VIRGINIA DEPARTMENT OF SOCIAL SERVICES

TLC Daycare Center
32 Weems Lane
Winchester, VA 22601
(540) 662-5399

Current Inspector: Stephanie Reed (540) 272-6558

Inspection Date: Oct. 1, 2019

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. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191) 32.1 Report by person other than physician 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

We discussed the requirements for children's records, staff records, background checks, injury records, substitute containers, playground maintenance and equipment. The risk assessments for violations were provided.

Comments:

Thank you for your assistance during the unannounced renewal inspection conducted from 10:52 AM to 3:40 PM. Today, there were twenty-five children, ages two through five years, with four staff. Five school age children received supervision after school. I viewed program activities, daily routines, equipment, staffing, supervision, interactions with children, posted information, emergency plan, emergency supplies and drill records, emergency plan, injury records, insurance, diapering procedures, diaper ointment, sunscreen, agency inspection reports, five records for children, five staff records, staff qualifications, staff training, indoor and outdoor areas. The children had access to a variety of toys and materials in their rooms. The teachers have read stories and conducted group discussions for their group. The staff were seen providing frequent interactions with children and guidance for expected behaviors. Please, submit the renewal application to the Valley Licensing Office. Also, provide copies of agency inspection reports. Let me know if you have any questions. 540/430-9259

Violations:

Standard #:	22VAC40-185-60-A
Description:	Based on a review of five records for children, and an interview with staff, the center did not maintain all required information in children's records. There was not written information regarding the school that child 5 has been attending concurrently.
Plan of Correction:	The director immediately added the school information to the record. The director will make sure the records of children who attend other programs and schools has this information in each record.
Standard #:	22VAC40-185-270-A
Description:	Based on observation of the playground area, and an interview with administrative staff, the center administration failed to maintain the outdoor area in a safe and operable condition. Evidence: At the far side wooden fence, one fence vertical board was detached and laying on the ground outside of the playground. There were two exposed nails exposed. The back fence had three vertical boards with missing sections, including one with the bottom section broken off. The side fence closest to the center door had six boards with broken sections missing, including two with pointed edges accessible to children. There were two legless table tops leaning on the side fence closest to the door, causing the fence to bow.
Plan of Correction:	The director will arrange to remove the two table tops from the center property. The children will be kept away from the fence until all repairs are completed. The vertical fence boards will be replaced and the protruding nails removed. The director will instruct the staff to inform the director whenever there are repair needs or objects to remove from the playground.
Standard #:	22VAC40-185-280-G
Description:	Based on observation of the cleaning and sanitizing procedures, and an interview with administrative staff, the center failed to clearly indicate contents of a substance in a substitute container. Evidence: A Spic and Span cleaner bottle was seen used for cleaning a diapering mat. Staff indicated that the bottle was reused for a soap and water spray. The bottle was not labeled to indicate the actual contents.
Plan of Correction:	The director will make sure the spray bottle is labeled to indicate the contents. Whenever a substitute container is used for cleaning or sanitizing, the container will be labeled to show the actual contents.
Standard #:	22VAC40-185-330-B
Description:	Based measurement of the surfacing at fall zones of playground equipment, and an interview with administrative staff, the center failed to ensure that the required fall zones surrounded play components of playground equipment. Evidence: The fall zone at two gray and green climbing components, with a height of three feet and three inches, had a distance of three feet to the back fence and three feet, ten inches, to the side fence. The blue tunnel was a distance of only three feet and three inches from the pink slide exit perimeter. The fall zones from the perimeter of equipment were not a minimum of six feet from any obstacle.
Plan of Correction:	The equipment will be moved and placed where there is a minimum of six feet between the equipment and any other equipment or the fence. The director will instruct the staff about making sure fall zone requirements are in compliance at all times.
Standard #:	22VAC40-185-550-M
Description:	Based on a review of injury records, and an interview with administrative staff, there was required documentation missing from some of the records. Evidence: There was not any written information for preventive measure to prevent recurrence of minor injuries treated on July 12, 2019, August 9, 2019 and September 9, 2019.
Plan of Correction:	The director will speak with the attending staff and make sure the preventive measures are written on the injury reports. The director will review the requirements for completing injury records with all staff. Before the reports are filed, the director will review the reports and make sure they contain all required information.
Standard #:	22VAC40-191-60-C-2
Description:	Based on a review of five records for staff, and an interview with administrative staff, the center failed to obtain a Virginia central registry finding within thirty days of employment for one staff. Evidence: Staff member 2 began work on July 23, 2019 and there was not documentation of a request made for the central registry search and there were not any findings from the agency in Richmond located in the file. Administrative staff confirmed that there was not a finding received for staff member 2.
Plan of Correction:	The director will arrange for staff member 2 to complete a notarized request form and make sure it is sent to Richmond. A copy of the request will be kept in the file and submitted to the licensing inspector. The results will be obtained, viewed and filed. Also, the results will be shared with the licensing inspector. In the future, the director will request this background check no later than the first week of employment to be sure that it is obtained in thirty days. A system for maintaining staff record dates will be used consistently.