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La Petite Academy
25 Travis Lane
Stafford, VA 22556
(540) 720-0004

Current Inspector: Lorraine Hancock (540) 272-9214

Inspection Date: Dec. 12, 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(17) License & Registration Procedures

Technical Assistance:
Discussed with the Director that staff should not be offered employment until they have completed a sworn statement and received the results of their fingerprint background check.

Comments:
An unannounced monitoring inspection was conducted today from 10:30am to 2:15pm with the Assistant Director. The Director arrived at the end of the inspection. There were 49 children in care, ranging from five months to five years of age, supervised by nine staff. The infants were observed having free play and napping; toddlers were observed playing with legos; two-year-olds were observed having free play and washing their hands; older twos and younger three-year-olds were observed playing with legos and with sensory materials; three-year-olds were observed singing "Jingle Bells" to practice for their holiday show; and the prekindergarten class was observed playing in their "Homeliving" area, having sensory play, playing with toys at the tables, and doing a craft. Five children?s records and four staff records were reviewed. The Center has staff with current certification in CPR and First Aid. Six medications and authorization forms were reviewed and the center has six staff current in Medication Administration Training (MAT). The attendance and emergency drill log were reviewed. The most recent documented evacuation drill was dated 11/14/19 and the most recent documented shelter-in-place drill was dated 10/29/19. Lunch today was barbecue chicken, green beans, peaches, and milk. If you have questions regarding this inspection, please contact the Licensing Inspector, Laura Brindle, at laura.brindle@dss.virginia.gov or 540-905-2062.

Violations:
Standard #: 22VAC40-185-140-A
Description: Based on review of five children's records, the center did not obtain documentation of a physical examination by a doctor for one child within one month after attendance. Evidence: Child C, with a start date of 2/27/19, did not have documentation of a physical in their record.

Plan of Correction: Physical is obtained and updated.

Standard #: 22VAC40-185-60-A
Description: Based on review of five children's records, the center did not obtain all of the required documentation in each child's record. Evidence: 1. The records for Child A and Child B did not contain addresses for one of two emergency contacts. 2. The record for Child C did not contain documentation of the doctor's name and phone number, two emergency contacts with names, addresses, or phone numbers, or parent's authorization for medical care.

Plan of Correction: All child records are now updated.

Standard #: 22VAC40-185-70-A
Description: Based on review of four staff records, the center did not have documentation that two or more references as to character and reputation as well as competency were checked before employment for two staff. Evidence: 1. The record for Staff B, with an employment date of 10/14/19, did not contain documentation of two references. 2. The record for Staff D, with an employment date of 10/18/19, did not contain documentation of two references.

Plan of Correction: All references are up to date and printed.

Standard #: 22VAC40-185-240-A
Description: Based on review of four staff records, the center did not maintain documentation that staff received orientation training by the end of their first day of assuming job responsibilities. Evidence: The records for Staff B, with an employment date of 10/14/19, and Staff D, with an employment date of 10/18/19, did not contain documentation of orientation training.

Plan of Correction: Orientation is printed. It was completed online.

Standard #: 22VAC40-185-240-D-4
Description: Based on documentation review and interview with staff, the center did not ensure that any child for whom emergency medications have been prescribed is always in the care of a staff member who has been trained to administer the medication. Evidence: Child B has emergency rectal medication on site for seizures but there are no staff trained in administering emergency rectal medication.

Plan of Correction: Rectal training has been done with all office management.

Standard #: 22VAC40-185-270-A
Description: Based on observation, areas and equipment of the center were not maintained in a safe condition. Evidence: 1. In the older two-year-old to three-year-old class there was a green rug that was fraying around the edges causing a tripping hazard. 2. In the three-year-old class there was a broken soap dispenser on the wall that was sharp across the top where a piece was missing that posed a scratching hazard, a green rug that was fraying around the outside and posed a tripping hazard, and peeling paint on the wall by the sink. There were two closets labeled maintenance and utility in this classroom that were unlocked during the inspection and were thus accessible to the children.

Plan of Correction: Green rug will be replaced. Soap dispenser removed and being replaced. Wall will be painted. All closets are locked and double checked.

Standard #: 22VAC40-185-510-A
Description: Based on review of six medications for two children, the center did not have written parent authorization to give medication. Evidence: 1. There were two medications for Child A in the medication box, but the medication authorization forms had not been signed by the parent. 2. There four medications for Child B in the medication box, but the medication authorization forms had not been signed by the parent.

Plan of Correction: Forms are signed by parent.

Standard #: 22VAC40-191-60-B
Description: Based on review of four staff records and interview with the provider, the center did not ensure that staff completed a sworn statement or affirmation before being employed. Evidence: 1. The sworn statement for Staff A, with an employment date of 8/20/19, was dated 8/27/19. 2. The sworn statement for Staff D, with an employment date of 10/18/19, was dated 10/24/19.

Plan of Correction: Employee did not start employment without sworn disclosure. Paperwork is given prior to first day. Dates are fixed.

Standard #: 22VAC40-191-60-C-2
Description: Based on review of four staff records, the center did not obtain documentation of the results of a central registry finding within 30 days of employment for two staff. Evidence: 1. The record for Staff A, with an employment date of 8/20/19, did not contain the results of a central registry finding. 2. The record for Staff B, with an employment date of 9/26/19, did not contain the results of a central registry finding.

Plan of Correction: Central Registry was emailed to send documentation.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on review of four staff records, the center did not ensure that staff submitted to fingerprinting prior to the first day of employment. Evidence: 1. The fingerprints for Staff A, with an employment date of 8/20/19, were dated 8/26/19. 2. The fingerprints for Staff B, with an employment date of 10/14/19, were dated 10/18/19.

Plan of Correction: Paperwork is provided before first day at work. Fingerprints, TB, and sworn disclosure are all required before first day.

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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