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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: Aug. 4, 2016

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)

Comments:
An unannounced monitoring inspection was conducted on August 4, 2016. There were 23 children present upon arrival to the center with four staff members and one parent volunteer. Additional staff were on site for administrative and support purposes. There is a total enrollment of 32 children. The children were observed napping, finishing lunch, and playing freely. An infant was observed having tummy time. Three children's records were reviewed. Two staff records were reviewed. Medications are currently not being administered. The exit interview was conducted with the Program Director.

Violations:
Standard #: 22VAC40-185-70-A
Description: Based on record review, in two of two staff records reviewed, the licensee did not ensure that each staff record was documented with all required information. Evidence: 1. During the inspection conducted on August 4, 2016, the record for Staff #1 did not include the signature of the person conducting reference checks taken over the phone. 2. There was no documentation in the record for Staff #2 that two or more references as to character and reputation as well as competency were checked before employment.

Plan of Correction: I will quickly get the references and put them in the staff person's file.

Standard #: 22VAC40-185-210-A-4-a
Description: Based on review, the licensee did not ensure that to be considered to be a program leader, within six months before being promoted or beginning work or one month after being promoted or beginning work, a minimum of 24 hours of training shall be received related to the care of children. Evidence: During the inspection conducted on August 4, 2016, there was documentation that Staff #2, who is working as a Program Leader and also identified in the record as such, received 18.50 hours of child related training within six months before and one month after the hire date of 5/20/16.

Plan of Correction: I will make sure the staff person has the correct amount of hours to be considered a lead. The staff member will be promoted to a a lead and the required training will be documented.

Standard #: 22VAC40-185-260-A
Description: Based on review and inspection of the facility, the center did not provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: During the inspection conducted on August 4, 2016, the fire inspection report for the facility had expired and was dated 3/12/15.

Plan of Correction: We have an appointment to get our updated inspection for the year.

Standard #: 22VAC40-185-330-B
Description: Based on observation and inspection of the facility, the licensee did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child's trajectory in the event of a fall while the equipment is in use. Evidence: During the inspection conducted on August 4, 2016, the resilient surfacing (wood mulch) in the fall zones surrounding the equipment was inadequate and measured between 1"-4" in some areas where it should measure at least 6" in depth.

Plan of Correction: We will properly get enough mulch so that it measures up to 6" in depth. We will make sure that no one uses the playground equipment until the required amount of surfacing has been poured.

Standard #: 22VAC40-185-350-F
Description: Based on review, the licensee did not ensure that a child may be assigned to a different age group with all written permissions and assessments. Evidence: During the inspection conducted on August 4, 2016, a 22 month old child had been assigned to the two year old age group with the parent's permission. There was no documentation of a written assessment by the program director and program leader that the child should be assigned to the older age group.

Plan of Correction: We will get the assessments put in place and the child will not be in that age group until the assessments are done.

Standard #: 22VAC40-185-440-B
Description: Based on observation and inspection of the facility, the staff members did not ensure that cribs shall be identified for use by a specific child. Evidence: During the inspection conducted on August 4, 2016, the licensing inspector observed a child in a crib that was not identified for use by that specific child.

Plan of Correction: This was corrected during the inspection. The child was removed and placed on a cot.

Standard #: 22VAC40-185-500-B
Description: Based on observation and insepction of the facility, the licensee did not ensure that a nonabsorbent surface for diapering or changing shall be used. Evidence: During the inspection conducted on August 4, 2016, the licensing inspector observed two tears on the changing mat used for diapering in the Infant room. One of the tears exposed the foam padding underneath making the surface absorbent.

Plan of Correction: We will get a new changing pad and they will not be able to use the torn pad.

Standard #: 22VAC40-185-550-D
Description: Based on review, the licensee did not ensure that the enter shall implement a minimum of two shelter-in-place practice drills per year for the most likely to occur scenarios. Evidence: During the inspection conducted on August 4, 2016, there was no documentation of shelter-in-place practice drills in 2015.

Plan of Correction: We will make a code and in addition we will make sure that shelter-in-place drills will be done for 2016.

Standard #: 22VAC40-185-550-M
Description: Based on review, in one of four injury reports reviewed, the licensee did not ensure that each written record of children's serious and minor injuries were documented with all required information. Evidence: During the inspection conducted on August 4, 2016, an injury report dated 7/20/16 did not include documentation of how parents were notified of the injury and a wo staff signatures or a staff and parent signature.

Plan of Correction: We will make sure that employees take a class on proper documentation and make sure that documentation is checked at all times.

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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