewed did not have an address for the emergency contact listed in their record.

Plan of Correction: The records will be monitored and all information will be obtained.

Standard #: 22VAC40-185-270-A
Description: Based on observation of the infant room, the center failed to ensure that all areas and equipment were maintained in a clean, safe and operable condition.

Evidence:
1. Observed on top of a 6 foot cabinet were three infant car seats stacked on top of each other. The car seats were teetering on top of the cabinet and posed a hazard to the infants if they fell onto the floor.

Plan of Correction: The director will have staff to move all infant car seats to another room to ensure that they are not a hazard.

Standard #: 22VAC40-185-280-D
Description: Based on observation of the infant room, the center failed to ensure that all cleaning and sanitizing materials were not be located above food, food equipment, utensils or single-service articles and shall be stored in areas physically separate from food.

Evidence:
1. In the cabinet in the infant room, there were two containers of cleaning materials that were stored with food and above single services items.

Plan of Correction: The director will have staff to move the chemicals from the top shelf to the bottom shelf and not with food or single service items.

Standard #: 22VAC40-185-290-3
Description: Based on observation of the preschool room and the infant room, the center failed to ensure that all electrical outlets had protective covers.

Evidence:
1. There were two electrical outlets in the infant room that did not have protective covers. Both were approximately four feet from the ground and not accessible to the infants.
2. There was one electrical outlet in the preschool room above the cubbies that was not accessible to the children in care.

Plan of Correction: The director will have staff to monitor all outlets and will ensure that protective covers are on at all times.

Standard #: 22VAC40-185-340-D
Description: Based on review of five staff's records and observation, the center failed to ensure that all groupings of children had a qualified program leader that was regularly present.

Evidence:
1. Staff # 4 did not have the required qualifications for program lead. Staff # 4 did not have the required six months experience or a high school diploma or equivalent and the 24 hours of training. Staff # 4 was observed on the day of inspection working as a program lead in the infant room. Staff # 4 confirmed that she was the program lead of the infant room.

Plan of Correction: The office administrator will obtain the missing information and will work with the infant room to ensure that a qualified program lead is in the grouping.

Standard #: 22VAC40-185-350-E-1
Description: Based on observation, the center failed to ensure that all staff to child ratio was met for ages birth to 16 months old.

Evidence:
1. At 10:08 the 5th infant arrived with one staff person. At 10:35 A.M. one of the infants was removed from the room this placed the classroom back into the required ratio of one staff to four infants.

Plan of Correction: The director will revamp the staff schedule to ensure that enough staff is present at all times.

Standard #: 22VAC40-185-500-A
Description: Based on observation of the infant room, the center failed to ensure that all hands were washed as required by the standard.

Evidence:
1. Child # 4 was fed a bottle and the child's hands were not washed before or after the feeding.

Plan of Correction: The director will remind staff of the standard that requires handwashing before and after eating. The director will monitor.

Standard #: 22VAC40-185-560-K
Description: Based on observation and interviews with infant staff, the center failed to ensure that all tables and high chair trays were sanitized before and after each meal or snack.

Evidence:
1. Verified with staff # 4 that the high chair trays and table was cleaned once a day with a hand wipe. The high chair trays and tables were not sanitized before and after eating.

Plan of Correction: The director will retrain the staff on cleaning requirements that are required by the standard.

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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