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Learn N' Play Child Care Center
130 Camden Street
Danville, VA 24541
(434) 835-2587

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Jan. 23, 2020

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.
63.2(17) License & Registration Procedures

Comments:
An unannounced monitoring inspection was conducted today 1/23/2019. There were thirty children present with four staff supervising the children. The inspectors arrived at 12:50 P.M. and departed the program at 4 P.M.. Five staff's and five children's records were reviewed during the inspection.

Observed children during: arrival, free play, nap and homework time.

Discussion with owner : phase 2 training in the Licensing office on February 20 and March 20.

Violations:
Standard #: 22VAC40-185-140-A
Description: Based on review of five children's records, the center failed to ensure that all physical exams were obtained within 30 days of starting the program.

Evidence:
1. Children 4 and 5 started the program on 11/18/2019 and did not have a physical exam on the day of the inspection.

Plan of Correction: The center has informed all parents with any type of missing documentation that has been requested repeatedly if it is not given
to the center by 02/07/20 the children will not be allowed to return to program until documentation is returned.

Standard #: 22VAC40-185-60-A
Description: Based on review of five children's records, the center failed to ensure that all records were complete.

Evidence:
1. Child # 1 was missing the physician and contact phone number.
2. Child # 2 was missing previous child care and chronic physical problems with allergies.
3. Children # 4 and 5 were missing one of the two emergency contact's addresses, previous child care, physician with contact phone number and chronic physical problems with allergies.

Plan of Correction: The children's records have been reviewed and updated.

Standard #: 22VAC40-185-70-A
Description: Based on review of five staff's records, the center failed to ensure that all records were complete with required information.

Evidence:
1. All staff records reviewed did not have an address for the emergency contact listed in their record.

Plan of Correction: All staff's records will be updated as needed.

Standard #: 22VAC40-185-240-A
Description: Based on five staff's records, the center failed to ensure that each staff had the orientation by the end of their first day of assuming job responsibilities.

Evidence:
1. Staff #3 was observed working with the children on the day of the inspection and did not have a documented orientation.

Plan of Correction: Staff has received orientation training

Standard #: 22VAC40-185-280-H
Description: Based on observation of the school age room, the center failed to ensure that all purses that had medications were locked and not accessible to the children in care.

Evidence:
1. Sitting on the floor of the school age room was a staff's purse. The purse was open and there was a medication in view that was not locked and accessible to the children. There were 15 school age children in the room. All of the children walked past the purse when entering the room.

Plan of Correction: All staff have been inform to keep not only their purse but all of their personal belongings either in their car or locked in a designated closet or cabinet the staff
in mention was given a verbal warning.

Standard #: 22VAC40-185-340-F
Description: Based on observation, the center failed to ensure that all children under the age of 10 was in actual sight and sound supervision of a staff person.

Evidence:
1. Upon arrival staff # 5 was in the main entrance of the building approximately 6 to 8 feet from the classroom. The staff # 5 left 11 children ages 22 months to 4 years out of sight and sound supervision for approximately 1 minute.
2. Staff # 3 was the only staff supervising the children in preschool room and was observed walking out of the room to answer the door on two occasions. Both times were less than one minute. There were 11 children ages 22 months-4 years there were not within sight and sound supervision of staff. . Staff # 3 was observed for the third time walking out of the classroom and walking to the school age room approximately 25-30 feet from the preschool classroom.

Plan of Correction: All staff have been instructed to never leave any child alone at any time for any reason and all staff will attend a mandatory training to
assure they are up to date with the Virginia Standards.

Standard #: 22VAC40-185-350-E-1
Description: Based on observation, the center failed to ensure that ratio for children from birth to age of 16 months was met.

Evidence:
1. Staff # 4 was observed with five children upon arrival under the age of 16 months. Staff # 4 stated that she usually is the only staff person with the infants every day. The required ratio was one staff to four infants.

Plan of Correction: There is an ongoing process of hiring more staff to insure proper coverage is provided to each age group.

Standard #: 22VAC40-185-350-E-2
Description: Based on observation, the center failed to ensure that all child to staff ratio was met for children 16 months to two years.

Evidence;
1. In the napping room staff # 5 was with eleven sleeping children. The ages range from 22 months to 4 years.
The ratio does not double during nap time due an extra staff person not available to help in an emergency. The required ratio for this room is one staff to five children.
2. At 2:30 P.M. the children were awake and with staff # 3. The required number of staff is 3 for the age and number of children in the room.

Plan of Correction: There is an ongoing process of hiring more staff to insure proper coverage is provided to each age group.

Standard #: 22VAC40-185-440-B
Description: Based on observation, the center failed to ensure that all cribs and cots used were assigned to the children using the crib or cot.

Evidence:
1. In the infant room child #4 was sleeping in the crib labeled for child # 6. Child # 4 did not have a crib identified for use. Child # 6 was in care on the day of the inspection.

Plan of Correction: The center has incorporated a number system that's posted on the wall to assure accurate bedding.

Standard #: 22VAC40-185-450-A
Description: Based on observation, the center failed to ensure that all children napping had a top and bottom cover as required.

Evidence:
1. Child #5 was sleeping with no top cover.

Plan of Correction: The center has provided covers for ones that have forgotten to bring.

Standard #: 22VAC40-185-500-A
Description: Based on observation, the center failed to ensure that staff and children washed hands prior to eating and being fed.

Evidence:
1. Staff # 4 was observed feeding child # 8 and both the hands of the staff person and the child were not washed before and after feeding.

Plan of Correction: The staff in question was processed with gloves were provided and staff was given a written warning.

Standard #: 22VAC40-185-550-C
Description: Based on review of the evacuation maps, the center failed to ensure that all maps had the required components.

Evidence:
1. The evacuation maps did not contain the location of the shelter in place and the procedures.

Plan of Correction: The map has been updated.

Standard #: 22VAC40-185-550-D
Description: Based on review of the evacuation drills, the center failed to ensure that all drills were completed as required by the standard.

Evidence:
1. The evacuation drill log for 2019 did not have one of the two required shelter in place drills.
2. July, October, November and December fire drills were not conducted in 2019

Plan of Correction: The center will ensure that all drills are completed.

Standard #: 22VAC40-185-570-B
Description: Based on observation, the center failed to ensure that bottles were not used while the child was in his designated sleeping location.

Evidence:
1. Infant # 4, 9 and 10 were observed in their cribs with bottles.

Plan of Correction: All staff have been informed to never give a child a bottle while lying down in the crib.

Standard #: 63.2(17)-1720.1-B-3
Description: Based on review of five staff's records, the center failed to ensure that all staff had the out of state CPS check.

Evidence:
1. Staff # 1 stated on the sworn statement that was completed on 8/1/2019 that they lived out side the state of Virginia in the past five years. An out of state CPS check is required from South Carolina.

Plan of Correction: All forms have been filled out and mailed we are now waiting on return documents.

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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