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Childtime Children's Center - Kiln Creek
101 Kiln Creek Parkway
Yorktown, VA 23693
(757) 875-9693

Current Inspector: Michele Patchett (757) 439-6816

Inspection Date: Dec. 14, 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 December 14, 2017. At the time of entrance there were 116 children and 20 staff members present with children. Additional staff were on site for administrative and meal preparation responsibilities. The sample size consisted of 11 children's records and 11 staff records. Children were observed playing outside and participating in circle time. Previous violations were reviewed. The inspection began at approximately 9:25 a.m. and ended at approximately 12:45 p.m. Areas of non-compliance are identified on the violation notice. The results of the inspection and violations cited were reviewed and verified with the center director during the exit interview. Please complete the columns for description of action to be taken and date to be corrected for each violation cited on the violation notice, and then return it to the licensing office within 5 calendar days of receipt. If you have any questions, contact your licensing inspector at (757) 404-0568.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on record review and staff interviews, the licensee did not ensure the center kept at the center a separate record for each child enrolled which shall contained all the following information. Evidence; During the inspection on December 14, 2017, 11 children records were reviewed and 4 records were determined to be incomplete as listed below; 1) The record for child #4 did not include a complete home address for one emergency contact name, the house number and city's zip code were missing. 2) The record for child #6 did not include the home address (house number, street name, city state and zip code) for the listed mother and father. 3) The record for child #7 did not include a complete home address for one emergency contact name, the house number and street name were missing. 4) The record for child #11 did not include the father employment number, the home address (house number, street name, city state and zip code) for one emergency contact listed and the physicians name and physicians phone number.

Plan of Correction: New management has obtained all missing information as of 12/28/17. All new families are required to do a pre-enrollment paperwork appointment to ensure compliance, prior to enrollment.

Standard #: 22VAC40-185-70-A
Description: Based on record review and staff interviews, the licensee did not ensure the staff records had documentation that two or more references as to character and reputation as well as competency were checked before employment. If a reference check is taken over the phone, documentation shall include the signature of person making call. Evidence; During the inspection on December 14, 2017, 11 staff records were reviewed and 2 did not include the required documentation for references as listed below; 1) The record for staff #6 did not include documentation of the signature for the person making the phone call to conduct the reference. The record did not include the required second reference. 2) The record for staff #10 did not include documentation of the signature for the person making the phone call to conduct the reference.

Plan of Correction: Management references are done through our recruiting office and are requested electronically. Moving forward, the recruiter will sign and date these prior to submitting to the hiring manager. These references are being accepted by all other Virginia licensing offices. All staff references will be updated on or before 1/5/18 to be in compliance, and management will be responsible for submitting to the DM prior to any hire.

Standard #: 22VAC40-185-260-A
Description: Based on record review and staff interviews, the licensee did not ensure an annual fire inspection report from the appropriate fire official having jurisdiction was obtained. Evidence; During the inspection on December 14, 2017, there was not documentation available for an updated fire inspection. The most recent one available for review was dated 1-26-2016.

Plan of Correction: Fire inspection has been requested. Due dates have now been calendared to ensure compliance moving forward.

Standard #: 22VAC40-185-270-A
Description: Based on observation, the licensee did not ensure areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: During the inspection on December 14, 2017 the following areas were observed and determined to pose a risk to the children in care; 1) On the older children's playground the plastic and metal house has blue paint that is chipping and peeling and there are 2 bolts at the bottom that have areas of flaking rust. 2) There were 3 outside metal window frames that were observed to be in an unsafe condition. The windows face the outdoor playground areas and are easily accessible to children.

Plan of Correction: We are working in conjunction with facilities to have these items repaired or removed on or before 1/15/18. Our safety captain is being retrained on being able to identify and follow the process for work order submission timely.

Standard #: 22VAC40-185-500-A
Description: Based on observation and staff interviews, staff did not ensure their hands were washed with soap and running water before and after helping a child use the toilet or a diaper change, after the staff member uses the toilet, after any contact with body fluids, and before feeding or helping children with feeding. Evidence: During the inspection on December 14, 2017 a staff member in the two year old room was observed during the diaper changes and they did not wash their hands after changing the child's diaper.

Plan of Correction: All two year old staff have been retrained on hand washing as of 12/29/17. Both management and the Safety Captain will be observing daily for compliance.

Standard #: 22VAC40-185-510-E
Description: Based on observation and staff interviews, the licensee did not ensure medication was labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: During the inspection on December 14, 2017, there was 1 medication observed that was not labeled with the child's name. The center director verified the medication (Albuterol) was for child #1.

Plan of Correction: This medication was removed the day of the visit. Management will ensure that no medication is accepted into care without proper documentation.

Standard #: 22VAC40-185-510-N
Description: Based on observation and staff interviews, the licensee did not ensure that when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Evidence: During the inspection on December 14, 2017, there was 1 medication (Ibuprofen) observed for child #2 that had an expired medication authorization as of 8-21-17 and the medication was not sent home to the parent.

Plan of Correction: Safety Captain will be retrained on or before 2/2/18 on checking all stored medications weekly for expiration dates. All expired medications were removed the day of the inspection.

Standard #: 22VAC40-185-550-M
Description: Based on observation and staff interviews, the licensee did not ensure the center maintained a written record of children's serious and minor injuries in which entries are made the day of occurrence and all required information was documented. Evidence: During the inspection on December 14, 2017, 15 injury reports were reviewed and 4 did not include the date and time the parent was notified.

Plan of Correction: New management has been retrained as of 12/29/17 on all required information for incident/accident reporting. DM to review quarterly for compliance.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review and staff interviews, the licensee did not ensure all employee of a licensed or registered child welfare agency has obtained a central registry finding within 30 days of employment or employment shall be denied. Evidence: During the inspection on December 14, 2017, the record for staff #11 did not include a central registry finding within 30 days of employment (date of hire 1-11-2017) and employment was not denied. Staff #11 was observed working during the inspection.

Plan of Correction: This CRC was submitted this week. Moving forward all new hire CRCs are to be submitted to the DM to verify compliance within 48 hours of hire.

Standard #: 63.2-1720.1-B-3
Description: Based on record review and staff interviews, the licensee did not ensure all employee of a licensed or registered child welfare agency has obtained a central registry finding 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 on December 14, 2017, the record for staff #1 (date of hire 7-13-17) did not include a central registry finding from Kansas and Maine where staff #1 has lived within the last 5 years. The record for staff ##4 (date of hire 9-18-17) did not include a central registry finding from Kentucky and New York where staff #4 has lived within the last 5 years. Staff #1 and staff #4 were observed working during the inspection

Plan of Correction: New management has submitted to licensing these required checks this last week. In addition, they have been trained on ensuring that all new hires will have all required CRCs done one day one of employment. Moving forward, all new hire background checks will be submitted to the DM within 48 hours of hire to ensure compliance.

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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