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Living Hope Child Development Center
325 Courthouse Road
Stafford, VA 22554
(540) 657-2700

Current Inspector: Cathy E. Aylor (540) 222-6352

Inspection Date: Nov. 7, 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.
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was conducted with center director and center staff. There were 48 children present, ranging in age from 2 months to school age, with 10 staff actively supervising. The children were having afternoon snack, playing with age appropriate toys, and playing group games in the Hope Center "indoor gym". The playground was not reviewed today due to inclement weather. Nine medications for six children were reviewed - please see Supplemental Summary for missing items. The last health inspection was conducted 10/12/2017. The last fire inspection was conducted 2/15/2017. Three new staff files were reviewed and are in compliance. Time of today's inspection: 3:00 p.m. to 6:00 p.m. Please call me if you have any questions 540-219-4122 or e-mail tara.barton@dss.virginia.gov.

Violations:
Standard #: 22VAC40-185-280-B
Description: Based on observation, the facility failed to keep all hazardous substances such as cleaning materials in a locked place. Evidence: a bottle of sanitizer was sitting on the sink counter in the threes room.

Plan of Correction: The center director locked the sanitizer during today's inspection.

Standard #: 22VAC40-185-500-A
Description: Based on observation, the facility failed to wash all children's hands with soap and running water after toileting. Evidence: after changing a one year old's diaper in the infant room, the staff person put him on the floor. When the licensing inspector asked if the staff planned to wash the child's hands, the staff person replied "Am I supposed to?"

Plan of Correction: Staff has been retrained on proper hand washing and observation of these practices will continue to be made.

Standard #: 22VAC40-185-510-C
Description: Based on review of nine medications for six children, the facility failed to have a method to prevent use of outdated medication. Evidence: one emergency medication for Child B expired 10/31/2017.

Plan of Correction: Medication expiration dates are reviewed monthly and parents are given ample time to replace. Outdated medication has been and/or will be replaced immediately.

Standard #: 22VAC40-185-520-C
Description: Based on observation, the facility failed to have diaper ointments/creams out of reach of children. Evidence: in the threes room, two diaper ointments were located in the children's cubbies, which were within reach of the children.

Plan of Correction: The diaper ointments/creams were placed on a high shelf in the bathroom, out the of the children's reach during today's inspection.

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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