VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Little Tin Soldiers Educational Center
199 East Mercury Boulevard
Hampton, VA 23669
(757) 727-0780

Current Inspector: Tiffany Jones (757) 403-3045

Inspection Date: Oct. 3, 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.

Technical Assistance:

Discussed cleanliness, USDA requirements, and children records.

Comments:

An unannounced monitoring inspection was conducted October 3, 2019. There were 14 children present upon arrival to the center with five staff members. The inspection was conducted from 10:50am-2:32pm. Additional staff arrived throughout the course of the inspection who were on site for administrative and support purposes. The children were observed outside time , eating lunch and napping. Five children's records were reviewed. Five staff records were reviewed. Medications are currently not being administered. The exit interview was conducted with the Program Director.

Violations:

Standard #:	22VAC40-185-60-A
Description:	Based on record review, in one of five children's records reviewed, the licensee did not ensure that each child's record was maintained with all required information. Evidence: The record for Child #4 ( start date 9/16/2019) did not include documentation name, home address, and home phone number of each parent who has custody and both emergency contact complete addresses.
Plan of Correction:	The children's record was updated on the day of the ispection.
Standard #:	22VAC40-185-70-A
Description:	Based on record review, in two of five staff records reviewed, the licensee did not ensure that each staff record was documented with all required information. Evidence: There was no documentation of two or more references in the records for Staff #5.
Plan of Correction:	The references were found in in a different folder. The references are in Staff#5 record.
Standard #:	22VAC40-185-270-A
Description:	Based on observation and inspection of the facility, the licensee did not ensure that all areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. Outside play area, the fence was detached and leaning cause possible tipping hazard. 2. Outside play area, there was green and tan plastic toy kitchen cracking with pinching points can cause entanglement of clothing and snag skin. 3. Outside play area next to the children play house on the side of the building there is blue and white peeling paint, deteriorating, cracking and splintering of the wooden window frame, paneling detaching from the building causing a possible pinching points, white peeling paint and two protruding nails on the outside door frame going into the storage area. 4. Inside the building, in the girls bathroom there was a toilet not operable because tank was cracked and in the boys bathroom there was a diapering table rail was broken. 5. Inside the building in the Busy Bee room, the metal door frame is detaching from the wall possible cause entanglement of clothing and snag skin, and rust flaking from the bottom of door frame.
Plan of Correction:	Will have the maintenance man to fix the fence, cracking of the building, splintering of the frame and peeling paint and protruding nail. The toy kitchen was put in the trash. Maintenance order was submit for the toilet to be fixed. The diapering table was thrown away.
Standard #:	22VAC40-185-280-B
Description:	Based on observation, the licensee did not ensure hazardous substances be kept in locked place using a safe locking method that prevents access by children. Evidence: There was liquid soap in the infant classroom labeled "Keep out of reach of children" and "warning." The liquid soap was not kept in locked place using a safe locking method .
Plan of Correction:	The center will put the soap under the sink in a locked area.
Standard #:	22VAC40-185-280-G
Description:	Based on staff interview and observation, the licensee did not ensure the substitute containers clearly indicate their contents. Evidence: In the infant room, there was a spray bottle with blue bubbly liquid without a label. Staff #1 did not know what was in the spray bottle.
Plan of Correction:	The label was put on the soap water that day.
Standard #:	22VAC40-185-290-3
Description:	Based on observation, the facility did not ensure electrical outlets have protective covers Evidence: 1) In multi-purpose room under the table against the wall there was two electrical outlets without a protective cover. In the multipurpose room there was a power strip with one electrical outlet cover without the protective cover. 2) There was a power strip with one electrical outlet without a protective cover in the infant classroom.
Plan of Correction:	The outlets were covered after the inspection.
Standard #:	22VAC40-185-420-E-1
Description:	Based on record review and staff interviews, the licensee did not ensure for each infant, a posted daily record which is easily accessible by both the parent and the staff working with the child. Evidence: In the infant room there was not a posted daily record. Staff #1 stated there was not a posted daily record. Program director stated the daily record was done but not posted and accessible to the staff in the infant room.
Plan of Correction:	The daily records are posted. I purchased a dry erase board for daily activities.
Standard #:	22VAC40-185-550-D
Description:	Based on review, the center did not implement monthly practice evacuation. Evidence: There was not documentation of September 2019 monthly practice of evacuation drill.
Plan of Correction:	It was corrected. The date was documented and was completed when fore inspection was completed.
Standard #:	22VAC40-185-550-M
Description:	Based on 4 of 4 injury reports reviewed, the licensee did not ensure required information is documented in written record of minor injuries. Evidence: The injury record for child #6 ( injury date 6/6/2019 ), child #7 (injury date 6/10/2019), child #9 ( injury date 8/23/2019) was missing time parents were notified and second signature on the injury record. The injury record for child #8 ( injury date 8/6/2019) was missing time parent was notified..
Plan of Correction:	In the future there will be two signature and a time recorded.
Standard #:	22VAC40-185-560-G
Description:	Based on the inspector's observations, the licensed did not ensure when food is brought from home clearly dated and labeled in a way that identifies the owner;. Evidence: In the refrigerator and freezer there was breast milk in a pouch. The pouches were not dated and not labeled with the child's name.
Plan of Correction:	The parent will make sure the labels and dates are on all food.