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Creative Critters Learning Center III
6540 Emmaus Church Road
Suite 103
Providence forge, VA 23140
(804) 577-2688

Current Inspector: Tiffany Harris (757) 403-3045

Inspection Date: Oct. 6, 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)

Comments:
An unannounced monitoring inspection was conducted on October 6, 2017. At arrival to the facility, three staff were present with 19 children. Additional staff arrived for support and administrative purposes. Children were observed playing with table top activities. Infants were observed crawling and exploring, feeding and during tummy time. Five children's records and five staff record were reviewed on this date. Three medications were reviewed. Licensing Inspector reviewed supervision, activities, equipment, hand washing procedures, nutrition, documentation, children and staff records, emergency evacuation and shelter-in-place drill documentation, fire and health inspection reports, liability insurance coverage, emergency supplies and required postings. There are currently no medications being administered. Violations were reviewed with and verified by the Owner on this date. The outdoor playground equipment, to include the see-saw, is not currently being utilized.

Violations:
Standard #: 22VAC40-185-280-B
Description: Based on observation and inspection of the facility, the licensee did not ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: During the inspection conducted on October 6, 2017, the licensing inspector observed bleach/water solution and hand sanitizer on shelves in the classroom.

Plan of Correction: Items will be locked.

Standard #: 22VAC40-185-280-G
Description: Based on observation and inspection of the facility, the licensee did not ensure that if hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents. Evidence: During the inspection conducted on October 6, 2017, the licensing inspector observed a bottle with a clear substance that was not labeled with its contents; the staff member verified that it was a bleach-water solution.

Plan of Correction: All bottles will be locked and labeled.

Standard #: 22VAC40-185-340-D
Description: Based on observation and record review, the licensee did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be present. Evidence: During the inspection conducted on October 6, 2017, upon arrival to the facility, Staff #1 was working alone in the classroom. The record for Staff #1 was reviewed and there was no documentation that this staff member met the qualifications of a program leader or program director.

Plan of Correction: All classrooms will be staff with program leaders at all times.

Standard #: 22VAC40-185-350-E-1
Description: Based on observation and inspection of the facility, the licensee did not ensure that ratios were maintained for children from birth to the age of 16 months: one staff member for every four children. Evidence: During the inspection conducted on October 6, 2017, the licensing inspector observed Staff #1 working alone with five children; the youngest child in the group was 12 months old.

Plan of Correction: We will monitor children's schedules to ensure that appropriate staff are here during morning transition.

Standard #: 22VAC40-185-500-B
Description: Based on observation and inspection of the facility, the licensee did not ensure that the diapering surface shall be used only for diapering or cleaning children. Evidence: During the inspection conducted on October 6, 2017, the licensing inspector observed a package of diapers on the diapering surface.

Plan of Correction: All diapers and supplies will be stored on the shelf.

Standard #: 22VAC40-185-550-B
Description: Based on review, the licensee did not ensure that the emergency preparedness plan shall contain all required procedural components. Evidence: During the inspection conducted on October 6, 2017, the emergency preparedness plan did not contain the following procedural components: 1. Emergency Communication: Notification to media 2. Evacuation Procedures: primary and secondary egress 3. Shelter-in-Place Procedures: primary and secondary access and egress

Plan of Correction: The emergency preparedness will be reviewed and corrected.

Standard #: 22VAC40-191-40-D-1-C
Description: Based on record review, the licensee did not ensure that a repeat sworn statement would be completed before three years since the dates of the last sworn statement or affirmation. Evidence: During the inspection conducted on October 6, 2017, the sworn statement or affirmation for Staff #5 was dated 1/11.

Plan of Correction: All staff will be redoing the sworn statement or affirmation forms.

Standard #: 22VAC40-191-60-B
Description: Based on record review, in two of five staff records reviewed, the licensee did not ensure that an employee of a licensed child welfare agency must not be employed or provide volunteer service until the agency has the person's completed sworn statement or affirmation. Evidence: During the inspection conducted on October 6, 2017, the required version of the sworn statements for staff hired after July 1, 2017, were not completed for Staff #1 (hire date 8/15/17) and Staff #2 (hire date 8/15/17).

Plan of Correction: Due to lack of communication from DSS as to specific guidelines for new sworn statements we did not have the new form. All staff will be required to fill out the new form.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review, in one of five staff records reviewed, the licensee did not deny continued employment to an employee when the center did not have a central registry finding within 30 days of employment. Evidence: During the inspection conducted on October 6, 2017, there was no documentation of a central registry finding in the record for Staff #1 (hire date 8/15/17).

Plan of Correction: The form has been sent and results are pending. From now on we will be sure to complete them within seven days of employment.

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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