VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Kid's World Learning Center - Ironbridge
7530 Ironbridge Road
N. chesterfield, VA 23237
(804) 275-7749

Current Inspector: Heather Dapper (804) 625-2304

Inspection Date: Nov. 21, 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. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-80 SANCTIONS. 22VAC40-80 HEARINGS PROCEDURES. 22VAC40-191 Background Checks (22VAC40-191) 32.1 Report by person other than physician 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

The licensing inspector and administration discussed Standard 22VAC40-185-210, "Program Leader qualifications" and how to provide the required documentation in staff records to show how staff meet the requirements for the position.

Comments:

An unannounced monitoring inspection was conducted on November 21, 2019 from approximately 10:45 AM to 4:15 PM to determine the facility's compliance with licensing standards. The staff to child ratios were observed as follows: Infants 2:7, Toddlers 1:5, 2 year olds 2:13, 3 year olds 2:15, 4-5 year olds 3:17. Lunch today consisted beef nuggets, bread with butter, cooked carrots, pears, and milk. All areas used for child care were inspected. The facility has age appropriate materials and supplies. The following required information was posted; the License, most recent inspection notice, emergency numbers, evacuation map/procedures, menu, daily schedules, and various parent information. The first aid kits and non-medical emergency supplies were inspected and found complete. The inspector interacted with staff and children in care. Six staff records and six children's records were reviewed. Medications were reviewed along with authorizations and allergy action plans. Staff on site have current First Aid, CPR, and DHO training. Multiple staff have MAT certification. Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return it to the licensing office within 5 business days. Your plan of correction should contain 1) steps to correct the non-compliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). If you have any questions, please contact the licensing inspector at 804-662-9092.

Violations:

Standard #:	22VAC40-185-60-A
Description:	Based on a review of six children's records, three records did not contain the required documentation. Evidence: 1. The record for Child #1 (start date 11/21/19) did not contain a second emergency contact or the address for one emergency contact. 2. The records for Child #3 (start date 10/21/19) and Child #5 (start date 10/21/19) did not contain documentation of two emergency contacts.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-70-A
Description:	Based on observation, a staff interview and a review of six staff records, three records did not contain the required documentation. Evidence: 1. The record for Staff #1(hire date 2/20/19) did not contain documentation of a job title. The licensing inspector observed Staff #1 in the role of a program lead during the inspection. Administration reported Staff #1 qualifies as a program lead. The record did not contain the documentation for the program lead educational requirements. 2. The record for Staff #2 (hire date 3/1/19) listed a job title of program lead at hire. Administration reported Staff #2 qualifies as a program lead. The record for Staff #2 did not contain the documentation for the program lead educational requirements. 3. The record for Staff #4 (hire date 11/8/19) did not contain documentation of a job title. Administration reported Staff #4 has the job title of assistant.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-450-A
Description:	Based on observation, the center failed to ensure that cots used by children during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Evidence: 1. One child napping on a cot in the three-year old class lacked a top cover and a bottom cover. 2. One child napping on a cot in the three-year old class lacked a bottom cover. 3. One child napping on a cot in the three-year old class lacked a top cover.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-500-A
Description:	Based on observation, the center did not ensure that children's hands shall be washed with soap and water after toileting and any contact with blood, feces or urine. Evidence: The licensing inspector observed a toddler being diapered in the toddler classroom. The child's hands were not washed with soap and water after diapering. Staff assisted the child with handwashing once directed by the licensing inspector.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-510-A
Description:	Based on a review of five children's medications and authorizations, two children's records did not contain authorization from the parent. Evidence: 1. Child C had an over-the-counter medication listed on a topical skin products authorization form. 2. Child E had a prescription medication listed on a topical skin product authorization form.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-510-J
Description:	Based on observation, the facility did not ensure that medication shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: In the infant classroom, the licensing inspector observed the following medications located in an unlocked drawer: Ibuprofen tablets, BC aspirin powders, Tylenol tablets, and prescription Nystatin Ointment.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-510-N
Description:	Based on a review of five children's medications and authorizations, two children's medication authorization requirements were not met. Evidence: 1. The medication authorizations for Child A expired on 1/30/19, 5/16/19, and 4/4/19. All three medications were past their expiration date as well. The medications should have been picked up by a parent within 14 days of the medication authorization expiring. If not picked up within 14 days, the medications should have been disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. 2. The over-the-counter medication observed for Child D did not have an authorization. Staff reported the child no longer attends the center. The medication had not been returned to the parent or disposed of by the center within 14 days.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-550-M
Description:	Based on a review of a sample of five injury report records, two records did not contain the required documentation. Evidence: 1. One injury report record did not contain documentation of any future action to prevent recurrence of the injury, the date and time when parents were notified, documentation of how parent was notified, and did not contain either staff and parent signatures or two staff signatures. 2. One injury report record did not contain documentation of any future action to prevent recurrence of the injury.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-191-60-C-2
Description:	Based on a review of six staff records, the licensee did not discontinue employment after failing to make contact within four business days to follow up on three staff's central registry search requests that had not been received within 30 days. Evidence: 1. The record for Staff #1 (hire date 2/20/19) contained a Central Registry finding dated 4/10/19. The record did not contain documentation of any further contact, and the staff is still employed. 2 The record for Staff #2 (hire date 3/1/19) contained a Central Registry finding dated 4/10/19. The record did not contain documentation of any further contact, and the staff is still employed. 3. The record for Staff #6 (hire date 9/5/19) did not contain a Central Registry finding. The record indicated the request was mailed on 9/5/19, there was no record of any further contact and the staff is still employed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on a staff interview and a review of six staff records, one record did not contain an Out of State Child Abuse and Neglect Search Request. Evidence: 1. The updated Sworn Disclosure Statement indicated Staff #6 (hire date 9/5/19) lived out state within the past 5 years. 2. The record for Staff #6 did not contain an Out of State Child Abuse and Neglect search request. 3. Administration reported the request had not been sent for Staff #6.
Plan of Correction:	Not available online. Contact Inspector for more information.