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Cadence Academy Preschool
9807 Patriot Highway
Fredericksburg, VA 22407
(540) 834-0060

Current Inspector: Beth Velke (804) 629-8302

Inspection Date: Nov. 25, 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.
22VAC40-191 Background Checks (22VAC40-191)
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Comments:
An unannounced Monitoring Inspection was conducted today from 8am to 10am. There were 69 Infants to School-Age directly supervised by 11 staff. The physical plant, 3 staff records, 7 children?s records, 5 children's medications and medication authorization records, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed participating in circle time, arriving to care, school-agers were leaving for school, and children were observed interacting positively with staff. Diapering and hand-washing procedures were also observed. There was a sufficient supply of books, toys, and materials for the children. There was an adequate number of staff with current certification in MAT, CPR and First Aid, as well as DHO training. Staff-to-child ratios were in compliance. The center was clean and organized. Areas of non-compliance are identified in this report. If you have any questions regarding this inspection, please contact the Licensing Inspector. Keesha Minor (keesha.minor@dss.virginia.gov) or 540-340-2672.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on review, the facility did not ensure that children's records were maintained with the required information.
Evidence: Reviewed 7 children's records and found that:
1) Child 2 did not have documentation of the first day of attendance.
2) Child 4 and 7 did not have documentation of parent work contact information.
3) Child 1 and Child 4 did not have documentation of complete addresses for emergency contacts.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-70-A
Description: Based on review, the facility did not ensure that staff records were maintained with the required information.
Evidence: Reviewed 3 staff records and found that:
1) None of them had documentation of references in their files.
2) Staff 1 did not have documentation of emergency contact information

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-270-A
Description: Based on observation, the facility did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.
Evidence:
1) Observed in the Infants 1 room a toy phone that was broken on the bottom, with tape that was coming off.
2) Observed crumbling drywall in the Language and Literacy Room
3) Observed in the Twos classroom several sensory bottles with liquid and small objects inside with tops that were not glued and were easy to open.
4) Observed in the Twos classroom a hole in the wall.
5) Observed in the Twos classroom, peeling paint.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-290-3
Description: Based on observation, the facility did not ensure that electrical outlets have protective covers.
Evidence: Observed in the Twos classroom, an electrical outlet without a protective cover.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-510-A
Description: Based on review, the facility did not ensure that medication authorizations were valid.
Evidence: Reviewed 5 children's medication authorization forms and found that 2 had expired authorizations: 1 for Med Child 2 expired 1/18/19 and 1 for Med Child 5 expired in June 2019.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-510-C
Description: Based on review, the facility did not follow procedures for expired medications.
Evidence: Observed that there were 4 expired medications in the medicine box: 2 expired in July one in May and one in September.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-550-M
Description: Based on review, the facility did not ensure that a written record of children's injuries were maintained with the required information.
Evidence: Reviewed 10 injury reports and found that 6 did not have documentation of time parents were notified.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-560-G
Description: Based on review, the facility did not ensure that when food is brought from home, it is labeled and dated.
Evidence: Reviewed a child's lunchbox in the STEM classroom and found that it did not have a date.

Plan of Correction: Not available online. Contact Inspector for more information.

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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