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EA's Little Blessings Learning Center
956 Berkley Avenue Ext.
Norfolk, VA 23523
(757) 545-1100

Current Inspector: Trisha Brown (757) 404-2601

Inspection Date: Sept. 18, 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 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
63.2 Licensure and Registration Procedures
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Today we discussed meal service, food portions, program director qualifications and staff records.

Comments:
A renewal inspection was conducted on 9/11/17, from 9am through 11:45am and 9/18/2017. There were 12 children in care with three staff. Children present ranged in age from 2years to four years old. Children were observed in teacher and self-directed activities including lessons, restroom routines, outside play and lunch. Violations in the areas of staff record keeping, physical plant, background checks, diaper changing, operational responsibility, program director and meal service were observed and appear as violations on the violation notice.

Violations:
Standard #: 22VAC40-185-40-E
Description: The operational responsibilities of the licensee shall include, but not be limited to, ensuring that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. Based on the scope, nature and number of violations observed during the inspection the center has failed to demonstrate operational responsibilities including but not limited to ensuring the center?s activities, services and facilities are maintained in compliance with these standards. Violations were cited in six out of eight sections of the Standards for Licensed Child Day Centers to include administration, staff qualifications and training, physical plant, staffing and supervision, special care provisions and emergencies and special services. Additionally, violations regarding background check regulation and the Code of Virginia where cited.

Plan of Correction: Center management will ensure that all staff are fully trained in the polices and procedures of the center as well the Standards for Licensed Child Day Centers.

Standard #: 22VAC40-185-70-A
Description: Based on record review and interview the center failed to ensure that all required information is present in staff records. Evidence: 1 ? The records for staff 4 and 7 do not list their current job titles. a. Staff 1 and staff 4 stated that staff 4 is the center?s acting program director. However, there is no documentation in the record of staff 4 to confirm this job title. b. Staff 1 and 8 stated that staff 7 is the administrator overseeing the center. However, there is no documentation in the record of staff 7 to confirm this job title. 2 ? Staff 1 confirmed that the documentation present in the records of staff 4 and 7 state that their job title as program leader for both staff. 3 ? The record for staff 4 contains only one reference check. The one reference check is incomplete as there is not signature or date on the one reference. a. Staff 4 has documented date of employment as 3/13/17 4 ? The record for staff 6 contains incomplete documentation of the required orientation training. a. Staff 1 stated that she, staff 1 had not completed the required orientation training with staff 9.

Plan of Correction: Going forward center management will ensure that staff records are completed within the allowed time frames.

Standard #: 22VAC40-185-180-B
Description: Based on observation and interview the center failed to ensure that staff are capable of carrying out assigned responsibilities. Evidence: 1 ? Staff 1 and 4 stated that staff 4 is the center?s acting program director. However, when asked if staff 4 carried out the responsibilities of the day to day operation of the center, staff 1 and 4 stated that staff 4 did not. 2 ? When asked if staff 4 was responsible for planning and carrying out emergency drills staff 4 stated that she was not.

Plan of Correction: Center owner's will ensure that the person assigned as the center program director is given the authority and tools to fully carry out the duties associated with the position. The center may choose an administrator to whom the program director will report.

Standard #: 22VAC40-185-200-A
Description: Based on observation and interview the center failed to have a qualified program director or qualified back-up program director who meets one of the director qualifications who is regularly on site at least 50% of the center?s hours of operation. Evidence: 1 ? Staff 7 was observed overseeing the center?s operations. However, the record for staff 7 does not contain documentation that the staff meets program director qualifications. a. Staff 1 stated that staff 7 did not meet program director qualifications. 2 ? When asked if staff 7 was responsible for the day to day operation of the center staff 1 and 4 stated that yes staff 7 is responsible for the day to day center operations.

Plan of Correction: Center management will ensure that a qualified program director is present during 50% of the center's hours of operation.

Standard #: 22VAC40-185-200-B
Description: Based on observation and interview the center failed to have a qualified program director or qualified back-up program director who meets one of the director qualifications who is regularly on site at least 50% of the center?s hours of operation. Evidence: 1 ? Staff 7 was observed overseeing the center?s operations. However, the record for staff 7 does not contain documentation that the staff meets program director qualifications. a. Staff 1 stated that staff 7 did not meet program director qualifications. 2 ? When asked if staff 7 was responsible for the day to day operation of the center staff 1 and 4 stated that yes staff 7 is responsible for the day to day center operations.

Plan of Correction: Center owner's will ensure that a qualified program director is present during 50% of the center's hours of operation.

Standard #: 22VAC40-185-270-A
Description: Based on observation the center failed to maintain areas of the center inside in operable condition. Evidence: 1 ? There is a hole surrounding a pipe in the hallway that is approximately 3.5 inches in diameter. a. The hole is large enough for a child?s hand to fit through. b. The hole is approximately four inches up from the floor. c. Children were observed walking past the hole during the inspection.

Plan of Correction: Center management will ensure that the hole is filled.

Standard #: 22VAC40-185-340-B
Description: Based on record review and interview the center failed to ensure that during the center?s hours of operation, one adult on the premises is in charge of the administration of the center. Evidence: When asked staff 1 stated that she had not been told that staff 7 was the administrator of the center in the absence of the owners.

Plan of Correction: Center management will ensure that all staff are aware of who is incharge of the building during all hours of operation.

Standard #: 22VAC40-185-500-B
Description: Based on observation and interview the center failed to ensure that disposable diapers are disposed of in a storage system that is either foot-operated or used in such a way that neither the staff member?s hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: Staff 4 was observed as she disposed of soiled diaper by using her hand to lift the lid of the foot-operated disposal system.

Plan of Correction: All center staff will be retained in the proper steps to follow when diaper changing.

Standard #: 22VAC40-185-560-F
Description: 1 ? The meal served to the children in care does not meet the USDA requirements. a. When asked staff 6 stated the following portions of food were served to the children in care. The two year old children were served 1 chicken nugget as their required protein for lunch. The three and four year old children were served 3 chicken nuggets as their required protein for lunch. 1 chicken nugget contains 3.1grams of protein. 2 ? When asked staff 5 was unable to demonstrate knowledge of the amount of protein each child is required to be served. 3 ? Staff 5 was unable to demonstrate an ability to convert grams to ounces. When asked how many chicken nuggets equal 1 ounce Staff 5 stated one chicken nugget. 4 ? When asked staff 3 stated if children ask for a second helping they are given a second serving of fruit. a. When asked staff 5 stated that she did not prepare enough food for each child to have a second helping of all USDA foods.

Plan of Correction: Center management will ensure that the person preparing the meal is well trained in the USDA requirement regarding serving portions of all food groups.

Standard #: 22VAC40-191-60-C-1
Description: Based on record review and interview the center failed to ensure that an employee is denied continued employment if the center does not have an original criminal history record report with 30 days of employment. Evidence: 1 ? The record for staff 1 does not contain documentation of an original criminal history record report. a. Staff 1 has a documented date of hire as 5/10/17.

Plan of Correction: Going forward center management will ensure that background checks are requested and obtained in the required time frame.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review and interview the center failed to ensure that an employee is denied continued employment if the center does not have an original central registry finding with 30 days of employment. Evidence: 1 ? The record for staff 6 does not contain documentation of a central registry finding record report. a. Staff 6 has a documented date of hire as 8/14/17.

Plan of Correction: Going forward center management will ensure that background checks are requested and obtained in the required time frame.

Standard #: 63.2-1720.1-A
Description: Based on observation the provider failed to ensure that no employee shall be permitted to work in a position that involves direct contact with a child receiving services until an original criminal history record has been received, unless such person works under the direct supervision of another employee for whom a background check has been completed in accordance with the requirements of this section. Evidence: 1 ? Review of records shows that the record for Staff 1 does not have a criminal history record check on file. Staff 1 was left alone to care for nine three and four year olds who were eating lunch in the lunch room for approximately 3 minutes. 2 ? Staff 1 confirmed that she was left alone to care for nine, three and four year old children.

Plan of Correction: Going forward center management will ensure that background checks are requested and obtained in the required time frame. Staff will not be permitted to care for children alone until an original background check has been received.

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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