3725 Tiffany Lane
Virginia beach, VA 23456
Current Inspector: Adrianna Walden (757) 404-2487
Inspection Date: Jan. 19, 2016
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.
22VAC40-80 THE LICENSING PROCESS.
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)
- Technical Assistance:
Performing a urinary catheterization was discussed: It is recommended but not required that the center evaluate their programming and staffing patterns to determine if the center is able to make the accommodations necessary to meet this child?s needs. An individual health care plan (IHCP) should be developed that would allow staff to safely perform this procedure. Staff should receive individualized training provided by a health care professional along with the child?s parent to ensure safe and sanitary conditions, and ample undisturbed time for each procedure.
An unannounced monitoring inspection was conducted from 10:15am-12:45pm. Upon arrival there were 70 children in care with 16 staff present. A sample of 3 staff and 2 children's records were reviewed. Two over-the-counter skin products were reviewed. The center did not have any medication to review. Children were observed being read a story, participating in art and table top toys. Infants were observed sleeping in cribs, being fed and playing on the floor.
Standard #: 22VAC40-185-270-A Description: Based on observation the center failed to ensure areas and equipment of the center are maintained in a safe condition. Evidence: 1. In the school-age room there was a television with a large back on a cart with wheels. The television was not secured to the cart and posed a tipping hazard. 2. In the preschool room there were two adult size scissors with sharp tips on the children's cubby shelf when you enter the room. Plan of Correction: The TV was removed and we will no longer be using the cart as a TV stand. Scissors in Preschool were immediately removed and stored in a locked cabinet out of children?s reach. Staff was retrained on proper storage as well as being corrected on 1/19/2016. Management will ensure compliance through periodic inspection.
Standard #: 22VAC40-185-280-B Description: Based on observation the center failed to ensure hazardous substances were kept in al ocked place using a safe locking method that prevents access by children. Evidence: 1. In the school-age room there was a spray bottle with sanitizer in an unlocked cabinet that sat on the floor. 2. In the school-age room the key to the supply closet was in the key hole and unlocked. There was a spray bottle that contained glass cleaner in the closet near the door. Plan of Correction: This was locked up however the key was left in the door. This was corrected on 1/19/2016. We have retrained staff on 1/19/2016 . Management will ensure compliance through periodic inspection.
Standard #: 22VAC40-185-430-I Description: Based on observation the center failed to ensure personal articles were individually assigned. Evidence: In the Kindergarten room there were two tubes of lip balm on the children's cubby shelf. Neither tube was labeled in a way that identified the owner. Plan of Correction: This was removed on 1/19/2016 and staff was retrained on 1/20/16 on our medication policy. All management will ensure compliance by inspecting all medications and periodically checking the classrooms.
Standard #: 22VAC40-185-520-C Description: Based on a record review the center failed to meet all requirements when using diaper ointment. Evidence: Child #1 had a tube of diaper cream with an authorization that expired on 01/08/16. Child #2 had a tub of diaper cream with no written authorization. Plan of Correction: These two items were returned to the families on the day of the visit. Management will ensure all medication goes through the office and all medications have appropriate forms. Management will ensure through periodic inspection.
Standard #: 22VAC40-185-540-A Description: Based on observation the center failed to ensure all required items were in the first aid kit. Evidence: The center's first aid kit did not contain tweezers/ Plan of Correction: Tweezers were located right after our visit on 1/19. Management will ensure all kits are complete through inspections
Standard #: 22VAC40-185-550-D Description: Based on a record review the center failed to implement a monthly practice evacuation drill and a a minimum of two shelter-in-place practice drills per year for the most likely to occur scenarios. Evidence: The document the center uses to record emergency drills did not have any fire drills for the months of April-December in 2015 and no shelter-in-place drills in 2015. Plan of Correction: Documentation of Fire Drills and Shelter in Place drills will be kept in one central binder at all times. All drills for 2016 will be completed monthly and documented on the Emergency Drill Log. Date completed was 1/19/2016. Management will ensure compliance through inspection.
Standard #: 22VAC40-191-40-D-1-C Description: Based on a record review the center failed to ensure all staff had the required repeat background checks before 3 years since the dates of the last background checks. Evidence: Staff #2's last criminal record check was dated 08/28/12, last central registry check was dated 10/17/12 and last sworn disclosure statement was dated 08/30/12. Plan of Correction: All sworn disclosures will be completed at the time of interview. Management will also ensure all appropriate background and registry checks are done on first day and maintained through period inspection they are up to date. Staff #2?s background check was completed and returned cleared on 1/22/2016. Sworn disclosure was dated 1/15/2016 and was found in another location and immediately placed in the file on 1/19/2016. CPS registry has been sent out on 1/19/2016.
Standard #: 22VAC40-191-60-B Description: Based on a record review the center failed to ensure a sworn statement was signed prior to a staff member's first day of employment. Evidence: Staff #1 was hired on 01/05/16 and the sworn statement was not signed until 01/15/16. Plan of Correction: Employees will be filling out the sworn disclosure at the time of interview. Management will ensure a complete file prior to first day in classroom. Management will periodically inspect to ensure sworn disclosure is done prior to hire.
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.