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. 26, 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 (22VAC40-191) 22.1 Early Childhood Care and Education

Technical Assistance:

Discussed manufacturer's recommended usage and drop in tables. Drop in tables should not be used for children older than 24 months of age. Discussed lead teacher training, mandated reporter training, injury reporting, resilient surfacing, building maintenance, diaper ointments, medication, hand washing, behavioral guidance, daily activities, attendance

Comments:

An unannounced renewal inspection was conducted on 10/26/2023 with the director. There were 16 children in care ranging in age from 23 months through 4 years old under the care and supervision of 4 staff. Childcare areas and supplies were observed. The playground area was observed. Four children's records, five staff records, emergency drills, and emergency supplies 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 on the violation notice and return it to the licensing inspector 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. If you have questions regarding this inspection, please contact Stephanie Reed at Stephanie.Reed@doe.virginia.gov

Violations:

Standard #:	8VAC20-780-270-A
Description:	REPEAT VIOLATION Based on observation, the center failed to ensure all areas of the center inside and outside were maintained in clean, safe, operable condition. Evidence: 1.In the back classroom, the transition strip is broken, is uneven and creates a tripping hazard. 2.In the bathroom near off the back classroom (three and four year olds), there is an approximately two inch size gouge in the drywall that exposes drywall and chips and flakes off. There are three toilets (toilet 1: two screws, toilet 2: two screws, toilet 3: one screw) with five exposed screws at the base that extend six to ten thread lengths and create an impalement and scratch hazard. 3.Near the alcove to the outdoor/playground area, there were two heavy tables leaned against a wall that creates a crush and fall hazard. 4.On the fence on the playground, there were five broken wooden fence boards that create a scratch and puncture hazard. 5.The drop in table in the two year old room did not have any safety straps installed. The drop in table in the back classroom (three and four year olds), did not have any safety straps installed
Plan of Correction:	1. Transition stripping was purchased and laid over the area to cover the uneven surface (11/08/2023). 2. All drywall cracks and gouges are being repaired with a contractor ad the bathroom is being repainted. (12/04/2023) All screws have been covered with the appropriate toilet screw covers (10/29/2023). 3. Tales have been moved (10/27/2023). 4. Boards are going to be replaced (12/04/2023). 5. Safety straps are installed and being used (11/13/2023).
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the center failed to ensure that 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: 1.On the playground, behind the lattice near the door, there was a can of wasp and hornet spray sitting out in the open. 2.Behind the counter, in the kitchenette area, the gate was open and unlocked and there were four bottles of bleach on a bottom shelf.
Plan of Correction:	1. Wasp spray was moved and staff reminded that these products cannot be left on the playground or anywhere else. 2. Gate is locked consistently and the bleach has been moved to a locked cabinet. Staff are aware that the kitchenette gate needs to be closed and locked.
Standard #:	8VAC20-780-280-H
Description:	Based on observation, the center failed to ensure that cosmetics, medications, or other harmful agents were stored in areas that are not accessible to children. Evidence: In the two year old class, there was a Humulin insulin stored in an open cabinet with a broken lock accessible to children in care. Staff interviews confirmed that the medication belonged to a staff member.
Plan of Correction:	Insulin was removed and th4e staff member was told not to have it out in the classroom. Lock was replaced.
Standard #:	8VAC20-780-290-A-3
Description:	Based on observation, the center failed to ensure that all electrical outlets were equipped with protective covers. Evidence: In the two year old room, there was an accessible power strip with five outlets exposed and a plugged in charger.
Plan of Correction:	Protective covers were added to all the outlets in the power strip and the staff member was informed that the strip will be removed if the outlets are not covered at all times when not in use.
Standard #:	8VAC20-780-330-B
Description:	Based on observation, the center failed to ensure that in areas where playground equipment is provided, resilient surfacing was sufficient in fall zones. Evidence: Multiple areas of dirt were observed in fall zones around playground equipment. A minimum of six inches of mulch is required in the fall zones.
Plan of Correction:	The landscaping company was called and they came and added new mulch to the entire playground.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, staff failed to ensure that children and staff?s hands were washed with soap and running water after diapering. Evidence: Diapering procedures were observed and after diapering, staff did not wash their hands or the children?s hands with soap and water.
Plan of Correction:	Diapering procedures were reviewed with all staff members and new signs reminding them of the proper procedures for diapering were hung up in the bathroom.
Standard #:	8VAC20-780-510-E
Description:	Based on observation and interview, the center failed to ensure that they were in compliance with their medication policy. Evidence: There was a prescription Nystatin cream in the unlocked bathroom that did not have an accompanying authorization from the parent.
Plan of Correction:	Director reviewed the medication policy with all staff members to remind them that and all prescription medication needs to have a MAT form with it. The cream was returned to the parent that evening.
Standard #:	8VAC20-780-510-L
Description:	Based on observation, the center failed to ensure that medication was kept in a locked place. Evidence: A prescription Nystatin cream was observed in an organizer on the back of an unlocked bathroom door.
Plan of Correction:	The cream was moved to a locked cabinet util that evening when it was returned to parent.
Standard #:	8VAC20-780-520-C
Description:	Based on observation and interviews with staff, the center failed to ensure that diapering ointment requirements were followed. Evidence: In the organizer on the back of the bathroom door, there was an unlabeled CVS diaper rash ointment that expired 12/2022 and an unlabeled Aquaphor healing ointment that expired 7/2023.
Plan of Correction:	All diaper creams were reviewed and labeled or thrown away if expired or if it was not known who it belonged to. Staff reviewed the regulations regarding diaper creams and will make sure they are all properloy labeled and disposed of as necessary.
Standard #:	8VAC20-780-570-A
Description:	Based on observation, the center failed to ensure that when a child is placed in a feeding table or high chair, the protective belt is fastened securely. Evidence: In the back classroom, three children were observed in the feeding table. None of the seats in the feeding table were equipped with the safety straps.
Plan of Correction:	Protective belts were purchased and are attached to the seats and are being used when children are in the seats.