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Two By Two Learning Center, Inc.
2499 W. Beverley Street
Staunton, VA 24401
(540) 213-2292

Current Inspector: Barbara Workman

Inspection Date: July 23, 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 General Provisions.
63.2 Child Abuse and Neglect
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced inspection was completed on 07/23/2018 from 9:00 A.M.-2:15 P.M. At the time of the inspection 73 children were in care with twelve staff and two administrators present. Seven children records, six staff records, three medications, four injury reports, emergency plan, first aid kits, emergency supplies, playground, and posted required information were reviewed. Children were observed during infant feeding, diapering, inside gross motor playtime, math activities, fingerplays, story time, handwashing, lunchtime, and naptime. The exceptions to compliance are noted on the violation notice. If you have any questions or concerns contact the licensing inspector at (540)-430-9257 for further assistance.

Violations:
Standard #: 22VAC40-185-270-A
Description: Based on observation of playground equipment, the center failed to ensure that all materials and equipment were maintained in a clean, safe, and operable condition. Evidence: 1. On the Pre-K playground the playhouse closest to the fence as you enter the gate was cracked and pulling apart at one of the windows. 2. The edges of plastic were jagged and rough, and the children had filled the holes with rocks. 3. Staff verified that the playhouse was cracked and had jagged and rough edges.

Plan of Correction: Staff will disassemble the playhouse this evening and removed from the playground.

Standard #: 22VAC40-185-280-B
Description: Based on observation, staff failed to ensure that hazardous materials were kept in a locked location. Evidence: 1. The Utility Room in the Infant/Toddler building was unlocked. 2. There was Clorox Disinfectant Wipes, Oxy-Clean, Zout Stain Remover, and Dreft Laundry Detergent located in the room. 3. Each product contained a manufacturer label that stated "Keep out of Reach of Children, and at least one of the following warnings: Danger; Caution; Warning; and Harmful if Swallowed.

Plan of Correction: The administrative staff will review with staff during a staff meeting the standards related to hazardous materials, and will do a walk thru the center each day to make sure all hazardous materials are in a locked location.

Standard #: 22VAC40-185-280-G
Description: Based upon observation, the center did not ensure hazardous substances not kept in original containers were clearly labeled with their contents. Evidence: 1. In the Toddler Girl's bathroom in the Infant/Toddler building, the sanitizing solution bottle was not labeled with its contents. 2. Staff verified that it was sanitizing solution consisting of a mixture of bleach and water in the bottle.

Plan of Correction: The administrative staff will review with all staff to label all bottles if they are not in original containers.

Standard #: 22VAC40-185-290-3
Description: Based on observation, the center failed to have all electrical outlets covered by a protective cover. Evidence: 1. Outside of the main office in the hallway there was an electrical outlet without a protective covering. 2. In the downstairs K-2nd Summer Program classroom there were two electrical outlets behind the teachers desk without a protective covering. 3. In the Reading Readiness Room near the pencil sharpener there was an electrical outlet without a protective covering. 4. In the 0-9 months classroom near the counter there was an electrical outlet without a protective covering. 5. In the Infant/Toddler building in the lunch room above the red shelf there was an electrical outlet without a protective covering. 6. Staff verified that the electrical outlets did not have a protective covering.

Plan of Correction: Staff corrected and placed protective coverings in the outlets during the inspection. The administrative staff will be purchasing extra protective coverings to keep on hand.

Standard #: 22VAC40-185-430-I
Description: Based on observation in the 0-9 months classroom, the center failed to ensure personal items were individually assigned. Evidence: 1. In the refrigerator in the 0-9 month classroom there was a pacifier sitting in a bowl of water. Staff stated the child was teething and they were getting it cold for him so it would be available when the child needed it. 2. The bowl that the pacifier was in was not labeled with a name. 3. The pacifier was not labeled with child's name or initials. 4. Staff verified that the pacifier was not labeled with the child's name or initials.

Plan of Correction: Administrative staff will review with the Infant/Toddler staff to label all personal belongings such as pacifiers for all children.

Standard #: 22VAC40-185-520-C
Description: Based on review of over the counter diaper ointments, the center failed to ensure that all required documentation and labeling of ointment were obtained. Evidence: 1. Child #8 did not have a parent authorization form for Mupirocin and Vaseline ointment. 2. Child #5 did not have a parent authorization form for the Dollar General Baby Rash and Coconut Oil Ointment. 3. Child #4's Angel Baby Bottom Balm was not labeled with the child's name. 4. Staff verified that they did not have parent authorization forms for the diaper ointments, and that the Angel Baby Bottom Balm was not labeled with the child's name.

Plan of Correction: Administrative staff will review all over the counter medication requirements during a staff meeting. Teachers will obtain permission slips for the current diaper ointments and label ointments with the child's name.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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