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Children of America Deacon Road
2 South Pointe Lane
Suite 105
Fredericksburg, VA 22405
(540) 373-9929

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: June 4, 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:
* Positive redirection and appropriate voice tone

Comments:
An unannounced monitoring inspection was conducted with center director and center staff. There were 111 children present ranging in age from 7 months to 5 years old. Four children's files and six staff files were reviewed - please see Supplemental Summary for missing items. Emergency medications for three children were reviewed. The children were engaged in a variety of activities including listening to a story, making ice cream cones with painted hand prints, eating lunch, practicing for graduation celebration, and preparing for rest. Lunch served today: peas, fish sticks, pears, and milk. Time of today's inspection: 10:30 a.m. to 3:00 p.m. Please call me if you have any questions 540-219-4122 or e-mail tara.barton@dss.virginia.gov.

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on review of staff files, the facility did not have documentation of a tuberculosis test or screening within 21 days of employment. Evidence: Staff A (date of hire 9/10/2014) did not have documentation of a tuberculosis test or screening.

Plan of Correction: Informed staff member of TB test. Sent staff home. Staff may not return until documentation provided.

Standard #: 22VAC40-185-60-A
Description: Based on review of children's records, the facility failed to have all of the required information in each file. Evidence: Child A and Child B did not have documentation of a second required emergency contact name, address and phone number.

Plan of Correction: Contacted families for required information.

Standard #: 22VAC40-185-80-A
Description: Based on review of classroom attendance records, the facility failed to maintain an accurate written record of children in attendance. Evidence: on 6/4/2015, there were 17 children marked as present in the Pre-K A classroom; however, there were 19 children present in the classroom.

Plan of Correction: Corrected during inspection: staff corrected the written record of attendance.

Standard #: 22VAC40-185-270-A
Description: Based on observation, the facility failed to maintain areas of the center in a clean, safe, and operable condition. Evidence: in the Pre-K C room, an outlet was uncovered and the electrical socket was pushed into the wall. In the school age bathroom, the paper towel dispenser was broken off the wall and laying on a table. The paper towel holder by the classroom sink in the school age classroom was broken. In the toddler room, the toy shelf had a four by four piece of exposed fiber board (MDF).

Plan of Correction: Maintenance arrived to fix broken items.

Standard #: 22VAC40-185-280-D
Description: Based on observation, the facility did not store cleaning and sanitizing materials physically separate from food, utensils, and single service articles. Evidence: In the Pre-K C classroom, there was sanitizer, insect repellant, and soap solution on the shelf in the cabinet with spoons, cups, and forks. In Pre-K A, there was sanitizer on the same shelf as pretzels, wheat thins, graham crackers, spoons, bowls, and plates.

Plan of Correction: Removed all items away from food and utensils. Sanitizing materials in locked cabinet.

Standard #: 22VAC40-185-320-B
Description: Based on observation, the facility failed to equip each bathroom with soap. Evidence: the Pre-K A bathroom sink nor the Pre-K classroom sink had soap accessible to the children for hand washing.

Plan of Correction: Replaced all hand soap in classrooms.

Standard #: 22VAC40-185-440-N
Description: Based on observation, the facility failed to remove objects over a crib once the infants turn five months of age. Evidence: there was a mobile over the crib occupied by a seven month old infant.

Plan of Correction: All dangling items are removed from any sleeping areas.

Standard #: 22VAC40-185-500-A
Description: Based on observation, the facility failed to follow hand washing procedures. Evidence: Staff did not wash an infant's hands after diaper change.

Plan of Correction: Posted hand washing procedures near sink and reviewed procedures with staff.

Standard #: 22VAC40-185-500-B
Description: Based on observation, the facility did not have soap and water accessible to the diapering table in the toddlers room. Evidence: the soap and water solution used for cleaning the diaper pad after diapering in the toddler room was empty.

Plan of Correction: Provided spray bottles for all classrooms and provided training on filling and emptying spray bottles every evening and morning.

Standard #: 22VAC40-185-510-A
Description: Based on review of medications, the facility failed to administer medication as required. Evidence: The emergency medication (epipen) for Child C expired 11/2014. The long term medication authorization for Child C expired 5/14/2015. The long term medication form for Child D expired 4/25/2015.

Plan of Correction: Reviewed medication binder/medications. Removed all expired paperwork and medication. Sent parent home with a new long term medication form and medicine.

Standard #: 22VAC40-185-510-A
Description: Reviewed medication binder/medications. Removed all expired paperwork and medication sent home with a new long term medication form and medicine.

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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