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Childtime Children's Center - Kiln Creek
101 Kiln Creek Parkway
Yorktown, VA 23693
(757) 875-9693

Current Inspector: Michele Patchett (757) 439-6816

Inspection Date: Nov. 10, 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)

Technical Assistance:
Technical assistance was given regarding immunization records and the required time frames and clear documentation of physicians signature or the signature of the physicians designee.

Comments:
An unannounced monitoring inspection was conducted on November 10, 2016. At the time of entrance there were 109 children and 22 staff members present with children. Additional staff were on site for administrative and meal preparation responsibilities. The sample size consisted of 5 children's records and 11 staff records. Six medications were reviewed as a part of the inspection. Children were observed participating in center activities to include art, reading, blocks. Children were also observed playing outside. Infants wer observes sleeping, eating and freely playing. Previous violations were reviewed. The inspection began at approximately 9:40 a.m. and ended at approximately 1:15 p.m.. Areas of non-compliance are identified on the violation notice. The results of the inspection and violations cited were reviewed and verified with the center director during the exit interview. Please complete the columns for description of action to be taken and date to be corrected for each violation cited on the violation notice, and then return it to the licensing office within 5 calendar days of receipt. If you have any questions, contact your licensing inspector at (757) 404-0568.

Violations:
Standard #: 22V40-191(BC)-50-A-1-a-1
Description: Based on a record review and staff interviews, the licensee did not ensure that all staff do not have a criminal conviction that is a barrier crime or is any felony conviction within the last five years. Evidence: During the inspection on November 10, 2016, the record for staff #2 included a criminal records check listing a barrier crime, (misdemeanor 18. 2-57) with a conviction date of 6-1-2011. This misdemeanor requires that an individual may only be hired if 10 years have elapsed following the conviction.

Plan of Correction: Staff member was removed from the schedule the day of the licensing visit. Center management has been retrained on all barrier crime exclusions. DM will review all returned CRC forms with notations within 24 hours of receipt.

Standard #: 22VAC40-185-70-A
Description: Based on documentation review the licensee, did not ensure there was a record for each staff with all required items. Evidence; During the inspection on November 10, 2016, the records for staff #1, #2, #3 did not include documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering.

Plan of Correction: References were obtained within 24 hours of this visit. Management has been retrained on proper hiring policies. No new hire paperwork will be processed by the DM until reference checks are submitted by center management to ensure compliance.

Standard #: 22VAC40-185-270-A
Description: Based on observation, the licensee did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: During the inspection on November 10, 2016, the following areas were observed and determined to poses a risk to the children in care; 1) On the toddler playground close to the fence there was a black plastic pipe protruding from a hole in the ground and is a tripping hazard. Center staff indicated it was a part of the underground sprinkler system. 2) On the toddler playground near the shaded cover there was a white plastic pipe approximately 5 inches in diameter protruding from the ground and is a tripping hazard. 3) On the toddler playground under the shaded area covered area there were two large holes in the ground. The largest hole is approximately 15 1/2 inches long and 10 inches wide. The holes were covered with plastic/carpet floor mats and a center staff member indicated it was because the children were digging in the holes. These holes are a tripping hazard. 4) There were 5 outside metal window frames or window screens that were observed to be in an unsafe condition. The windows face the outdoor playground areas. The screens have been removed from the metal frames or are partially coming out of the frame and the sharp metal edges of the frames are exposed. There are 3 screens that are ripped and have sharp edges.

Plan of Correction: We are working in conjunction with our facilities team to get these corrections completed on or before 12/31/16. The management team and safety captain have been retrained on how to ensure clear communication on non-corrected safety items with our facilities team.

Standard #: 22VAC40-185-450-E
Description: Based on observation, the licensee did not ensure that mattresses when used were covered with a waterproof material which can be cleaned and sanitized. Evidence: During the inspection on November 10, 2016, infants were observed being transported in the cribs from the outside play area to inside the classroom. Three of the the cribs were assigned to individual children for use. After the infants were removed from the cribs, the center staff members were observed spraying the cribs with a disinfectant and then immediately wiping it down. The three cribs had not been cleaned or sanitized as required. ""Cleaned" means treated in such a way to reduce the amount of filth through the use of water with soap or detergent or the use of an abrasive cleaner on inanimate surfaces. "Sanitized" means treated in such a way to remove bacteria and viruses from inanimate surfaces through using a disinfectant solution. The surface of item is sprayed or dipped into the disinfectant solution and allowed to air dry after use of the disinfectant solution.

Plan of Correction: All infant staff as of 11/18/16 have been retrained on proper sanitation procedures when using cribs for outdoor transportation and enhancement. Management will observe weekly for compliance.

Standard #: 22VAC40-191-60-C-2
Description: Based on documentation review the licensee, did not ensure there was a an original criminal history record (CPS) report within 30 days of employment continued employment has been denied. Evidence; During the inspection on November 10, 2016, the following staff did not have documentation of a CPS finding within 30 days and the center director confirmed they are still working in the center; 1) Staff #2 date of hire was 6-20-2016 2) Staff #9 date of hire was 10-24-2016 3) Staff #10 date of hire was 9-21-2016 4) Staff #11 date of hire was 9-1-2016

Plan of Correction: Employees were removed from the schedule, the day of the licensing visit, until all corrected CPS paperwork has been returned. Management has been retrained on proper procedures for documenting the receipt and return of any reports that are sent back as incomplete. DM will review quarterly for compliance.

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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