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Four Seasons Learning Center
254 Lakeview Drive
Charlottesville, VA 22901
(434) 975-4455

Current Inspector: Maureen Gallagher-McLeod (540) 430-9259

Inspection Date: Aug. 14, 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.
22VAC40-80 THE LICENSING PROCESS.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
We discussed the requirements for infant cribs, staff records, written policies/procedures, indoor safety, sight and sound supervision. The risk assessment for violations were provided. We reviewed the requirements for regular outside activities, sunscreen, emergency drills, emergency procedures, and storage of hazardous substances.

Comments:
Thank you for your assistance during today's unannounced monitoring inspection conducted from 9:55 AM to 4:15 PM. Today, there were forty children, ages infancy through five years, with seven to eight staff. A second licensing inspector was assisting with today's inspection. We viewed staffing, supervision, interactions with children, daily routines, activities, equipment, posted information, emergency plans, emergency supplies and drill records, five records for children, five staff records, staff qualifications, staff training, infant care and records, indoor and outdoor areas. The children were provided a variety of age appropriate group activities. They enjoyed stories, puzzles and a choice of toys. The children entering Kindergarten had an activity and discussion about bus passenger safety. Let me know if you need any assistance. 540/430-9259

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on a review of five records for staff, and an interview with administrative staff, there was not a tuberculosis screening and statement obtained by the center within the first twenty-one days of employment for staff member 5. Evidence: Staff member 5 began work on July 2, 2018 and there was not any documentation of a TB screening in the staff record.

Plan of Correction: Administrative staff immediately talked to staff member 5 about the need for a TB statement. The TB statement will be obtained, viewed and kept in the record. In the future, administrative staff will use a system for tracking any needed TB statements so that they are obtained on time.

Standard #: 22VAC40-185-240-B
Description: Based on a review of the written policies and procedures, and interviews with administrative staff, there were required written policies and procedures that have not been provided to staff. Evidence: The written procedures for assisting a child arriving late, confirming absence of a child, identifying children's whereabouts at all times, lost children, serious injuries, medication administration, and the emergency response plan have been kept in writing in binders in the office. Administrative staff indicated they reviewed the policies verbally and signed an acknowledgement during orientation trainings and did not give staff copies in writing.

Plan of Correction: Administrative staff are reviewing the written policies to make sure they are readily available to give to staff in writing. If some of the procedures are not easy to read or are in separate binders, they will be consolidated and organized for easy use to provide to staff. The staff can take home copies of the written policies to read and a copy will be readily available in the office.

Standard #: 22VAC40-185-290-3
Description: Based on observation of the electric outlets in activity areas, and interviews with staff, there were electric outlets without protective covers. Evidence: In the younger infant area, the electric outlet at the wall under the diaper changing table was missing one cap in the outlet. Also, the electric outlet near the corner to the left of the changing table was missing the plate surrounding the two outlets. Administrative staff described seeing a crack in the plate and were unaware that it was completely off and exposing the interior wiring.

Plan of Correction: Administrative staff immediately placed an electric cover in the outlet. The protective plate cover will be replaced and installed. The infant teachers will be reminded to make sure children do not have access to the corner outlet. The administrative staff will remind the staff in the infant room to immediately report any need to replace outlet protective covers.

Standard #: 22VAC40-185-340-F
Description: Based on observation, there was a period of at least five minutes during nap time, two groups of children were without sight and sound supervision. Evidence: At 1:08 PM, the licensing inspector saw seven napping toddlers and there was not a staff person in their area. Staff member 4 was rocking an infant in the older infant area and not assigned to the toddler area at this time. Staff indicated that staff member 6 had left the toddler area. Staff said that staff member 6 talked to staff in the prek room and the three year old room in the other section of the building. When staff member 4 was seen walking from the younger infant area, she was asked by the licensing inspector to stay with the toddlers until a teacher returned from a break. Then, two licensing inspectors saw that staff member 2 was no longer with seven children who were laying on cots in the two year old area. One of the two year old children was still awake. According to staff, staff member 2 left for break and was gone for at least five minutes before staff member 6 began supervising the two year old group.

Plan of Correction: The program director immediately worked on changes to the staff break schedules to ensure coverage by at least one staff person with each age grouping of children. The administrative staff will review the licensing standard requirement for sight and sound supervision of children with each staff member. The supervision requirements will be reviewed again at a staff meeting on August 20, 2018.

Standard #: 22VAC40-185-420-A
Description: Based on a review of written policies and procedures, and interviews with administrative staff, there were written policies that were not always provided to parents in writing. Evidence: During a review of the written parent policies, there was information missing in the binder regarding the administration of emergency medication, skin products such as sunscreen, insect repellent, diaper ointment, established lines of authority, custodial parent's right to be admitted to the center, general daily schedule, termination policy and parent notification of the emergency plan. Administrative staff indicated that these policies were listed in a second binder. Parents and staff have been given the opportunity to read the policies at the center and sign an agreement to the policies. However, they were not given copies in writing.

Plan of Correction: The administrative staff are combining the written policies in one place and will give copies of all written policies to current parents and staff. The administrative staff will make sure all required written policies are given to new parents and staff.

Standard #: 22VAC40-185-440-G
Description: Based on observation of sleep routines four infants in the older infant area, a review of the recorded ages of the children, and interviews with staff, there were three children under age twelve months who were not using cribs for sleep. Evidence: During the morning, infant A, age eight months, was seen sleeping in the arms of the teacher while the teacher was assisting with three other children. During the afternoon nap time, all of the children in the older infant room were sleeping on cots. Child B was ten months old and child C was eleven months old. The fourth child was older than twelve months in age.

Plan of Correction: There was an unused crib in the younger infant room and an extra crib was found in storage downstairs. Another crib can be obtained and brought to the center. Children under age twelve months will always be provided a crib for sleeping and the administrative staff will make sure adequate staff will be in all infant areas to meet staffing requirements. Also, the administrative staff will consider the developmental needs of infants, activity space usage, staffing requirements and the equipment needs for rest both during the morning and afternoon routines before placing children in the older infant area.

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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