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Creative Critters IV
159 Kristiansand Drive
Williamsburg, VA 23185
(804) 477-4895

Current Inspector: Tiffany Harris (757) 403-3045

Inspection Date: Nov. 5, 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 Facilities & Programs.

Comments:
The licensing inspector conducted an unannounced monitoring inspection on Tuesday November 5, 2019 between 11:00 am pm to 4:00 pm to determine the provider's compliance with licensing standards at the child day center. During this inspection, there were 37 children and 9 staff present including an administrative staff to assist as needed. The licensing inspector completed observations of the children in care engaged in active play at playground area, transitioning indoors, participating in circle time activities to include story time, playing with age appropriate toys, preparing for lunch, bathroom breaks/handwashing, eating lunch,and participating in centers.The children's lunch today consisted of toquitos, broccoli, bananas, and milk. The Pre-K area located in a separate building was inspected today. There were eight children's and six staff's records reviewed during this inspection. If you have any questions about this inspection, please contact the licensing inspector, Tiffany Harris, at (757)-403-3045.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on review of children's record and interview with staff, the center did not ensure to obtain documentation of immunizations before the child attend the center.
Evidence: In Child#5's record (start date: 9/30/19) there was no documentation of immunizations found. Interview with center's staff confirmed there was immunization record for review during the inspection.

Plan of Correction: The center has notified parents twice requesting documentation. If documentation has not been received by 11/12/19 services will be terminated.

Standard #: 22VAC40-185-140-A
Description: Based on review of children's record and interview with staff, the center did not ensure to to obtain a physical examination for each child within one month.

Evidence: In Child#5's record (start date: 9/30/19) there was no documentation of a physical examination found in the record. Interview with center's staff confirmed that physical documentation was not available for review during the inspection.

Plan of Correction: The center has notified parents twice requesting documentation. If documentation has not been received by 11/12/19 services will be terminated.

Standard #: 22VAC40-185-270-A
Description: Based on observation at the center, the center did not ensure all areas/equipment inside/outside were maintained in a clean, safe, and operable condition.

Evidence:
1. In Caterpillar 1 classroom, there was a green area rug that was not secure properly creating a tripping hazards.
2. At the outdoor playground, there was a green alligator attached to wooden brick wall with a crack with sharp edges which was accessible to the children.
3. Exhibit #1 and Exhibit #2 photographs taken of observations at the center during inspection.


Evidence:

Plan of Correction: The center will remove the alligator toy by the end of the week. The rug will get a pad to secure it by Friday, November 8, 2019.

Standard #: 22VAC40-185-350-E-2
Description: Based on observation at the center and interview with staff, the center did not ensure to follow the required staff to children ratios.

Evidence: In the Caterpillar 2 classroom, Child#7 (23 months) was present in the group and the required ratios for 16 months to 2 years is one staff/5 children. The ratios for this group was one staff/8 children during the inspection. Interview with staff confirmed child's age and plans for transitioning,however required documentation was not available for review during the inspection and the ratios for this group applies.

Plan of Correction: The center will speak to the mother this evening to obtain required documentation and ensure all other supporting documents by Monday, November 11, 2019.

Standard #: 22VAC40-185-500-B
Description: Based on observation and interview with staff, the center did not ensure diapering surface are used only for diapering or cleaning children.

Evidence:
1. In Caterpillar 2 classroom, the diapering surface was observed with a pumpkin and clothing article placed on top. 2. Interview with staff confirmed the diapering surface is actively being used by children in care.
3. Exhibit #1 photograph of observation during the inspection.

Plan of Correction: The center will train staff on keeping diapering area free of all items.

Standard #: 22VAC40-185-540-E
Description: Based on review of emergency supplies, the center did not ensure to maintain a working battery operated radio at the center.

Evidence: During the inspection, the center did not have a working battery operated radio after two attempts of radios at the site.

Plan of Correction: The center will purchase another radio for emergency supplies for both building.

Standard #: 22VAC40-185-570-A
Description: Based on observations at the center, the center did not ensure when a child is placed in an infant seat or high chair, the protective belt shall be fastened securely.

Evidence: In the Cuddlebug 2 classroom, Child#3 was observed being fed while at feeding table/seat by staff and the protective belt was not fastened. Interview with staff confirmed Child#3's protective belts were not fastened during the inspection.

Plan of Correction: The staff will be training on safety procedures by straping all babies regardless of their size.

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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