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Liddle Adventures Learning Academy
564 Industrial Park Drive
Hillsville, VA 24343
(276) 728-5793

Current Inspector: Katie Gifford (276) 698-9981

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 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Medication standards were reivewed.

Comments:
The inspector conducted an unannounced mandated inspection from 10:00 until 2:00 p.m. There were 22 infants and children in care with staff supervising at all times. Infants were observed eating, napping, and playing. Children were observed playing outside, washing hands and eating lunch, napping, and also during circle time. Six children's records were reviewed and five staff records were reviewed. Medications were reviewed as well as the corresponding paperwork. The violations from the last inspection had been corrected. Please call your inspector at 276-698-9981 with any questions.

Violations:
Standard #: 22VAC40-185-160-C
Description: Based on record review, the center did not obtain a repeat TB test every two years for an employee. Evidence: 1. The inspector reviewed five staff records. One of five records (record #1) did not have a repeat TB test. The last TB test was dated 4/27/2015.

Plan of Correction: The employee will get the Tb test/screening completed.

Standard #: 22VAC40-185-60-A
Description: Based on record review, the center did not maintain all of the required information in children's records. Evidence: 1. The inspector reviewed five children's records. Three of five records (#3, #4, and #5) did not have information completed about allergies.

Plan of Correction: The director will get the information from the parents.

Standard #: 22VAC40-185-270-A
Description: The center did not maintain the center outside in a safe condition. Evidence: 1. The inspector observed exposed black ground cloth in 3-4 areas the playground posing a tripping hazard. 2. On the two year old playground, the steering wheel is loose.

Plan of Correction: The director has called the county to have more mulch delivered and will have the wheel tightened.

Standard #: 22VAC40-185-330-B
Description: Based on measurement and observation, the center did not have the the required depth of resilient surfacing. Evidence: 1. The inspector measured under the yellow swing on the two year old playground, under the swings on the preschool playground, and at the bottom of the slide and the mulch measured between 3-4 inches. The required depths is 6 inches.

Plan of Correction: The director has called to have mulch delivered.

Standard #: 22VAC40-185-510-C
Description: Based on record review, the center did not have completed authorization for a medication. Evidence: 1. The inspector reviewed one medication and the corresponding paperwork for child #6. The physician had not completed the authorization for the prescribed medication. The medication had last been administered 4/6/2017.

Plan of Correction: The director will have the parent get complete a new authorization form.

Standard #: 22VAC40-185-510-E
Description: Based on observation, the center did not have medications labeled with the child's name and other required information. Evidence: 1. The inspector observed a bottle of Zarabees baby cough syrup with no child's name and other required information. 2. The staff person found a piece of paper with the child's name on it and other information in the medication box that she said went with the cough syrup.

Plan of Correction: The child is no longer in care and the director has called the parent to pick up the medication. The director will dispose of the medication if it has not been picked up within 14 days.

Standard #: 22VAC40-185-510-G
Description: The center did not maintain prescription medication that had been maintained in the original , labeled container. Evidence: 1. The inspector observed a medication that had the child's name on it but it was not maintained in the original, labeled container.

Plan of Correction: The director will talk with the parent to get the original prescription box.

Standard #: 22VAC40-185-550-M
Description: Based on record review, the center did not have all the required information on the injury report form. Evidence: 1. The inspector reviewed injury report forms, and they did not have the "action to prevent future occurrence" on them.

Plan of Correction: The director will have the information added to the form.

Standard #: 22VAC40-185-570-A
Description: Based on observation, safety straps were not used during eating in the infant room at the feeding table. Evidence: 1. The inspector observed two infants at the feeding table and the seats did not have infant straps attached.

Plan of Correction: Corrected during the inspection. The staff person moved the infants to seats with the straps. The director stated she had additional straps in the office.

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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