VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Life's Precious Angel's LLC
3739 Lake Monticello Road
Suite A
Palmyra, VA 22963
(434) 566-9904

Current Inspector: Kelly Adriazola (804) 840-8245

Inspection Date: May 2, 2024

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

Technical Assistance:

8VAC20-780-150A 8VAC20-780-150B

Comments:

An unannounced renewal inspection was conducted on-site May 2, 2024 from 10:54am until 1:10pm. The director was available during the inspection. There were 20 children present, ranging in ages from 10 weeks to 2 years, with 6 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 #:	8VAC20-780-130-A
Description:	Based on a review of children's records, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record of child #3, enrolled 08/01/23, contained documentation of immunizations dated 10/17/23. 2. The record of child #2, enrolled 09/05/23, contained documentation of immunizations dated 09/15/23.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-140-A
Description:	Based on a review of children's records, the center failed to obtain documentation of a physical examination by or under the direction of a physician for each child before the child's attendance or within one month after attendance. Evidence: The record of child #2, enrolled 09/05/23, contained documentation of a physical dated 10/24/23.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-140-B
Description:	Based on a review of children's records, a physical exam, completed prior to a 15 month old child's first date of attendance, was not dated within 3 months prior to attendance. Evidence: Child #5 was 15 months old at the time of enrollment on 03/25/24 and the physical exam was dated 08/24/23.
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, the center failed to ensure each child's record contained all the required information. Evidence: 1. The record of child #5 did not contain documentation of the work phone number for each parent when an employer was provided. 2. The record of child #5 did not contain documentation of the address of two designated people to call in an emergency if a parent can't be reached. 3. The record of child #5 did not contain documentation of previous child day care and schools attended by the child.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the center failed to ensure hazardous substances such as cleaning materials are kept in a locked place using a safe locking method that prevents access by children. Evidence: There was a container of Lysol spray and bleach water in an unlocked cabinet in the infant room. The label on the Lysol stated "keep out of reach of children" and "caution."
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-350-C
Description:	Based on observation and interview, the center failed to ensure when children are in on-going mixed age groups, the staff-to-children ratio to the youngest child in the group shall apply to the entire group. Evidence: Upon arrival of the inspection at 10:54am there were 9 children and 2 staff in the toddler room. At approximately 1pm, at exit, there were 2 staff and 9 children with the youngest being 14 months old. Staff reported the age of youngest in care in the toddler room was 14 months old. The ratio for birth to 16 months old is 1 staff to 4 children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-440-J
Description:	Based on observation, the center failed to ensure there are at least 12 inches of space between the sides and ends of occupied cribs except where they touch the wall. Evidence: In the infant room, there were three occupied infant cribs lined against the wall with approximately 3-4 inches between each crib.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-550-D
Description:	Based on a review of drill logs, the center failed to implement a monthly practice evacuation drill. Evidence: There was no documentation of a fire drill being practiced in April 2024.
Plan of Correction:	Not available online. Contact Inspector for more information.