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Bethel Child Development Center
1705 Todds Lane
Hampton, VA 23666
(757) 826-1426 (308)

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: March 23, 2017

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 the clear documentation of injury reports as it relates to the parent/guardian that was notified of an injury.

Comments:
An unannounced monitoring inspection was conducted on March 23, 2017 from approximately 9:50 a.m. until 2:35 p.m. There were 12 staff present with 78 children. Additional staff were on site. Children were observed during playing with blocks, in homeliving, preparing for eating lunch and during their rest period. The sample size of records reviewed contained 7 staff records and 5 children's records. There were 3 medications reviewed. The violations from the previous were reviewed. Areas of noncompliance are identified on the violation notice. The results of the inspection were reviewed and verified by the Program Director on this date. Violation notice revised on 4-18-2017.
Contact the licensing inspector Christine Mahan with any questions (757) 404-0568.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on a record review and staff interviews, the licensee did not ensure the center kept a separate record for each child which contained all the required information. Evidence: During the inspection on March 23, 2017, the following records were determined to be incomplete; 1) The record for child #1 did not include the employment phone number for one parent listed. 2) The records for child #2 and child #4 did not include the addresses for both emergency contacts listed.

Plan of Correction: The director will get that information.

Standard #: 22VAC40-185-70-A
Description: Based on a record review and staff interviews, the licensee did not ensure that staff records were kept for each staff person with all required information. Evidence: During the inspection on March 23, 2017, the record for staff #5 did not include the second required reference prior to employment.

Plan of Correction: The director will get that information.

Standard #: 22VAC40-185-280-B
Description: Based on observation and staff interviews, the licensee did not ensure hazardous substances such as cleaning materials, insecticides, and pesticides were kept in a locked place using a safe locking method that prevents access by children and if a key is used, the key shall not be accessible to the children. Evidence: During the inspection on March 23, 2017, hazardous substances were observed in classroom 105 stored in the following places; 1) In an unlocked closet where the key to the closet was inserted into the door knob and accessible to children. The hazardous substance were 1 container of adhesive spray, 1 container of spay disinfectant and 1 container of spray paint 2) In an unlocked cabinet, 3 containers of disinfectant spray, 1 container of disinfectant wipes and 1 container of hand sanitizer All items were labeled "keep out of reach of children" and at least 1 of the other following items "caution", "flammable" and "warning".

Plan of Correction: The director will correct it .

Standard #: 22VAC40-185-340-A
Description: Based on observation and staff interviews, the licensee did not ensure when staff are supervising children, they always ensure their care, protection, and guidance. Evidence: During the inspection on March 23, 2017, the licensing inspector observed in the infant room, an infant (child #1) sleeping on a bouncer chair and the safety straps were not used.

Plan of Correction: The director will talk to the staff.

Standard #: 22VAC40-185-350-E-1
Description: Based on observation and staff interviews, the licensee did not ensure that for children from birth to age 16 months old there was one staff member for every four children.

Evidence:
During the inspection on March 23, 2017, the licensing inspector observed in classroom 103 only 1 staff with 11 children from 1:30 p.m. until 1:54 p.m. The youngest child was 12 months old (child #6) and the required ratio of 1staff for every 4 children was not maintained.

Plan of Correction: The director corrected it.

Standard #: 22VAC40-185-350-E-2
Description: Based on observation and staff interviews, the licensee did not ensure that for children 16 months old to two years there was one staff member for every five children. Evidence: During the inspection on March 23, 2017, center staff and a review of center documentation confirmed the child to staff ratio for in classroom 104 was not maintained on the following dates; 1) On Monday, March 20, 2017 from 10:40 a.m. until 12:15 p.m. the required ratio of 1staff for every 5 children was not maintained as there was 11 children with 2 staff members. 2) On Tuesday, March 21, 2017 from 10:08 a.m. until 12:15 p.m. the required ratio of 1staff for every 5 children was not maintained as there was 12 children with 2 staff members. The age range of the children in room #104 was 22 months (child #3) to age 2.

Plan of Correction: The director will conduct assessments of the children to meet ratio.

Standard #: 22VAC40-185-440-H
Description: Based on observation and staff interviews, the licensee did not ensure there was no more than one inch between the mattress and the crib. Evidence: During the inspection on March 23, 2017, an infant (child #4) was observed sleeping in a crib. The top and bottom edges of the mattress was curled up leaving between 13 and 14 inches between the mattress and the crib.

Plan of Correction: The director will ensure children are not sleeping on that mattress.

Standard #: 22VAC40-185-450-A
Description: Based on observation and staff interviews, the licensee did not ensure cribs, cots, mats and beds used by children other than infants during the designated rest period or during evening and overnight care had linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Evidence: During the inspection on March 23, 2017, children in the following classrooms were observed during rest period and did not have adequate linens. 1) In classroom 111, 2 out of 9 children did not have a bottom blanket 2) In classroom 106, 1 out of 8 children did not have a top or bottom blanket 3) In classroom 103, 2 out of 11 children did not have a top blanket 4) In classroom 104. 1 out of 10 children did not have a bottom blanket

Plan of Correction: The director will use extra blankets.

Standard #: 22VAC40-185-500-B
Description: Based on observation and staff interviews, the licensee did not ensure the diapering area was cleaned and sanitized as required and had all required items. Evidence: During the inspection on March 23, 2017, the following items were determined to be inadequate in the diapering area when the diaper changing process was observed in classroom 103. 1) Immediately after the center staff completed a diaper change they sprayed the diaper pad/surface with a bleach and water solution and wiped it off immediately and then sprayed the pad with a soap and water solution and immediately wiped it off. The diaper surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Sanitized is defined as spraying with a bleach/water solution or dipping them item and letting it air dry or wiping it off after 2 minutes. 2) The foot operated trash can/storage system for disposable diapers was not operable and the trash can could not be opened without a staff member's hand nor the soiled diaper touching an exterior surface of the storage system during disposal.

Plan of Correction: The director will retrain the staff and purchase new trashcan.

Standard #: 22VAC40-185-510-E
Description: Based on observation and staff interviews, the licensee did not ensure medication was labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: During the inspection on March 23, 2017, 1 medication (Nystatin) was observed on shelf in the girls rest room and it was not labeled with a child's name, dosage amount or times to be given.

Plan of Correction: The medication was discarded.

Standard #: 22VAC40-185-510-J
Description: Based on observation and staff interviews, the licensee did not ensure medication, except for those prescriptions designated otherwise by written physician's orders, including refrigerated medication and staff's personal medication, were kept in a locked place using a safe locking method that prevents access by children. Evidence: During the inspection on March 23, 2017, the following medications were observed to be stored in unlocked places. 1) Three medications (Albuterol) and 1 container of Aspirin was observed in a crate, on a table in an unlocked classroom. 2) One medication (Nystatin) was observed on shelf in the girls rest room.

Plan of Correction: Medication will be kept locked.

Standard #: 22VAC40-185-560-F
Description: Based on observation and staff interviews, the licensee did not ensure when the center chooses to provide food it will follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: During the inspection on March 23, 2017, the food served to the 3 and 4 year old children did not meet the USDA requirements as listed below; 1) The food served was peas, carrots, vegetable egg rolls and milk, a meat or meat alternate was not served. 2) The serving size of milk was only 3 ounces and 6 ounces is required. 3) The serving size of vegetables/fruit was only 2 ounces total and and 8 ounces is required.

Plan of Correction: The director retrained the cook and teachers on portion and menu.

Standard #: 22VAC40-191-60-C-2
Description: Based on a record review and staff interviews, the licensee did not ensure employment was denied when staff had not obtained a central registry finding within 30 days of employment or volunteer service. Evidence: During the inspection on March 23, 2017, the records for staff #4 (date of hire 2-13-17), staff #5 (date of hire 1-23-17) and staff #6 (date of hire 2-13-2017) did not include a CPS check and employment the center director verified that employment had not been denied.

Plan of Correction: The director will contact CPS and readjust staff.

Standard #: 22VAC40-80-120-E-2
Description: Based on observation and staff interviews, the licensee did not ensure the findings of the most recent inspection of the facility were posted in a conspicuous place. Evidence: During the inspection on March 23, 2017, the results of the most recent inspection on 10-22-2016 were not posted. The most recent inspection posted was dated 10-18-2016.

Plan of Correction: The director will post new inspection.

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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