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: March 30, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Physical Plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies. 8VAC20-780 Special Services. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced monitoring inspection was conducted on-site March 30, 2023. The director was available during the inspection. There were 18 children present, ranging in ages from 16 months to 5 years, with 5 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 5 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	8VAC20-770-40-D-6
Description:	Based on a review of staff records on March 30, 2023, the center failed to ensure that each staff record reviewed contained a fingerprint check that is not dated more than 90 days prior to the date of employment. Evidence: 1. The record of staff #3, hired 03/01/22, contained documentation of fingerprints dated 10/21/21.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-C-2
Description:	Based on a review of staff records on March 30, 2023, the center failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: The record of staff #3, hired 03/01/22, contained documentation of central registry results dated 07/11/22.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-70-A
Description:	Based on a review of records and interview on March 30, 2023, the center did not ensure that two or more references were checked before employment. Evidence: 1. The record of staff #1, hired 03/28/23, did not contain documentation of references being checked. 2. The record of staff #3, hired 03/01/22, contained documentation of references that were checked and dated on 03/02/22 and 03/04/22. 3. Staff #6 confirmed the references weren't complete or late.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Based on a review of children?s records and interview on March 30, 2023, the provider failed to ensure that each child's record contained the required information. Evidence: 1. The records of child #1 (enrolled 03/23/23) and child #4 (enrolled 05/07/21) did not contain the first date of attendance. 2. Staff #6 confirmed they were not in the file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-90--A
Description:	Based on a review of children's records and interview on March 30, 2023, the center failed to ensure a written agreement between the parent and the center was in each child's record by the first day of the child's attendance. Evidence: 1. The record of child #1, enrolled 03/23/23, did not contain documentation of a signed written agreement between the parent and the center. 2. Staff #6 confirmed it was not complete.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	Based on observation on March 30, 2023, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The bathroom door contained a hole approximately 5x6 that created splintered wood. 2. A plastic ride on toy outside contained a broken plastic handle, which created a hole in the toy.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-550-D
Description:	Based on a review of records and interview on March 30, 2023, the center failed to ensure to implement a monthly practice evacuation drill. Evidence: 1. There was no documentation of fire drills being practiced in January and February 2023. 2. Staff #6 confirmed the fire drills were not conducted.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-820-120-E-2
Description:	Based on observation and interview on March 30, 2023, the center did not ensure the findings of the most recent inspection were posted in the facility. Evidence: 1. The findings from the most recent inspection conducted October 12, 2023, were not posted in the facility on the date of inspection. 2. Staff #6 stated she didn't know the complaint inspection had to be posted.
Plan of Correction:	Not available online. Contact Inspector for more information.