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Horizons Unlimited Early Learning Center
221 Marston Avenue
Urbanna, VA 23175
(804) 758-0711

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: March 20, 2018

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 inspection was conducted on this date. Upon entrance there were 14 children and 4 staff present with children and there were additional staff on site for administrative and program support. The sample size of records reviewed were 4 children's records and 6 staff records. Two medications were reviewed during this inspection. The inspection began at approximately 9:05 a.m. and ended at 1:30 p.m. Children were observed playing with blocks and infants were observed drinking bottle. Areas of noncompliance are noted on the violation notice. Please contact the licensing inspector at 404-0568 with any questions.

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on a record review and staff interviews, the licensee did not ensure each staff member submitted documentation of a negative tuberculosis screening (TB). Documentation of the screening shall be submitted no later than 21 days after employment or shall have been completed within 12 months prior to or 21 days after employment. Evidence: During the inspection on March 20, 2018, 2 out of 6 records reviewed did not include TB screenings as required. The record for staff #4 and staff #5 first date of employment was 1-1-2018. The TB screening for staff #1 was dated 10-16-2015 and for staff #5 it was dated 10-19-2016.

Plan of Correction: The center owner will have staff get updated TB.

Standard #: 22VAC40-185-70-A
Description: Based on a record review and staff interviews, the licensee did not ensure all staff had the required documentation for their record. Evidence: During the inspection on March 20, 2018, 6 out of 6 records reviewed did not include all required information. The records for staff #1 and staff #5 did not include their job title and date of employment. The records for staff #2, staff #3, staff #5 and staff #6 did not include any health related information impacting their position.

Plan of Correction: The center owner will have updated information in files.

Standard #: 22VAC40-185-90--A
Description: Based on a record review and staff interviews ,the licensee did not ensure that written agreement between the parent and the center were in each child's record by the first day of the child's attendance. Evidence: During the inspection on March 20, 2018, 1 out of 4 records reviewed (child #3) did not include the required parent agreements; 1)An authorization for emergency medical care should an emergency occur when the parent cannot be located immediately unless the parent states in writing an objection to the provision of such care on religious or other grounds 2)A statement that the center will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the center 3) A statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately.

Plan of Correction: The center director will have updated information in files.

Standard #: 22VAC40-185-280-B
Description: Based on observation and staff interviews the licensee did not ensure hazardous substances such as cleaning materials, insecticides, and pesticides were kept in a locked place using a safe locking method that prevents access by children. Evidence: During the inspection on March 20, 2018, in the two's and three's room there was 1 container of hand sanitizer on a top self out of reach of children and it was labeled "keep out of reach of children", "hazardous" and 'flammable.

Plan of Correction: The center owner will retrain the staff.

Standard #: 22VAC40-185-450-C
Description: Based on observation and staff interviews the licensee did not ensure that linens are clean and as least washed weekly and crib sheets are washed daily. Evidence: During the inspection on March 20, 2018, the linens for the rest mats and cribs were observed in the infant room. The linens for 3 mats and 1 crib sheets were determined to not be cleaned as required. 1) There were 3 rest mats with linens designated for children over 12 months and they were stored in a crib with an infant bouncer. The mats with the linens were stacked on top of one another and were touching the bouncer that had been placed on the floor. The linens are no longer clean once they have come in contact with other linens and items that have been placed on the floor (bouncer). 2) The center staff confirmed the 1 designated crib has a sheet and it was is only washed on Fridays and not daily as required.

Plan of Correction: The center owner will retrain the staff on proper storage of linens today.

Standard #: 22VAC40-185-570-E
Description: Based on observation and staff interviews the licensee did not ensure prepared infant formula was refrigerated, dated and labeled with the child's name. Evidence: During the inspection on March 20, 2018, 2 out of 3 bottles observed in the refrigerator were not labeled and dated with a child's name.

Plan of Correction: The center owner will retrain the staff.

Standard #: 22VAC40-191-60-B
Description: Based on a record review and staff interviews, the licensee did not ensure that all staff had completed a sworn statement or affirmation prior to the first date of employment. Evidence: During the inspection on March 20, 2018, 3 out of 6 records reviewed (staff #1, staff #3 and staff #5) did not include a sworn statement prior to the first date of employment. Center owner confirmed the first date of employment was 1-1-2018 for staff #1, staff #3 and staff #5. The sworn statements were dated as follows; for staff #1 dated 2-9-2018, staff #3 dated 2-12-2018 and staff #5 dated 2-12-2018.

Plan of Correction: The center director will make sure all sworn statements are in the files before the first day.

Standard #: 22VAC40-191-60-C-2
Description: Based on a record review and staff interviews, the licensee did not ensure that all staff had obtained a central registry finding (CPS) within 30 days of employment or continued employment shall be denied. Evidence: During the inspection on March 20, 2018, 3 out of 6 records reviewed (staff #1, staff #3 and staff #5) did not include a CPS finding. Center owner confirmed the first date of employment was 1-1-2018 for staff #1, staff #3 and staff #5. Staff #1, staff #3 and staff #5 were observed working during the inspection.

Plan of Correction: The center director will contact CPS and see when their checks will be mailed. The center staff will be taken of the schedule until records are received.

Standard #: 63.2-1720.1-B-3
Description: Based on documentation review and staff interviews, the licensee did not ensure all staff that had lived outside the state of Virginia within the last five years had obtained a search of the central registry 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 on March 20, 2018, 1 out of 6 of the records reviewed included documentation that 1 staff (staff #2) had lived outside of the state of Virginia within the last 5 years and the record did not include the required Out of State Search of the Central Registry Check. The first date of employment for staff #2 was 1-23-18.

Plan of Correction: The center owner will get the background check done.

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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