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Childcare Network #180
4300 John Tyler Highway
Williamsburg, VA 23185
(757) 253-2562

Current Inspector: Tiffany Harris (757) 403-3045

Inspection Date: Nov. 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.
63.2 Licensure and Registration Procedures
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was conducted on November 21, 2017. Upon arrival to the facility, twelve staff were present with 39 children. Additional staff were on site for administrative duties. Children were observed during circle time, playing in centers, and during outdoor play. Parents and guardians were also having a Thanksgiving Feast with the children and staff. Infants and Toddlers were observed feeding, during toileting and handwashing, during music and movement and playing freely. Five children's records and Five staff records were reviewed on this date. There were no medications present at the center. Licensing Inspector reviewed supervision, indoor and outdoor areas, activities, equipment, diapering procedures, hand washing procedures, nutrition, special feedings, children and staff records, emergency evacuation and shelter-in-place drill documentation, fire and health inspection reports, emergency supplies and required postings. Violations were reviewed with and verified by the Program Director on this date.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on record review, in two of five children's records reviewed, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: During the inspection conducted on November 21, 2017, there was no documentation of immunizations in the records for Child #4 and Child #5.

Plan of Correction: A copy of immunizations will be obtained.

Standard #: 22VAC40-185-140-A
Description: Based on record review, in two of five children's records reviewed, the licensee did not ensure that each child shall have a physical examination by or under the direction of a physician: Before the child's attendance; or Within one month after attendance. Evidence: During the inspection conducted on November 21, 2017, there was no documentation of a physical examination in the record for Child #4 (start date as verified by the Program Director June 2017) and Child #5 (start date 11/30/15).

Plan of Correction: A copy of the physical examinations will be obtained.

Standard #: 22VAC40-185-160-A
Description: Based on record review, in two of five staff records reviewed, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening no later than 21 days after employment. Evidence: During the inspection conducted on November 21, 2017, there was no documentation of a negative TB screening for Staff #3 (start date 9/18/17) and Staff #5 (start date 9/11/17).

Plan of Correction: Both staff members will obtain a TB screening or test.

Standard #: 22VAC40-185-60-A
Description: Based on record review, five of five children's records reviewed, the licensee did not ensure that each child's record was maintained with all required information. Evidence: During the inspection conducted on November 21, 2017, the following information was not documented in each child's record: Child #1-work phone number for one parent Child #2-Name of any additional programs or schools that the child is concurrently attending and the grade or class level Child #3-work phone number for both parents; Name of any additional programs or schools that the child is concurrently attending and the grade or class level; the name, address and phone number of two people to contact in the event of an emergency where the parent cannot be reached Child #4-work phone number for both parents; viewing proof of the child's identity; a complete address for two people to contact in the event of an emergency where the parent cannot be reached; Previous child day care and schools attended by the child Child #5-Name of any additional programs or schools that the child is concurrently attending and the grade or class level

Plan of Correction: All information in children's files will be updated.

Standard #: 22VAC40-185-70-A
Description: Based on observation and inspection of the facility, the licensee did not ensure that staff records were maintained with all required information. Evidence: During the inspection conducted on November 21, 2017, the following information was not documented in each staff person's record: Staff #1-no references and job title Staff #2- no orientation training and no references Staff #3-incomplete address for one person to contact in the event of an emergency; one of two required references; no job title Staff #4 and Staff #5-no references

Plan of Correction: All files will be corrected.

Standard #: 22VAC40-185-330-B
Description: Based on observation and inspection of the facility, the licensee did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child's trajectory in the event of a fall while the equipment is in use. Evidence: During the inspection conducted on November 21, 2017, the resilient surfacing (wood mulch) on the Toddler playground surrounding the Green Plastic Climbing Dinosaur and the Pink and Blue Plastic Sliding Equipment was compacted and could not be measured.

Plan of Correction: Maintenance will loosen and turn the mulch and ensure the depth is correct.

Standard #: 22VAC40-185-500-B
Description: Based on observation and inspection of the facility, the licensee did not ensure that diapering procedures were followed. Evidence: During the inspection conducted on November 21, 2017, the licensing inspector observed an infant being changed in the Older Infant room. The staff member cleaned the diapering surface after changing the child but did not sanitize the diapering surface afterwards.

Plan of Correction: We will discuss immediately with the staff member to review diapering steps.

Standard #: 22VAC40-191-60-C-1
Description: Based on record review, in one of five staff records reviewed, the licensee did not ensure that an employee must be denied continued employment if the licensed child welfare agency does not have an original criminal history record report within 30 days of employment. Evidence: During the inspection conducted on November 21, 2017, there were not results of a criminal record clearance for Staff #1 (start date 9/17/17) and the staff member had not been denied continued employment.

Plan of Correction: We will check the status of the results immediately.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review, in one of five staff records reviewed, the licensee did not ensure that an employee must be denied continued employment if the licensed child welfare agency does not have a central registry finding within 30 days of employment. Evidence: During the inspection conducted on November 21, 2017, there was no central registry findings for Staff #2 (start date 7/24/17) and the staff member had not been denied continued employment.

Plan of Correction: We will check the status of the results immediately.

Standard #: 63.2-1720.1-B-3
Description: Based on record review, in two of five staff records reviewed, the licensee did not obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 and any child abuse and neglect registry or equivalent registry maintained by any other state in which the individual has resided in the preceding five years for any founded complaint of child abuse or neglect against him. Evidence: During the inspection conducted on November 21, 2017, there were no out of state child abuse and neglect results by the end of the 30th day of employment for Staff #2 (date of hire 7/24/17) and Staff #5 (date of hire 9/11/17).

Plan of Correction: Background checks will be initiated immediately.

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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