VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Gentle Touch Learning Center LLC
3621 Turnpike Road
Portsmouth, VA 23707
(757) 399-5437

Current Inspector: Emily Walsh (757) 404-2575

Inspection Date: July 12, 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. 22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:

Qualifications for staff 3 were discussed. The facility will submit any available additional information regarding the Portsmouth Public School early childhood certificate so that home office guidance can be requested. The u-shaped latch on the playground fencing used to secure the gate missing.

Comments:

An unannounced, mandated monitoring inspection was conducted today. The inspector arrived at 10:00 AM and departed at 1:15 PM. Upon arrival, there were fifteen children in care with two staff. Morning activities, indoor gross motor activities and snack service were observed. It was reported that no medication is administered to children in care. Children's injury records were reviewed. A sample size of two staff records and five children's records were reviewed. An exit meeting was conducted with the program director prior to closure of the inspection. Should the facility intend to submit plans of correction, they must be received in the licensing office within five days from today.

Violations:

Standard #:	22VAC40-185-60-A
Description:	Based upon review of five children's records and staff interview, the facility has not ensured that children's records include all required information. Evidence: 1. The record provided for 2 did not include the city and state or zip code for the second person listed to be contacted in an emergency when a parent cannot be reached. The same record does not include documentation of child updates and confirmation of up-to-date information in the child's record since 6/14/2017. 2. The record provided for child 4 did not include the city and state or zip code either of the two provided persons to be contacted in an emergency when a parent cannot be reached. The same record does not include a business phone number for the mother or the father or documentation of child updates and confirmation of up-to-date information in the child's record since 8/11/2015. 3. The record provided for child 1 did not include documentation of child updates and confirmation of up-to-date information in the child's record since 12/12/2016. 4. Staff 1 confirmed the missing information in the above children's records.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-70-A
Description:	Based upon review of two staff records and staff interview, the facility has not ensured that complete documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. Evidence: 1. The two references in the record provided for staff 3 included only the date(s) and firm(s) contacted . The documentation did not include the names of persons contacted, results and the signature(s) of the person(s) making the telephone reference call. 2. Staff 1 verified that the documentation of the references for staff 3 did not include all required information.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-240-A
Description:	Based upon review of two staff records and staff interview, the facility has not ensured that staff received the required training (orientation) by the end of their first day of assuming job responsibiities. Evidence: 1. The record provided for staff 3 indicated a date of employment as 4/2/2018. The documentation of orientation training for staff 3 three is signed and dated on 4/6/2018. 2. Staff 1 verified the dates of employ and orientation training of staff 3.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-270-A
Description:	Based upon observation, the facility has not ensured that areas and equipment of the center, inside and outside, are maintained to be clean, safe and operable. Evidence: A. Classroom #1: 1. There is a loose outlet plate under the window exposing a 1/4 inch gap through which the inside of the electrical box and be seen and accessed. 2. There is broken, splintering wood around the wooden window frame. 3. There is broken plaster in the repaired wall around the outlet on the back wall revealing a 1/4 inch gap. 4. There is a small bundle of wires protruding from the wall with cut, pointed ends that could snag a child. The wires are located 1.5 feet from the floor. B. Classroom #2 1. There were five areas where the drywall/plaster is broken creating gaps in the walls. 2. There is a wooden baseboard that is pulling away from the wall, creating a 1/2 inch gap. There is a loose nail in the baseboard. 3. There is a finishing nail protruding from wooden quarter round on the wall. 4. There is chipped and peeling paint on the walls. C. Classroom #4 1. The is broken wood trim on the door frame on the door that leads from the classroom to the area where children exit to the playground. The wood has a pointy edge. The wood veneer on the door is splintering and the paint is peeling. 2. The vinyl flooring between classrooms 2 and 3 and 3 and 1 is peeling up, creating a tripping hazard. D. Classroom #3 1. There is chipped and broken plaster on the walls to include two 1/4 inch holes. The paint is chipped and peeling. E. Multi-purpose Room/Facility Entrance 1. There is a small blue wooden shelf in the reading area that is not stable. The shelf rocks back and forth and side to side. 2. The gray vinyl flooring is peeling up along the base of the wall on the right side revealing a 2 inch gap. 3. The vinyl brown flooring in the threshold area inside the front entrance not secured and is lifting up. 4. The gray vinyl flooring cover is rolled up at the base of the blue bookcase in the multi-purpose area. F. Hallway by the Restrooms 1. There is peeling plaster/adhesive on the wall to the left with chipped/cracked drywall. 2. There is a 1/8 inch gap between the electrical outlet and the wall. The outlet is one and one half foot from the floor. 3. There is a hole in the wall where the door handle from classroom 1 pushed through the drywall. G. Restrooms 1. There is peeling paper (similar to contact paper) along the bottom of the walls in the right bathroom. This area cannot be adequately sanitized. 2. There is a rusting hand rail and peeling paint/drywall in the left bathroom. H. Outdoor Play Area 1. The chain link fencing is rusted.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-290-3
Description:	Based upon observation, the facility has not ensured that electrical outlets have protective covers. Evidence: The top electrical outlet on the far wall of classroom 2 did not have a cover. Classroom 2 is open to classrooms 3 and 4 in which the preschool aged children were in care.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-540-C
Description:	Based upon review of the first aid kit, the facility has not ensured that the first aid kit contains all required items. Evidence: The first aid supplies provided did not include triangular bandages. Staff 1 was unable to supply triangular bandages.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-540-E
Description:	Based upon review of the nonmedical emergency supplies, the facility does not have a working battery operated flashlight. Evidence: The facility did not have working batteries. Staff 1 was unable to provide batteries for the flashlight.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-550-D
Description:	Based upon review of the provided evacuation drill record and staff interview, the facility has not ensured that a practice evacuation drill is conducted monthly. Evidence: 1. The evacuation record indicates that the most recent evacuation drill was conducted on 5/23/2018. No evacuation drill was documented in the month of June 2018. @. Staff 1 verified that there was no drill documented in June 2018.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-550-M
Description:	Based upon review of injury records, the facility has not ensured that the written record of children's injuries, the facility has not ensured that the written records include all required documentation. Evidence: A written injury record dated 5/15/18 for child 6 did not include documentation of future action to prevent recurrence of the injury.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-560-F
Description:	Based upon observation, the facility has not ensured that they follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: The serving of morning snack was observed at 10:20 AM to a combined grouping of fifteen children. The children were served pretzels and water, representing only one food group component (grain) instead of the required two food group components. The posted snack menu indicated that the children were to be served graham crackers, kiwi and pretzels.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-191-60-C-2
Description:	Based upon review of two staff records and staff interview, the facility has not ensured that results of a child protective servi es (CPS) central registry search is obtained within 30 days of employment or the employee is denied continued employ. Evidence: 1. The record provided for staff 3 indicates a date of employ on 4/2/2018. THe record did not include results of CPS central registry search. Employment of staff 3 has continued. 2. Staff 1 was unable to provide documentation that a CPS registry search had been requested for staff 3. Staff 1 stated that the results may have been misplaced.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-80-120-E-2
Description:	Based upon observation, the facility has not ensured that the findings of the most recent inspection of the facility are posted on the premises of the facility. Evidence: The posted inspection findings near the facility office area is dated 1/26/2018. The most recent inspection conducted at the facility is dated 3/29/2018.
Plan of Correction:	Not available online. Contact Inspector for more information.