La Petite Academy-#7141
1233 Culver Lane
Virginia beach, VA 23454
Current Inspector: Heather Harrell (757) 334-4329
Inspection Date: Dec. 9, 2015
Complaint Related: No
- Areas Reviewed:
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
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)
An unannounced monitoring inspection of the facility inside and outside and records was conducted from 9:30am ? 1:00pm. There were 69 children present with 11 teaching staff, and one program administrator. Seven children?s records and four staff records were reviewed. Interviews were conducted with children and staff. Children were observed in teacher and self-directed activities including, center play activities, circle time, stories, transitions, restroom routines, lunch, nap and outside play. The program director reports there is not any medication being administered at this time. Violations were found in the following areas and are cited on the violation notice: administration, physical plant, areas maintained in safe condition, staffing and supervision, programs, special care provisions and emergencies and background checks. 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 by 12/28/15. The licensee should retain a copy to be posted at the facility (Supplemental Information is not to be posted due to confidentiality). Results of the inspection documentation are subject to public disclosure and will be posted on the VDSS web site within 15 calendar days, regardless of whether the Plan of Correction section is completed
Standard #: 22VAC40-185-160-C Description: Based on record review and interview the center failed to ensure that tuberculosis screenings are updated at least every two years as required. Evidence: 1 ' The record for staff 8 contains a TB screening that is dated 6/8/11. There is not any additional, TB screening documentation in the record as required. 2 ' Staff 1 confirmed that TB screening was expired for staff 8. 3 - Staff 8 was observed working directly with children during the inspection. Plan of Correction: Staff 8 has a updated TB screening. Management will ensure that all staff will have updated paperwork prior to starting.
Standard #: 22VAC40-185-60-A Description: Based on observation and interview the center failed to ensure that each child's record contained all required information. Evidence: 1 ' The record for child 2 contains information for only one emergency contact where two are required. 2 ' The records for child 3 and 4 do not contain documentation of annual updated information. (a) child 3 has a documented first date of attendance as 8/27/12 (b) child 4 has a documented first date of attendance as 2/5/13 3 ' Staff 1 confirmed the required information was not present in children's records. Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 22VAC40-185-70-A Description: Based on record review and interview the center failed to ensure that each staff record contained all required information. Evidence: 1 ' The record for staff 7 does not include a date of hire, address, age verification, job title, emergency contact or references. 2 ' Staff 1 confirmed that the information was not present in the staff's record. 3 ' Staff 7 reported that she began working at the center in March, 2015. Plan of Correction: All staff files are up to date with correct information. This was redone during management transition. Management will ensure that all staff have complete files before starting.
Standard #: 22VAC40-185-270-A Description: Based on observation and interview the center failed to maintain areas inside and outside in a safe condition. Evidence: 1 ' On the playground, within reach of children are approximately 22 feet of PVC pipe, haphazardly lying on the ground with some pieces disconnected and rough edges are exposed. 2 ' On the playground, within reach of children there are three, deteriorating plastic bags of mulch. Each bag contains two cubic feet of mulch. The torn bags pose a trip hazard. The wet exposed mulch is a breeding ground for bugs, vermin and mold. 3 ' Staff 1 stated that she was unaware of the purpose for pipes and bags of mulch on the playground. She stated that possibly the pipes were leftover from work completed on the gutters of the building. 4 ' In the two year old room to children in care there is an accessible drawer under the diaper changing counter that contains a roll of large, black, plastic, trash can liners and several loose, recycled, plastic grocery bags. There is not a child proof latch or locking device on the drawer. Plastic bags pose a suffocation hazard. 5 ' Staff 1 stated that there are children present for care today in the two year old room who would be able to pull the drawer open and access the plastic bags. The children present for care today range in age from 23 months to 3 years of age. Plan of Correction: 1. The pvc pipe was recreated into a planting garden. 2. The bags of mulch were removed. 4. The items were immediately removed while inspector was there and placed in a locked cabinet. Management will ensure that all facilities are safe and secure through periodic inspection.
Standard #: 22VAC40-185-350-C Description: Based on observation and interview the center failed to ensure that when children are in regularly ongoing mixed age groups the ratio applicable to the youngest child in the group will apply to the entire group. Evidence: Two year old room 1 ' Staff 5 stated that she was present in the room from approximately 8:15am through 9:30am. Staff 5 confirmed that there were eight children present ranging in age from 23 months through 3 years old. 2 ' At 9:30am staff 4 arrived in the two's classroom and staff 5 left the room. Staff 4 reports there were eight children present for care ranging in age from 23 months through 3 years old. 3 ' At 10am the two year old class was outside with staff 4. The group consisted of eight children ranging in age from 23 months to three years. Toddler room 1 ' There were 13 children present in the toddler room ranging in age from 14 months to 23 months old. There were three staff present in the room. However, the ages of the children present require a 1 to 4 ratio. Therefore, one additional staff is required. Plan of Correction: All staff have been retrained on ratios on 12/9/15. Management will monitor periodically to ensure the center is always in ratio.
Standard #: 22VAC40-185-350-D Description: Based observation and interview the center failed to ensure that during the designated rest period the staff to children ratio may double if a staff person is within sight of or the sleeping/resting children. Evidence: At 1pm there were 17 children present in the four/five year old room. The children ranged in age from four to six years old. Four children were awake, sitting at a table, playing a game with staff 10. 13 children were sleeping on cots. Size and shape of the classroom does not allow for sight of all sleeping/resting children. Plan of Correction: During rest times there will always be appropriate staff if children are awake. This was corrected on the spot. Management will periodically inspect to ensure compliance.
Standard #: 22VAC40-185-350-F Description: Based on record review and interview the center failed to ensure that there was a parent's written permission and a written assessment by the program director and program leader, a prior to assigning a child to a different age group if such age group is more appropriate for the child's developmental level and the staff-to-children ratio shall be for the established age group. 1 ' Child 2 is 23 months old and was present in the two year old room during the inspection from 8:15am through 10:55am. 2 - The record for child 2 did not contain any documentation of written parent permission indicating that they agreed to the classroom change and understood that the ratio would increase. Nor did the record contain written assessment by the program director and program leader indicating that the child was developmentally ready to be moved from the one year old room to the two year old room. 3 ' Staff 1 confirmed that, in accordance with facility policy, child 2 was moved following a verbal discussion with parents, but that there was no written permission or assessment completed. Plan of Correction: Child two parents signed transition paperwork and had a conference over the assessments. Staff was retrained on transition procedures and this was implemented immediately. Management will inspect to ensure compliance.
Standard #: 22VAC40-185-440-L Description: Based on observation and interview the center failed to ensure that filled comforters are not used by children under two years of age. Evidence: 1 ' Child 1, a 12 month old infant was given a filled comforter by a staff 3 in the infant care room. 2 ' Staff 1 and 3 confirmed that the blanket did contain fill. Plan of Correction: Blanket was sent home to parent. All staff was retrained immediately. Management will ensure through periodic inspection full compliance.
Standard #: 22VAC40-185-500-B Description: Based on observation and interview the center failed to ensure that the diapering surface is used only for diapering or cleaning children. Evidence: 1 ' In the infant room, a parent placed a diaper bag on the diaper changing surface. A bag of infant bottles was taken out of the diaper bag and placed on to the diaper changing surface where the items remained for several minutes. 2 ' Staff 1 and 2 confirmed that the items had been inappropriately stored on the diaper changing table. Plan of Correction: All staff was retrained immediately. Management will ensure that the diaper changing station is always clear of all objects.
Standard #: 22VAC40-191-40-D-1-C Description: Based on record review and interview the center failed to ensure that before three years since the dates of the last background check findings are obtained. Evidence: 1 ' The record for staff 5 contains a Sworn Statement that is dated 3/6/12. More than three years have passed since the background was completed. 2 ' The record for staff 8 contains a Sworn Statement that is dated 3/17/12. More than three years have passed since the background was completed. Plan of Correction: All staff have resigned and updated sworn disclosures. Management will ensure at the time of interview that sworn disclosures will be completed.
Standard #: 63.2-1720-F Description: Based on observation the provider failed to 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 has been received, unless such person works under the direct supervision of another employee for whom a background check has been completed in accordance with the requirements of this section. Evidence: 1 ' Staff 7 reports that she left alone to care for children during nap time on a daily basis. 2 ' Review of the record of staff 7 shows no evidence of that criminal history background checks were requested. 3 ' There is no documentation of date of hire in the record of staff 7. Staff 7 reports that she was hired in March of 2015. Plan of Correction: All staff have had backgrounds redone during new management transition. All our complete. Management will ensure at the time of hire all proper paperwork is complete.
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.