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Little Tin Soldiers Educational Center
199 East Mercury Boulevard
Hampton, VA 23669
(757) 727-0780

Current Inspector: Michele Patchett (757) 439-6816

Inspection Date: July 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.
63.2 Licensure and Registration Procedures
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was conducted on July 23, 2015. There were 27 children present at arrival to the center with 5 staff members. An additional staff were on site for administrative and support purposes. There is a total enrollment of 38 children. The children were observed participating a tear and paste activity, playing freely and preparing for lunch. Three children's records were reviewed. One staff record was reviewed. The center does not administer medication at this time. The playground area is not being used at this time, as it is currently under construction. The exit interview was conducted with the Interim Program Director.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on record review, in one of three children's records reviewed, the center did not obtain documentation that each child had received the immunizations required by the State Board of Health before the child could attend the center. Evidence: During the inspection conducted on July 23, 2015, there was no documentations of immunizations in the record for Child #1. The child was in attendance on the date of the inspection.

Plan of Correction: We will notify the parent today.

Standard #: 22VAC40-185-60-A
Description: Based on record review, in two of three children's records reviewed, the licensee did not ensure that each child's record was documented with all required information. Evidence: 1. During the inspection conducted on July 23, 2015, the record for Child #1 did not include documentation of the child's start date, the physician's phone number, a complete home address for each parent, a complete address for two people to call in an emergency if a parent cannot be reached and the name of any additional programs or schools that the child is concurrently attending and the grade or class level. 2. The record for Child #3 did not include documentation of the work phone number for one parent, and the name of any additional programs or schools that the child is concurrently attending and the grade or class level.

Plan of Correction: We will make sure the parent gives us the complete home address, physician's phone number. We will update the record with the start date. We will contact the parent to determine if they are attending any additional programs and if not the record will reflect N/A.

Standard #: 22VAC40-185-70-A
Description: Based on record review, the licensee did not ensure that each staff record was documented with all required information. Evidence: During the inspection conducted on July 23, 2015, there was no documentation in the record for Staff #1 that two or more references as to character and reputation as well as competency were checked before employment.

Plan of Correction: We will make sure to put this in the staff member's file.

Standard #: 22VAC40-185-270-A
Description: Based on observation and inspection of the facility, the licensee did not ensure that areas and equipment of the center were maintained in a clean, safe and operable condition. Evidence: 1. During the inspection conducted on July 23, 2015, the licensing inspector observed a 13" television on a cubby that was 3' tall in the Toddler classroom. The cubby nor the television were mounted to the wall which could pose a tipping hazard. 2. Three out of four paper towel dispensers in the boys and girls restrooms were inoperable.

Plan of Correction: 1. The television will be removed. 2. The paper towel dispensers will be fixed.

Standard #: 22VAC40-185-340-D
Description: Based on observation and a review of documentation, the licensee did not ensure that in each grouping of children at least one staff member met the qualifications of a program leader or a program director. Evidence: During the inspection conducted on July 23, 2015, the licensing inspector observed Staff #1 working alone with a group of children. There was no documentation that this staff member met the qualifications of a program leader or a program director.

Plan of Correction: This was corrected during the inspection. A program lead qualified staff was placed in the room.

Standard #: 22VAC40-185-440-B
Description: Based on observation and inspection of the facility, the staff members did not ensure that cribs were identified for use by a specific child. Evidence: During the inspection conducted on July 23, 2015, the licensing inspector observed a crib occupied by an infant that was not identified for that child's use.

Plan of Correction: We will put the name above the crib.

Standard #: 22VAC40-185-550-M
Description: Based on review, in three of five injury reports reviewed, the licensee did not ensure each injury report was documented with all required information. Evidence: 1. During the inspection conducted on July 23, 2015, an injury report dated 4/28/15 did not include documentation of how the parents were notified of the injury, the time the parents were notified of the injury and a second signature. 2. An injury report dated 5/1/15 did not include documentation of the date and time the parents were notified of the injury, how the parents were notified of the injury, and a second signature. 3. An injury report dated 5/18/15 did not include documentation of the time of the injury, the staff that were present, the time that the parents were notified of the injury, any future action to prevent recurrence of the injury and a second signature.

Plan of Correction: We will speak with the staff to ensure that they are filling out the forms completely.

Standard #: 63.2-1720-F
Description: Based on review and inspection of the center, the licensee did not ensure that no employee shall be permitted to work in a position that involves direct contact with a child receiving services until an original criminal history record had been received, unless such person works under the direct supervision of another employee for whom a background check has been completed. Evidence: 1. During the inspection conducted on July 23, 2015, the licensing inspector observed Staff #1 working in a classroom alone with five children. 2. This staff member did not have a completed criminal history record check (start date 7/10/15).

Plan of Correction: This was corrected during the inspection. We will make sure that this staff member is not alone with children at any time.

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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