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Childtime Learning Center at Harbourside
6300 Harbourside Drive
Midlothian, VA 23112
(804) 739-2282

Current Inspector: Heather Dapper (804) 662-7014

Inspection Date: July 21, 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:
Discussed the recent communication regarding fingerprint based background checks for child day programs.

Comments:
The licensing inspector conducted an unannounced renewal inspection Friday, July 21, 2017 from 10:28am to 2:00pm. The children were observed engaged in a variety of activities ranging from sensory play with flour to listening to a book being read. The school age class went on a field trip to the museum. The infants were observed playing on the floor and being held. Lunch consisted of cheese pizza, mixed veggies, peaches and milk. The menu was posted. All classrooms and playgrounds were inspected today. Five children?s records and five employee records were reviewed during this inspection. Medication is being administered and was reviewed. The center's first aid kit and emergency supplies were inspected. Last emergency drill: 6/15/2017 Last shelter-in-place drill: 10/26/2016 Last fire inspection: 04/24/2017 Last health inspection: 04/14/2017 Total enrollment today: 34 Today, the following child to staff ratios were observed: Infants ?2:1 Toddlers ?9:2 Twos ? 5:1 Threes ?7:1 Pre-K ?16:1 School Age ?9: 2 The violations from the previous inspections were checked for corrections. There were two repeat violations found during today?s inspection. If you have any questions about this inspection, please contact your licensing inspector, Roshon Casey, at (804) 662-9760. PROVIDER: Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today (July 28, 2017). You will need to specify how the deficient practice will be or has been corrected. Just writing the word ?corrected? is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only. *****The inspection summary, violation notice and supplemental page were delivered on 07/21/2017---- facility representative refused to sign the violation notice and supplemental page.*****

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on a review of children's records on 07/21/2017, the center did not ensure that one of five records reviewed contained documentation of immunizations prior to the child's first day of attendance. EVIDENCE: The earliest documentation of immunizations in the record of Child #1, whose first day at the center was 10/11/2016, are dated 03/23/2017.

Plan of Correction: Discussed policy of not allowing students to start without immunizations with management. Going forward child will not be allowed to start without immunizations in management hands. All files will be reviewed management to ensure they are compliant.

Standard #: 22VAC40-185-140-A
Description: Based on a review of children's records on 07/21/2017, the center did not ensure that one of five records reviewed contained documentation of a physical examination prior to the child's first day of attendance or within a month of attendance. EVIDENCE: The record of Child #1, whose first day at the center was 10/11/2016, does not contain documentation of a physical examination.

Plan of Correction: Management reviewed policy on child files. Management will set up an reminder in outlook for 5 days after student starts to remind parent to get physical. If physical is not received by day 10 they will be asked not to attend until physical is at the school. In this case, we had the physical but it wasn't signed by the doctor, which we will ensure next time.

Standard #: 22VAC40-185-160-C
Description: Based on a review of staff records on 07/21/2017, the center did not ensure that at least every two years from the date of the first initial screening, staff members shall obtain and submit the results of a follow-up tuberculosis(tb) screening. EVIDENCE: The most recent tb screening in the record of Staff #2 is dated 04/22/2015.

Plan of Correction: All files of staff reviewed by management. Dates for all checks and TB were entered into a computer spread sheet with alerts to ensure we are on top of this. Staff #2 brought in TB test on 07/31/2107.

Standard #: 22VAC40-185-60-A
Description: Based on a review of children's records on 07/21/2017, the center did not ensure that two of five children's records reviewed contained the required information. EVIDENCE: 1. The record of Child #4 did not contain documentation of the annual update of the child's emergency contact information. 2. The record of Child #5 did not contain documentation of addresses for the two emergency contacts listed.

Plan of Correction: Spoke with both families and updated files accordingly. Going forward management will use a spreadsheet with dates to ensure all updates are done. For new students they will be required to have all items filled out before starting.

Standard #: 22VAC40-185-330-B
Description: Based on observation on 07/21/2017, the center did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. EVIDENCE: Mulch depth samples taken on the preschool playground with the sliding board equipment and the swing set measured less than the required six inches.

Plan of Correction: Management purchased a tool to measure gravel. Measuring gravel was added to monthly playground check list. Order placed for pea gravel on 07/21/2017. Delivery will be by COB 07/28/2017.

Standard #: 22VAC40-185-510-N
Description: Based on a review of medication on 07/21/2017, the center did not ensure that when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days, the parent renews the authorization or within 14 days of the expiration of the authorization the medication is disposed of by the center. EVIDENCE: 1. Medication belonging to Child #6 was observed at the center. 2. The authorization for the medication belonging to Child #6 expired 05/2017.

Plan of Correction: Management has the safety captain checking all medications weekly. All medications that are expired were sent home by 07/24/2017.

Standard #: 22VAC40-185-520-A
Description: Based on observation on 07/21/2017, the center did not ensure that over-the-counter skin products shall not be kept beyond the expiration date of the product. EVIDENCE: 1. A bottle of sunscreen belonging to Child #3 was observed at the center. The sunscreen expired 05/2017. 2. A tube of Desitin diaper belonging to Child #5 was observed in the toddler room. The cream expired 06/2017.

Plan of Correction: On 07/24/2017 the safety captain checked all diaper creams to ensure none were expired. Each Monday the safety captain will check all creams in the classrooms.

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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