Inspection Date: Jan. 10, 2017
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.
22VAC40-191 Background Checks (22VAC40-191)
- Technical Assistance:
Discussed the importance of achieving and maintaining compliance with all of the Minimum Standards. An improvement in record keeping skills must be an immediate priority.
An unannounced full renewal inspection was conducted today. There were 47 children in care, with a total of 8 staff members assigned to their direct supervision. The children were observed engaging in creative play, participating in a puppet show, making theme-based art work, practicing their letter writing skills, eating lunch, and taking their afternoon nap. The children were served turkey sausage sandwiches, mixed fruit, fresh salad, and milk for lunch today. This inspection was completed between approximately 10:30 am and 1:15 pm. Thank you for meeting with me today. If you have any questions regarding this inspection please email me at firstname.lastname@example.org
Standard #: 22VAC40-185-160-A Description: Based on a review of required staff health records, it was determined that one record is not complete. Evidence: There is no record of a completed TB Health Screening for staff C. Plan of Correction: The documentation will be completed and placed in her file.
Standard #: 22VAC40-185-40-J Description: Based on a review of administrative documents, it was determined that the injury prevention plan was not reviewed as required. Evidence: Management staff did not complete an annual review of the injury prevention plan. This plan was most recently reviewed on 1/1/16. Plan of Correction: The annual review will be completed and documented.
Standard #: 22VAC40-185-60-A Description: Based on a review of children's records, it was determined that six records were not complete. Evidence: 1. Child record #1 does not include: the address for each emergency contact person. (repeat violation) 2. Child record #2 does not include: the work and home contact information for the father. 3. Child record #3 does not include: the home phone number; mom's place of employment. 4. Child record #4 does not include: the home phone number; the address for each emergency contact person. 5. Child record #5 does not include: the address for one emergency contact person; documentation that the parent has reviewed the child's contact information within the past year. 6. Child record #6 does not include: the father's home phone number; documentation showing that a staff person viewed the child's original proof of identification. Plan of Correction: The parents have already been asked for all missing information. The parents will be reminded that the missing items must be received and given a timeline to submit all documents.
Standard #: 22VAC40-185-70-A Description: Based on a review of staff records, it was determined that two records were not complete. Evidence: Staff record B and C do not include documentation of each employee's date of hire. Plan of Correction: The hire dates were found on the computer system after the Inspector left. The staff records will be updated today.
Standard #: 22VAC40-185-240-A Description: Based on a review of staff training records, it was determined that there is no documentation showing the full completion of First Day Orientation Training for two staff members. Evidence: 1. For staff B there is documentation showing that only half of the required First Day Orientation Training was completed. In addition, the documentation was not signed/dated by the employee and trainer. 2. There is no documentation showing that staff B and C completed Recognizing Child Abuse and Neglect training. Plan of Correction: The orientation documentation will be updated and placed in the file. I will make sure both employees complete Recognizing Child Abuse and Neglect training.
Standard #: 22VAC40-185-270-A Description: Based on observations, it was determined that various areas of the center have not been maintained in a clean and safe condition. Evidence: 1. On the Toddler playground, a full and open bag of trash was observed hanging to a post. This bag of trash had been left outside overnight. 2. All wall baseboards throughout the center are very dirty and sections are in disrepair. 3. In the school-age classroom there is a hole in the wooden closet door. (REPEAT VIOLATION) In addition, the front of the bathroom door is very dirty. 4. In the 3's classroom, the corner of the wood paneling covering the sink is damaged and rotten. 5. There is a fire extinguisher on the floor in the corner of the creative play room adjacent to the 3's classroom. 6. In the Toddler classroom, there is a section of exposed and peeling wall board next to the replaced food prep cabinet. In addition, the floor tiles at the bottom of this cabinet are very dirty. 7. In the Infant classroom, there is a section of damaged and dirty wall board directly next to the handwashing sink at the diaper changing station. Plan of Correction: The fire extinguisher will be moved and hung immediately. The trash on the playground will be removed today. All physical plant repairs will be called in to maintenance today. Management will follow up to ensure that all repairs are completed as soon as possible. The school age bathroom door will be cleaned today.
Standard #: 22VAC40-185-280-B Description: Based on observations, it was determined that one potentially hazardous substance was not locked. Evidence: In the Toddler classroom, a bottle of dish detergent was stored on the bottom shelf of a floor level cabinet. The lock on this cabinet is broken, therefore the dish detergent was not locked. Plan of Correction: The detergent was moved to a locking cabinet during the inspection.
Standard #: 22VAC40-185-290-3 Description: Based on observations, it was determined that one electrical outlet was not covered. Evidence: One electrical outlet in the open room directly adjacent to the lobby entrance was not covered. Plan of Correction: The outlet will be covered today.
Standard #: 22VAC40-185-500-B Description: Based on observations, it was determined that one diapering surface was not used for the single purpose of diapering. Evidence: Upon entering the 2's classroom, the Inspector observed one child's art project lying on the diaper changing surface to dry. Plan of Correction: The paper was immediately moved to the drying rack.
Standard #: 22VAC40-185-510-A Description: Based on a review of children's medications, it was determined that two medications were on site without the required authorization forms. Evidence: Two children's medications were on site without a completed and signed medication authorization form. Plan of Correction: The parents will be asked to complete the authorization forms.
Standard #: 22VAC40-185-550-E Description: Based on a review of emergency drill documentation, it was determined that the center did not maintain all required records. Evidence: The emergency drill documentation for calendar year 2016 was not on site during this inspection. Plan of Correction: The emergency drill documentation for 2016 was located on site after the Inspector left. All emergency drill documentation will be maintained in an organized manner.
Standard #: 22VAC40-191-60-D-1 Description: Based on a review of staff background checks, it was determined that two background checks are not on site. Evidence: For staff C, there is no Criminal History Record Check (CRC) findings report and no Child Protective Services (CPS) findings report on site. In addition, because there was no documentation of this employee's date of hire the Inspector was unable to verify that each findings report request was submitted within seven calendar days of hire. Plan of Correction: Both background checks were requested. When received, they will be filed in the staff person's record.
Standard #: 22VAC40-80-120-E-2 Description: Based on a review of administrative documents, it was determined that one inspection Edocument was not posted as required. Evidence: The findings from the most recent inspection were not posted. Plan of Correction: Today's violation notice will be posted.
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.Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.