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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: June 7, 2017

Complaint Related: No

Areas Reviewed:
VENDSUB-000 ADMINISTRATION
VENDSUB-000 STAFF QUALIFICATIONS AND TRAINING
VENDSUB-000 PHYSICAL PLANT
VENDSUB-000 STAFFING AND SUPERVISION
VENDSUB-000 PROGRAMS
VENDSUB-000 SPECIAL CARE PROVISIONS AND EMERGENCIES
VENDSUB-000 SPECIAL SERVICES

Comments:
Licensing inspector arrived at 9:30am and departed at 3:30pm to conduct a Subsidy Health and Safety Inspection. At the time of the tour there were 21 children ages infant through five years old in care with four staff. Children were observed coloring, participating in center and circle time, having lunch and playing freely. The sample size was three children's records and five staff records.

Violations:
Standard #: VENDSUB-000-033-F
Description: Based on observation and inspection of the facility, the vendor did not ensure that staff who prepare and serve food to children, or supervise meals, shall be aware of the food allergies, sensitivities, and dietary restrictions for each child. Evidence: All staff present who either prepare, serve or supervise meals were not aware of the food allergies, sensitivities, and dietary restrictions for each child.

Plan of Correction: Program Director will make sure that each staff person is aware of where the plan is posted in their classroom and in the kitchen.

Standard #: VENDSUB-000-004-F
Description: Based on observation and inspection of the facility, the vendor did not post with parental approval or keep in a way that is immediately accessible to staff, a current list of all children?s allergies, sensitivities, and dietary restrictions. Evidence: There was an outdated allergy list posted in the Infant room that was not immediately accessible to all staff and it also did not include a list off all children's allergies, sensitivities, and dietary restrictions.

Plan of Correction: The allergy list will be updated and posted in all classrooms. All staff will be made aware of where the lists will be posted and all children that have allergies, sensitivities and dietary restrictions.

Standard #: VENDSUB-000-006-B
Description: Based on record review, the vendor did not ensure that a written allergy care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic to and steps to be taken in the event of a suspected or confirmed allergic reaction was in each child's record that required that documentation. Evidence: Child #1 and Child #3 had diagnosed food allergies documented in their record, but there was not a written allergy care plan for each child with steps to be taken in the event of a suspected or confirmed allergic reaction.

Plan of Correction: Program Director will make sure parents bring in a written allergy plan from the physician.

Standard #: VENDSUB-000-012-D
Description: Based on record review, the vendor did not ensure that orientation for staff shall be completed on required facility topics prior to the staff member working alone with children and within seven days of the date of employment. Evidence: There was no documentation of orientation training in the record for Staff #5 (hire date 5/26/17).

Plan of Correction: The documentation will be updated in the staff member's file.

Standard #: VENDSUB-000-012-E
Description: Based on observation and inspection of the facility, the vendor did not ensure that all staff providing care to children shall have within 30 days of the date of employment or 90 days from subsidy vendor approval: Current certificatin in CPR which includes an in-person competency demonstration; and Current certification in first aid. Evidence: Staff #1 and Staff #2 did not have documentation of CPR and First Aid Training. Both staff members have been employed at the facility for more than 30 days.

Plan of Correction: Program Director will make sure that the staff members have the training completed.

Standard #: VENDSUB-000-031-A
Description: Based on observation and inspection of the facility, the vendor did not ensure that the written emergency preparedness plan that addressed all required procedural components regarding staff responsibility and facility readiness with respect to emergency evacuation, relocation, lockdown and shelter-in-place procedures. Evidence: The center's written emergency preparedness plan did not include the following procedural components: Evacuation procedures did not include accommodations or special requirements for infants, toddlers, and children with special needs to ensure their safety during evacuation or relocation. Shelter-in-place procedures did not include accommodations or special requirements for infants, toddlers, and children with special needs to ensure their safety during evacuation or relocation and procedures to address reuniting children with parents or authorized person designated by the parent to pick up the child. Lockdown procedures, along with facility containment were not addressed including: methods to alert staff and emergency responders; methods to secure the facility and designated lockdown locations; methods to account for all children in the lockdown locations; methods of communication with parents and emergency responders; accommodations or special requirements for infants, toddlers, and children with special needs to ensure their safety during evacuation or relocation and procedures to address reuniting children with parents or authorized person designated by the parent to pick up the child.

Plan of Correction: Program Director will make sure that all of the components are put in place in detail to be in compliance of the emergency preparedness plan.

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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