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Just Kids Child Development Center
120 Shavers-Johnson Street
Danville, VA 24540
(434) 793-2404

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: April 22, 2015

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.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
There was discussion with the director/owner about the application for renewal which has not been submitted to the Division of Licensing programs office.

Comments:
An unannounced renewal inspection was completed on 4/22/15. There were 44 children present from 18 months through five years in five groupings with nine staff directly supervising. Thirty-eight school-aged children arrived between 2:15 pm and 4:00 pm. Seven children's records and five staff records were reviewed. The inspector arrived at the center at 8:15 am and departed at 6:00 pm. The children were observed during arrival, during free play times, during outside times, during lunch, during rest, and during afternoon activities. There was discussion with the director about the following: how the center is providing direct supervision of staff for staff who have not had a completed Criminal Record Check, staff practices during the children's lunch, having information required by Standard 580-C.5 in a conspicuous location, requirements of Standard 550-H (van emergency plans, shelters, hospitals, evacuation routes).

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on record review, the center failed to ensure that one of four newly enrolled children had documentation of immunizations prior to the child attending the center. Evidence: 1.There was a fax cover sheet dated by a person from a local child health clinic as 4/10/15 (handwritten on fax cover sheet) referencing an immunization record for child #3. There was also a date stamp from the fax machine on each page of the documents faxed by the clinic of 4/10/15 which was for child #3. Child #3 had a documented first date of attendance of 4/9/15.

Plan of Correction: All information for children's enrollment for future will be required before the child attends.

Standard #: 22VAC40-185-130-C
Description: Based on record review, the center failed to ensure that one of three children's record that needed an updated immunization record between the child's fourth and sixth birthday had documentation of this update. Evidence: 1.The record of child #7 did not have documentation of an update of immunizations between the child's fourth and sixth birthday. The child was six years old as of 9/10/12. The last documentation of an immunization was 6/4/08.

Plan of Correction: The director will have the parent provide the updated immunization record. In the future, when children begin public school the parents will be required to bring the updated immunization record to the scheduled parent meeting.

Standard #: 22VAC40-185-140-A
Description: Based on record review, the center failed to ensure that one of three newly enrolled children had a physical examination prior to attendance or within 30 days after attendance. Evidence: 1. There was no physical examination in the record of Child #4 who had a documented first date of attendance of 2/2/15.

Plan of Correction: The executive director will request this from the parent. In the future, all information for newly enrolling children will be required prior to the child attending.

Standard #: 22VAC40-185-140-B
Description: Based on record review, the center failed to ensure that one of three newly enrolled children had a physical examination within the time frame required for the age of the child (physical examination completed prior to attendance). Evidence: 1.Child #2 who was 18 months at the time of enrollment (first date of attendance documented as 3/9/15) had a physical examination completed 9/12/14. The Standards require that a physical examination be completed within three months prior to attendance for a child aged seven months through 18 months.

Plan of Correction: For future, the executive director will ensure that physical examinations are completed within the time frame required based on the age of the child.

Standard #: 22VAC40-185-160-A
Description: Based on record review, the center failed to ensure that one of three new staff had a completed tuberculosis (TB) test within 21 days of employment or within 12 months prior to employment. Evidence: 1.The only TB test observed in the record of staff #3 was dated by the health care provider as 9/13/14. Staff #3 had a documented hire date of 9/4/13.

Plan of Correction: All staff will be required to have all information submitted prior to hire.

Standard #: 22VAC40-185-60-A
Description: Based on record review, the center failed to ensure that six of six children's records were completed as required by the Standards. Evidence: 1.The record of child #1 was missing documentation of a first date of attendance. All paperwork was signed by the parent 1/16/15 and 1/21/15. There was no work phone number documented for the father of child #1. 2.The record of child #2 was missing documentation of allergies, if any. 3.The record of child #3 was missing the mother's work phone number. 4.The records of children #5,6 were not updated annually as required. Child #5's first date of attendance was 9/21/06 last update of the information required to be updated annually by the parent was 3/2010. Child #6's first date of attendance was 1/3/11 last update of information required to be updated annually by the parent was 12/2010.

Plan of Correction: Some of the information was documented during the inspection. The director will get the rest of the information documented by the parents. The records of children #5,6 will be updated in June when all other records are updated. In the future, two meetings each year will be scheduled with parents to update information on the children. Policies will be changed on enrollment of children to give administrative staff time to review paperwork to ensure it is complete.

Standard #: 22VAC40-185-70-A
Description: Based on record review, the center failed to ensure that five of five staff records were complete as required by the Standards. Evidence: 1.The record of staff #1 was missing an address for the staff person's emergency contact for the staff person. The current Sworn Statement of the staff person was not completed. Staff #1 documented hire date was 7/1/92. 2.The references for staff #2 did not include documentation of the firm of the person giving the reference for the staff person. Staff #2 documented hire date was 2/24/14. 3.The record of staff #3 did not include documentation of health information as required by the Standards. The two references for staff #3 were completed 9/4/14. The references for staff #3 did not include documentation of the firm of the person giving the reference for the staff person. Staff #3 documented hire date was 9/4/13. 4.The record of staff #4 did not include an address for the staff person's emergency contact. The references did not include documentation of the firm contacted who was giving the reference for the staff person. The current Sworn Statement of the staff person was not completed. Staff #4 documented hire date was 10/26/14. 5.The record of child #5 did not have documentation of references required prior to hire. Staff #5 was present and working during the inspection. The current Sworn Statement of the staff person was not completed. Staff #5 documented hire date was 4/17/15.

Plan of Correction: The program director and executive director will update and complete all information. In the future, all information will be required to be completed prior to hire.

Standard #: 22VAC40-185-280-B
Description: Based on observation, the center failed to ensure that all hazardous substances were locked. Evidence: 1.There were multiple hazardous substances observed in an unlocked cabinet on the wall in one of the bathrooms used by the children at approximately 8:30 am. There was no lock on the cabinet. The cabinet was approximately four feet high on the wall and contained an aerosol spray can of disinfectant spray, a spray solution of tub and shower cleaner (32 oz spray that was 1/4 full), a large (30 oz) pump of germicidal cleansing agent (hand sanitizer) that was 1/4 full, and a full spray bottle of soap and water solution. Three of the four contained "Keep Out of the Reach of Children" and another caution that the product was of a harmful nature.

Plan of Correction: This was corrected during the inspection. In the future, the cook will be responsible for daily physical plant tours to ensure this is in compliance.

Standard #: 22VAC40-185-420-A
Description: Based on record review and interview with the director, the center failed to ensure that all required policies and procedures were provided to the parents in writing prior to the child's first day of attending. Evidence: 1.The following required policies/procedures were not in writing to be provided to the parent: a phone number for the center where a message can be given to staff, procedures for verifying that only persons authorized by the parent are allowed to pick up the child, when a child is not picked up for emergency situations including but not limited to inclement weather or natural disasters, the center's policy regarding application of diaper ointment, the custodial parent's rights to be admitted to the center as required by CODE of VA 63.2-1813, discipline policies including acceptable and unacceptable discipline measures, policy for reporting child abuse and neglect as required by CODE of VA 63.2-1509.

Plan of Correction: The program director will revise the parent handbook.

Standard #: 22VAC40-185-500-B
Description: Based on observation of diaper changes, the center failed to ensure that the diapering surface was cleaned and sanitized as required. Evidence: 1.Two diaper changes were observed to be done by one staff person between 12:02 pm and 12:08 pm. The diapering surface area was not cleaned after either of the diaper changes. The diapering surface was not sanitized as required. The surface was sprayed with a disinfectant spray in which the manufacturers instructions for sanitizing a surface state allow to dry for 30 seconds prior to wiping dry. The staff person sprayed the disinfectant spray on the surface and immediately wiped the surface completely dry (less than 10 seconds after spraying).

Plan of Correction: The director will review proper diapering procedures with all staff. The director and assistant will monitor that this is done routinely.

Standard #: 22VAC40-185-510-J
Description: Based on observation, the center failed to ensure that all medication was locked. Evidence: 1.There were four prescription medications and one over-the-counter "drug free" medication (melatonin) observed to be unlocked in a zipper lunch bag used for storage and transport. The unlocked zippered bag was kept on the top of a toy shelving unit that was between three and four feet in height during the inspection. There were approximately 50 tablets total in four of the bottles and approximately 10 capsules of one of the prescription medications. 2.There were two individual packets of two tablets each non-aspirin pain relief in the first aid kit on van #4 that was unlocked.

Plan of Correction: This was corrected during the inspection. All medication was removed from the unlocked areas. For future, all staff personal items (medications) will have to be locked in their locker. Van drivers will be required to check first aid kits monthly.

Standard #: 22VAC40-185-540-C
Description: Based on observation, the center failed to ensure that all required items were in the first aid kits located on the vans used for before and after school transportation and for field trips. Evidence: 1.Van #4 was missing the following required supplies in the first aid kit: second triangular bandage, first aid manual. 2.Van #5 was missing the following required supplies in the first aid kit: first aid manual.

Plan of Correction: The supplies will be added to the first aid kits. For future, van drivers will be required to check the kits for all required supplies at least monthly.

Standard #: 22VAC40-185-560-K
Description: Based on observation, the center failed to ensure that tables used for feeding were sanitized before and after use. Evidence: 1.One group of 10 children were observed eating lunch at one table from 11:00 am until 11:22 am. A second group of children were observed eating lunch at the same table at 11:30 am. The table was not sanitized after use of the first group or before use by the second group.

Plan of Correction: The director will remind the cook about sanitizing the tables in between lunches. The director will monitor that this is done daily.

Standard #: 22VAC40-191-60-B
Description: Based on record review, the center failed to ensure that five of five staff had a completed Sworn Statement (SS) or Affirmation prior to being employed. Evidence: 1.The Sworn Statement (SS) for staff #1 that was dated 4/22/13 was not complete. There was no disclosure if there were any convictions of child abuse or neglect outside of Virginia (VA). 2.The SS for staff #2 was not completed prior to employment. Staff #2 first date of employment was 2/24/14 and the SS was completed 11/6/14. 3.The SS for staff #3 was not completed prior to employment. Staff #3 first date of employment was 9/4/13 and the SS was completed 9/19/13. 4.The SS for staff #4 that was dated 9/23/14 was not complete. There was no disclosure if the staff had any criminal conviction outside VA. 5.The SS for staff #5 that was dated 4/17/15 was not complete. There was no disclosure if the staff had any criminal conviction outside VA.

Plan of Correction: All Sworn Statements will be completed by staff. The executive director will review the forms in the future when they are completed by staff to ensure the forms are completely filled out.

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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