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New Direction Childcare & Learning Center, LLC
140 East Belt Boulevard
Richmond, VA 23224
(804) 231-7030

Current Inspector: Kelly Adriazola (804) 662-9760

Inspection Date: April 9, 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.
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Please remember that two emergency contacts other than the parent are required, regardless of living arrangements of the parents.

Comments:
An unannounced monitoring inspection was conducted 4/9/15 between the hours of 11:45 AM and 2:15 PM at which time some but not all standards were reviewed. Children were napping during the inspection and staff child ratios were checked. See the violation notice for details.

Four children's and three staff files were reviewed and the staff files were complete. Some staff members have been awarded their CDA (Child Development Associate) certification since the last inspection and the center continues to participate in the Child Literacy and Infant/Toddler programs. Standards related to transportation were reviewed and required documentation was present. Standards related to the outdoor play area were not determined due to inclement weather.

Required documents to include the license,menu, licensing notices, and evacuation plans were posted.


Enclosed is a violation notice that indicates areas of noncompliance observed from my inspection on 4/9/15. It fully documents the items we discussed at the exit meeting at the end of the inspection.

Although a reasonable period of time may be allowed for actual correction of these deficiencies, your ?description of action to be taken? for each violation, along with the ?date to be corrected,? must be returned to this office signed and dated within 10 calendar days of receipt of this letter.

As you fill in your portion of the violation notice, you will need to specify how the deficient practice will be or has been corrected. Writing the word ?corrected? is not acceptable under any circumstance. Your description of action to be taken must contain the following:

? Steps to correct the noncompliance with the standard(s);

? Measures to prevent the noncompliance from occurring again; and

? Person(s) responsible for implementing each step and/or monitoring any preventive measure(s).

This violation notice is subject to public disclosure and will be posted on the Virginia Department of Social Services? web site within 15 calendar days of your receipt of this letter, regardless of whether you return your description of action to be taken. If you have any questions, please call me at (804) 662-9769 .

Violations:
Standard #: 22VAC40-185-60-A
Description: This is a repeat of violation cited 1/23/15. Based on review of four children's records on 4/9/15, record for one child did not contain some the required emergency contact information for person to be contacted if a parent could not be contacted. Evidence: record for child#2 needs the name, street address, city/state, and phone number for a second person to be contacted in the event a parent cannot be contacted. Record listed a parent as the second contact person.

Plan of Correction: The second emergency contact was provided and updated in child?s record on 4/9/2015 at 4:00pm when child was picked up from center by the parent.

Standard #: 22VAC40-185-340-F
Description: Based on observations at the facility on 4/9/15, children under the age of 10 years were not always within actual sight and sound supervision of staff. Evidence: 1. At approximately 12:00PM, 10 children ages three and four years old were observed napping in their class and a group of 10 four year olds were napping in the hall way. There was one teacher supervising both groups but the children in the class room were not within sight and sound of the teacher. 2. There was one staff supervising a group that contained one two year old , five toddlers, and four infants. Of the four infants in care, three were napping in cribs in a separate room; the teacher was located in an adjoining room with the other children. The crib sleeping infants were not in sight and sound supervision of the teacher.

Plan of Correction: The unannounced inspection on 4/9/15 was conducted at the time of the children napping as well as two EXCELL representatives were on site concluding their observation and stopped by to update our participating program leads. These leads were standing when being debriefed by the EXCELL representatives as they were watching the children during the nap time. However, these staff members were not taken into consideration for sight and sound supervision of the children during nap time. 1. The observation was described incorrectly. That classroom located directly after the director?s office is designated for children aged 4-5 year olds while the hallway is designated for children aged three. The one teacher noted as being observed for watching both groups was actually walking between the areas. When she was being observed by the inspector, she stopped at a corner to allow the inspector and director to pass, but she then went back to walking between the two areas. Additionally the room in question had the door open with clear Plexiglas on the top half of the wall to ensure sight and sound supervision. The program lead was not sitting so she would have easy access to both areas. At the far end of the hallway the two program leads were also standing, watching the napping children. 2. For this violation, our corrective action plan is to have a staff person in the room with the crib sleeping children so the staff watching the children in the adjoining room will be supervising only the children in the room which she is supervising during nap time. We have the correct staff currently, they just were not appropriately placed during nap time because of the visit from the EXCELL representatives. In the future, I will ensure that staff can speak with visitors without having to supervise any children for periods of time over 3 minutes, or schedule a time that would be more appropriate.

Standard #: 22VAC40-185-350-C
Description: Based on observations at the facility on 4/9/15 the requirement that the staff -to-child ratio applicable to the youngest child in the group be applied to the entire group was not met in two classrooms.

Evidence: 1. In the toddler classroom during nap time there were seven children ranging in age from four months to two years supervised by one staff. The required ratio is 1:4; an additional staff person was required.

2. There were two classrooms for school age children ranging in age from 5 years to 12 years. In one class there were 26 children supervised by one staff, and in the other there were 19 children supervised by one staff. The ratio for mixed age school age children is 1:18; and additional staff person was needed in each group of school age children.

Plan of Correction: 1. As stated previously, we had the appropriate number of people working at the time, just the one that was scheduled to supervise the infant room was not in the room, but just outside of the room while the summation of the EXCELL observation was being conducted. The staff to student ratio was 1:7 which was within ratio since the children were asleep according to standard 22VAC 40-185-350 D (technical assistance). We had the staff on the premises during the children?s naptime especially since 6 of the 7 children in that room were asleep. We do not feel that this should have been cited from my interpretation of the standard and technical assistance on the standard cited. 2. Normally I am not be a designated staff person to supervise children but the staff person I had scheduled to supervise the school age children while other staff were on break was concluding her observation with the EXCELL representative at the time of the unannounced inspection on 4/9/15. As stated, I will start having a staff person available to be an administrator of the center at all times. However, as you were informed at the beginning of the unannounced inspection, I was actually supervising the school age children in the room that had the 26 children. One child was coming back from the restroom and was stopped by a staff person therefore the one child over in the classroom (cafeteria area) should have been counted for the classroom that had the 26 children. Therefore that room, had I been allowed to be in that room, would have had 27 children with two staff. The other room would have had 18 children with one staff.

Standard #: 22VAC40-185-510-G
Description: Based on review of documentation on 4/9/15 medication was not administered by staff with current certification in Medication Administration Training. Evidence: Reviewed on 4/9/15 was medication authorization for child #2 dated 1/21/15 at which Albuterol was documented as given by staff #3. Per interview with program director, medication was administered by staff #4 who is MAT certified but staff #3 is the child's teacher. Per her statement the practice is to list the name of the teacher when the medication is administered. Staff #3 who was listed under "given by" on the form does not have MAT training.

Plan of Correction: The corrective action this violation is to ensure the MAT certified staff administer and sign the medication authorization forms and not the teachers. The MAT certified staff did administer the medication but the teacher actually signed as witnessing the medication being given. The new process is to have only the signature of the MAT certified staff person sign any medication administration forms unless the medication is approved for non-MAT certified staff application i.e. over the counter ointment.

Standard #: 22VAC40-185-540-C
Description: Based on observations at the facility on 4/9/15, the first aid kit located on the bus used to transport children did not contain some of the required components. Evidence: the first aid kit observed on the bus was a kit that came pre-stocked and it did not contain the following required components: scissors, tweezers, antiseptic cleansing solution, and thermometer. Observed corrected during the inspection.

Plan of Correction: The corrective action was done during the inspection to add the necessary required components as it is the center?s practice to have extra needed supplies for all first aid kits to remain in compliance at all times. We added the items to the bus?s kit immediately and it was noted as such.

Standard #: 22VAC40-185-550-D
Description: Based on review of documentation on 4/9/15 for 2014, the center did not conduct/document one of the two required shelter-in-place drills for the year. Evidence: Review of files revealed only one shelter-in-place drill was conducted in 2014 and it was conducted 9/5/14.

Plan of Correction: Our normal procedure is to have two shelter-in-place drills done twice a year and the last one is scheduled at the same time our alarm company comes out for inspection. The shelter-in-place was to be done by 12/30/2014 but the alarm company had to reschedule their visit until 1/2/2015 which was the day the second shelter-in-place was conducted for year 2014-2015. The DSS standard does not specify the time period for a year, so we have practiced this schedule for many years. We complete the two shelter-in-place drills annually, just not on the calendar year as we are being cited for this violation.

Standard #: 22VAC40-185-550-F
Description: Based on observations at the facility on 4/9/15 , the required emergency phone numbers were not posted in a visible place at one phone. Evidence: The emergency phone numbers to include 911 and the number for the regional poison control center were not posted near the phone located in the trailer. Observed corrected during the inspection.

Plan of Correction: This violation was corrected the same day as the emergency contact list had fallen off the wall and was behind the bookcase underneath the normal place on wall this information is stored in the trailer.

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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