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Light Years Child Development Center, Inc.
725 East Liberty Street
Unit A, B & C
Norfolk, VA 23523
(757) 747-8710

Current Inspector: Jeffrey Harris (757) 409-4668

Inspection Date: April 23, 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.
22VAC40-80 SANCTIONS.
22VAC40-80 HEARINGS PROCEDURES.
32.1 Report by person other than physician
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was conducted from 10:55 a.m. to 1:35 p.m. At the time of entrance the following adult to child ratios were observed: 12 infants, ages 6 weeks to 15 months old, with 2 staff 8 children, ages 22 months to 2 years old, with 2 staff (leaving on walk) 11 children, ages 3 to 4 years old, with 1 staff (combined group of 19 children 22 months to 4 years returned from walk with 3 staff) The records sample size consisted of 4 children?s records and 5 staff records. Children were observed leaving and returning from a neighborhood outing to the library on foot, washing hands, eating lunch which consisted of chicken nuggets, french fried potatoes, pineapple bits, bread and milk, and resting quietly on cots. Infants were observed being bottle fed, eating lunch (meatballs, mashed potatoes, pineapple bits, bread and milk) at the table and being fed in high chairs, sleeping in cribs, sitting in infant chairs, crawling and playing with floor toys and being held and rocked. Medication administration was not observed. Areas of non-compliance are identified on the violation notice. Thank you for your time during today's inspection. Please do not hesitate to contact me if I may be of assistance. Upon receipt of the inspection documentation, the licensee must develop a plan of correction for each violation. The plan of correction must include the following: ? The steps to correct noncompliance with the standard(s); ? Measures to prevent reoccurrence of noncompliance; ? Person(s) responsible for implementation and monitoring of preventive measure(s); ? Date by which noncompliance will be corrected. The licensee will have ten calendar days from receipt of the inspection documentation to complete the section titled Plan of Correction, sign each page of the documentation and return it to the Licensing Office.

Violations:
Standard #: 22VAC40-185-140-A
Description: Based on a review of records, the licensee did not ensure that each enrolled child has a physical examination by or under the direction of a physician. Evidence: 1. Of four children's records reviewed, the record for child #1, who was enrolled at the center 9/4/13, did not contain the results of a physical examination. 2. Staff C (program director) was unable to locate documentation during the inspection which demonstrated that an examination had been conducted for child #1.

Plan of Correction: The following written response was received in the licensing office on 5/28/15: The parent was contacted and an updated physical examination report completed by the physician was requested. The director will complete a checklist for each child documenting all items needed to complete the enrollment process.

Standard #: 22VAC40-185-340-C
Description: Based on observation and interview, the licensee did not ensure that children are always, on premises and on field trips, in the care of one staff member who meets the qualifications of a program leader or program director and another immediately available staff member, volunteer or other employee who is at least 16 years of age, with direct means for communication between the two of them. Evidence: 1. At the time of the inspector's arrival to the center at 10:55 a.m. a group of 8 children, ages 22 months to 2 years old, were leaving on a walking outing with 2 staff (Staff D and Staff F). Staff E stated that these children were joining an older group of children who were already at the neighborhood public library. 2. When the combined group returned to the center at 11:45 a.m. there were 19 children, ages 22 months to 4 years old, returned to the center with 3 staff (Staff D, Staff E and Staff F). 3. Staff D, E and F verified that Staff E took the group of 11 preschool children (ages 3 to 4 years) alone with no other staff, on the walking outing before the younger group joined them once they were at the library.

Plan of Correction: The following written response was received in the licensing office on 5/28/15: Qualified staff will be hired to ensure that when on or off of the premises we are in compliance with the required regulations. In the event that the person is unavailable the director will step in to assist the class.

Standard #: 22VAC40-185-350-C
Description: Based on observation and interview, the licensee did not ensure that when children are in mixed age groups, the staff-to-children ratio applicable to the youngest child in the group are met. Evidence: 1. At the time of the inspector's arrival to the center at 10:55 a.m. a group of 8 children, ages 22 months to 2 years old, were leaving on a walking outing with 2 staff (Staff D and Staff F). Staff E stated that these children were joining an older group of children who were already at the neighborhood public library. 2. At 11:45 a.m. the combined groups consisting of 19 children, ages 22 months to 4 years old, returned to the center with 3 staff (Staff D, Staff E and Staff F). The required ratio for the youngest child present in the combined age group (22 months old) is 1 staff per every 5 children. A fourth staff would be necessary to meet this ratio with 19 children present. 3. For 17 minutes (from 11:53 a.m. until 12:10 p.m.)19 children, ages 22 months to 4 years old, stood in a narrow hallway off of the preschool calssroom with two staff (Staff D and Staff E) as children went, one by one, into the two restrooms to wash their hands. Children were bumping into each other, a child was observed hitting another child in line and 4 different children were crying at some point during the 17 minute time period. 4. From 12:10 p.m. until 12:55 p.m.19 children, ages 22 months to 4 years old, sat at tables eating lunch with 3 Staff (Staff C, Staff E and Staff F). 5. At 12:55 19 children, ages 22 months to 4 years old, settled onto cots for rest time with 2 staff present.

Plan of Correction: The following written response was received in the licensing office on 5/28/15: A training will be conducted to ensure the understanding of ratios when children are in mixed age groups. The Director will confer with staff members to ensure compliance

Standard #: 22VAC40-185-350-E-1
Description: Based on observation and interview, the licensee did not ensure that the ratio of children to adults does not exceed four children from birth to 16 months old per staff member. Evidence: 1. At the time that the inspection began at 10:55 a.m. there were 12 infants, ages 6 weeks old to 15 months old, present in the infant classroom with 2 staff (Staff A and Staff B) . Five of the infants were sleeping and 7 infants were awake. The infants who were awake were being held and bottle fed, sitting in infant activity seats, crawling and toddling and playing with floor toys on the rug. One of the two staff was feeding two infants in high chairs. A third staff (Staff C) was in the adjacent kitchen preparing meals. 2. The third staff could hear the activity in the infant room and was able to see into the infant room over the bottom half door which separated the 2 areas. However, her back was to the classroom while she faced the counter preparing food and she entered the infant classroom only twice between 10:55 a.m and 12:10 p.m. to bring food in to the classroom for children. 3. At 12:10 p.m. an additional staff (Staff D) arrived and entered the infant classroom bringing the ratio of children to adults into into compliance with 12 infants and three staff present. However at 12:30 p.m. , Staff D exited the infant classroom when Staff E, from the preschool classroom, requested her help moving tables and putting out preschool rest mats. The ratio in the infant classroom was, again, out of compliance with 12 infants and 2 staff present. 4. At 12:55 p.m. Staff C returned to the infant classroom and brought the ratio back into compliance with 12 infants and 3 staff present. 5. When asked why there were not sufficient staff present to adequately cover the required ratios of staff to children, Staff C stated that one staff person resigned without proper notice. Administrative staff had been interviewing to fill the vacancy when another staff called out sick on the present date. Volunteer staff (Staff A and Staff D) had been called in to assist but there were still not enough staff available to meet the required ratios when Staff C had to step out of ratio to prepare, serve and cleanup for meals and snacks.

Plan of Correction: The following written response was received in the licensing office on 5/28/15: A training will be conducted to ensure the understanding of adult to child ratio. Staff will be hired to ensure compliance.

Standard #: 22VAC40-185-350-E-4
Description: Based on observation and interview, the licensee did not ensure that for children from three years old to the age of eligibility to attend public school, that a ratio of one staff member for every 10 children is maintained. Evidence: 1. At the time of the inspector's arrival to the center at 10:55 a.m. a group of 8 children, ages 22 months to 2 years old, were leaving on a walking outing with 2 staff (Staff D and Staff F). Staff E stated that these children were joining an older group of children who were already at the neighborhood public library. When the children returned to the center at 11:45 a.m. the inspector observed 19 children, ages 22 months to 4 years old, with 3 staff (Staff D, Staff E and Staff F). 2. Staff D, E and F verified that Staff E initially took the group of 11 preschool children (ages 3 to 4 years) on the outing without additional staff.

Plan of Correction: The following written response was received in the licensing office on 5/28/15: A training will be conducted to ensure that adult to child ratio is maintained at all times. Staff will be hired to ensure compliance.

Standard #: 22VAC40-185-570-E
Description: Based on observation and interview, staff did not ensure that prepared infant formula was refrigerated. Evidence: 1. The inspector observed 4 bottles and 6 infant "sippy" cups containing formula or milk sitting on a shelf in the infant classroom. 2. When asked if these were formula bottles prepared at home by parents and brought to the center for children's consumption, Staff B confirmed that this was the case. 3. When asked why the bottles and cups of formula or milk were not being refrigerated, Staff B stated that the parents said they do not want the formula refrigerated but want it fed to the infants at room temperature.

Plan of Correction: The following written response was received in the licensing office on 5/28/15: All prepared formula will be refrigerated, dated and labeled with the child's name upon arrival. Any formula left out will be documented with the time and discarded after 2 hours.

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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