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Genesis Learning Center @ Cloverleaf
7500 Cloverleaf Drive
N. chesterfield, VA 23225
(804) 231-1786

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: Oct. 2, 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 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
None

Comments:
An unannounced monitoring inspection was conducted on October 2, 2018 from approximately 10:00 AM to 3:30 PM to determine the center's compliance with licensing standards. The director was present for the inspection. The following staff to child ratios were observed: Infants 3:1, Older 1 year olds and 2 year olds 12:2, 3 year olds 8:1, 4 year olds 6:1. The school age group was not present during the inspection. Staff were observed to be interacting with children appropriately. Today's lunch consisted of mini corn dogs, mixed vegetables, fruit salad, and milk. All areas of the facility including classrooms, bathrooms, hallways, buses and playground were inspected. The facility had the following posted: license, evacuation maps/procedures, daily schedule, menu, and various parent information. Allergy postings and medications were reviewed. Several staff had current First Aid and CPR certifications. The first aid kit and non-medical emergency supplies were inspected and found complete. The last evacuation drill was conducted on 09/28/2018. The last shelter-in-place drill was conducted on 07/13/2018. The Emergency Preparedness plan is current. Health Inspection: 01/22/2018. Fire Inspection: 08/28/2018. Five children?s records were reviewed. Five staff records were reviewed this day at the administrative office. If you have any questions about this inspection, please contact the licensing inspector at 804-662-9092.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on review of five children's records, one child's record did not contain documentation of immunizations. Evidence: During the inspection, the licensing inspector observed the record for Child #3 (start date 6/19/2018) did not contain documentation of immunizations. Documentation of immunizations is required to be obtained prior to a child attending the center.

Plan of Correction: Administration will request the documentation from the child's parents.

Standard #: 22VAC40-185-140-A
Description: Based on review of five children's records, one child's record did not contain documentation of a physical examination by or under the direction of a physician. Evidence: During the inspection, the licensing inspector observed the record for Child #3 (start date 06/19/2018) did not contain documentation of a physical exam. Documentation of a physical exam is required to be obtained prior to or within the first 30 days of a child attending the center.

Plan of Correction: Administration will request the documentation from the child's parents.

Standard #: 22VAC40-185-240-A
Description: Based on a review of five staff records, the facility did not ensure that staff received the required training by the end of their first day of employment. Evidence: The licensing inspector observed the record for Staff #3 (hire date 6/25/18) did not contain documentation of the staff having completed the required orientation training.

Plan of Correction: Per administration, the staff has completed the orientation and documentation will be obtained for the record.

Standard #: 22VAC40-185-270-A
Description: Based on observation, the center did not maintain all areas in a clean, safe and operable condition. Evidence: During the inspection, the licensing inspector observed three bus seats which were ripped and had area of exposed foam padding.

Plan of Correction: Administration will oversee the repair of the bus seats.

Standard #: 22VAC40-185-350-C
Description: Based on information obtained during the inspection, the center did not ensure staff to children ratio requirements applicable to the youngest child in the group were followed when children were regularly in mixed age groups. Evidence: 1. The licensing inspector observed a staff to child ratio of 2:12 in the two year old class. The licensing inspector conducted staff interviews and reviewed child records to determine that one of the children in the classroom was not two years old. Child #1's date of birth is 10/7/16. The ratio should have been 5:1.

Plan of Correction: Administration has moved this child back to the infant class until the child turns two years old. Corrected on site.

Standard #: 22VAC40-185-570-E
Description: Based on observation and staff interview, the facility did not ensure that prepared infant formula was labeled and dated. Evidence: The licensing inspector observed a prepared bottle in the refrigerator in the infant classroom which was not labeled with a child's name or date. Staff reported a child's parent brought the bottle into the class the same day. The staff reported knowing the bottle belonged to this child and that it contained prepared formula. Prepared infant formula shall be dated and labeled with the child's name.

Plan of Correction: Administration will review policy with staff to ensure bottles are labeled and dated each day.

Standard #: 22VAC40-191-60-C-2
Description: Based on a review of five staff records, the licensee failed to ensure that one staff had a central registry finding within 30 days of employment. Evidence: The record for Staff #3 indicated a hire date of 6/25/2018 and there was no central registry finding recorded.

Plan of Correction: Administration will create a tracking form to manage the licensing timeframe requirements. Administration has sent request and will follow up with central registry. Documentation will be added to staff record.

Standard #: 22VAC40-80-120-E-2
Description: Based on observation, the facility did not ensure that all documents related to the terms of the license were posted on the premises of the facility. Evidence: The licensing inspector observed the findings of the inspection dated 12/13/17 and 12/18/17 were posted at the facility. The findings for the most recent inspection of the facility, dated 4/25/18 were not posted at the facility. The findings of the most recent inspection of the facility are required to be posted on the premises of the facility.

Plan of Correction: Corrected on site.

Standard #: 63.2(17)-1720.1-B-3
Description: Based on a review of five staff records and interview, the licensee failed to ensure that two staff had an out of state child abuse and neglect search request by the end of the 30th day of employment. Evidence: The records for Staff #2 (hire date 6/4/2018) and Staff #3 (hire date 6/25/2018) indicated each staff had lived in another state within in the last five years. The records for Staff #2 and Staff #3 did not contain documentation of out of state child abuse and neglect search requests. Administration reported the search requests had not been sent out for either staff.

Plan of Correction: Administration will ensure the out of state child abuse and neglect search requests are sent for these staff.

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. To find programs participating in Virginia Quality, click here.

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