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Live Laugh Learn Child Development Center LLC
144 Martingale Drive
Tazewell, VA 24651
(276) 988-0900

Current Inspector: Shirl M. Spencer (276) 608-3758

Inspection Date: June 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.
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
An exit interview was held the day of the inspection. The following technical assistance was reviewed with the director during the exit interview and also by phone on 6/24/2015. 1. The center will be renovating the building (taking down some walls to become half-walls) and has consulted with the building official. The director will call the inspector when the work has been completed so that a determination may be made to see if the licensing inspector needs to inspect the facility once the construction has been completed. The director stated that construction would be completed when the children are not in care. 2. The standard 560.F-4-choking hazards for children under three were reviewed. Please page 60 of the technical assistance document for an illustration and more information. Sliced rounds or hotdogs, raw carrot rounds, whole grapes, hard candy, chewing gum, nuts, seeds, hard pretzels, peanuts, popcorn, marshmallows, spoonfuls of peanut butter, and large chunks of meat are all examples of choking hazards. 3. The standard 560F.1-Nutrition/snacks were reviewed. Centers shall follow USDA guidelines for snacks which means two food groups must be provided. See attachment IV of the standards for suggestions. 4. The standard 310.A and B -Areas were discussed. See page 25-26 of technical assistance for more information. The expectation is that the capacity of any given room not be consistently exceeded.

Comments:
Two licensing inspectors conducted a focused non-mandated visit from 9:50 am until 12:15 pm. Three staff records were reviewed, and four children's records were reviewed. Nineteen children were in care with supervision being provided at all times by four staff. The children were observed playing, eating lunch, working on a writing assignment, watching a video, and playing outside. There was one repeat violation. Areas of non-compliance are identified on the violation notice. Please contact Katie Gifford at (276) 676-5492 with any questions. Thank you for your cooperation.

Violations:
Standard #: 22VAC40-185-210-A-4-a
Description: Based on record review, the facility had a program leader working that did not meet program leader qualifications. Evidence: 1. The inspector reviewed three staff files. Staff #1 was working as a program leader and reported on the application that she had previously worked as program leader, but there was no documentation in the file.

Plan of Correction: Director called previous employer on 6/23/2015 of the staff member to get the written qualifications of the staff person. In the future, director will acquire qualification documentation before having a person start.

Standard #: 22VAC40-185-290-3
Description: Based on observation, electrical outlets did not have protective covers on all the outlets. Evidence: 1. The licensing inspector observed two outlets without protective covers: A. In the infant room by the sink. B. In the "peach" room as you enter to the right.

Plan of Correction: Corrected during inspection. The director will continue to use a check list to make sure outlets are covered. Also, staff members are being assigned to monitor individual classrooms. Director will monitor staff to make sure procedures are being followed.

Standard #: 22VAC40-185-430-C
Description: Based on observation, there were protrusions on the fence of the play area. Evidence: 1. The inspector observed approximately 12 screws on the fence and gate that are considered a protrusion.

Plan of Correction: Director will have screws cut down and capped. Director and staff will monitor playground on a daily basis to assess and correct any safety hazards.

Standard #: 22VAC40-185-560-F-4
Description: Based on observation, a food that is considered a potential choking hazard was being served to a child under three years of age. Evidence: 1. The inspector observed a child younger than three in a high chair being fed whole grapes.

Plan of Correction: Corrected during inspection. Director will re-educate staff on choking hazards. Director will send home a notice to parents asking that they chop any food that is a potential choking hazard. Director and lead teachers will monitor food.

Standard #: 22VAC40-191-60-C-2
Description: Based on review of staff files the facility failed to maintain compliance with obtaining Central Registry Clearances as required. Evidence: 1. Staff #1 was hired 4/30/2015, did not have a Central Registry Clearance on file as required. A copy of the completed paperwork was in the file and had been mailed but not returned/processed. There was a sworn disclosure statement and completed/cleared criminal record check in the file. 2. Staff #2 and staff #3 were hired 5/11/2015, did not have Central Registry Clearances on file as required. A copy of the completed paperwork was in the file and had been mailed but not returned/processed. There were completed sworn disclosure statements and processed criminal record check in the files. All three staff we working the day of the inspection.

Plan of Correction: 1. Staff were terminated; the next day they were rehired. Director called the central registry office on 6/22/2015 and found out that all three background checks had been mailed. Director will make sure they are received. In the future, director will make sure background checks are submitted as required.

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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