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Childcare Network #180
4300 John Tyler Highway
Williamsburg, VA 23185
(757) 253-2562

Current Inspector: Tiffany Harris (757) 403-3045

Inspection Date: Oct. 19, 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 Licensure and Registration Procedures
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was conducted on October 19, 2018. Upon arrival to the facility, 12 staff were present with 65 children. Additional staff were on site for administrative duties. Children were observed during circle time, playing in centers, coloring and during music and movement. Infants were observed having tummy time, doing an arts and crafts activity and engaging with staff. Six children's records and six staff records were reviewed on this date. Three medications were reviewed. Licensing Inspector reviewed supervision, indoor and outdoor areas, activities, equipment, diapering procedures, hand washing procedures, nutrition, special feedings, children and staff records, emergency evacuation and shelter-in-place drill documentation, fire and health inspection reports, emergency supplies and required postings. Violations were reviewed with and verified by the Program Director on this date.

Violations:
Standard #: 22VAC40-185-140-A
Description: Based on record review, in one of six staff records reviewed, the licensee did not ensure that each child shall have a physical examination by or under the direction of a physician: Before the child's attendance or within one month after attendance. Evidence: During the inspection conducted on October 19, 2018, there was no documentation of a physical examination in the record for Child #2.

Plan of Correction: Parent will be given final notice to supply the document at pick up today.

Standard #: 22VAC40-185-160-A
Description: Based on record review, in two of six staff records reviewd, the licensee did not ensure that each staff member submit documentation of a negative tuberculosis screening no later than 21 days after employment. Evidence: During the inspection conducted on October 19, 2018, there was no documentation of a TB screening for the following staff members: Staff #2-date of hire 8/20/18 Staff #3-date of hire 9/17/18

Plan of Correction: Staff will be required to get TB first thing Monday, for results to be on file by Wednesday.

Standard #: 22VAC40-185-60-A
Description: Based on record review, in three of six staff records reviewed, the licensee did not ensure that the center maintain and keep at the center a separate record for each enrolled child with all required information. Evidence: During the inspection conducted on October 19, 2018, the following information had not been documented in each child's record: Child #1, Child #3 and Child #5- the names of any additional schools or programs that the child is concurrently attending

Plan of Correction: We will have the parents update at pick up time today.

Standard #: 22VAC40-185-70-A
Description: Based on record review, in three of six staff records reviewed, the licensee did not ensure that each staff record was maintained with all required information. Evidence: During the inspection conducted on October 19, 2019, the following information had not been documented in each staff record: Staff #2 and Staff #3-orientation training Staff #6-one of two required references

Plan of Correction: Orientations will be completed Monday, the 22nd as well as references.

Standard #: 22VAC40-185-270-A
Description: Based on observation and inspection of the facility, the licensee did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condtion. Evidence: During the inspection conducted on October 19, 2018, the following was observed in the School Age area: 1. The green saucer chair had multiple stains and was soiled; the rainbow rug was fraying on two corners. 2. There were two 12" wooden boards with 14 exposed and protruding nails in the teacher storage area which was accessible to children in care.

Plan of Correction: Everything will be disposed of by close of business today.

Standard #: 22VAC40-185-280-B
Description: Based on observation and inspection of the facility, the licensee did not ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: During the inspection conducted on October 19, 2018, the following unlocked hazardous substances labeled keep out of reach of children and danger, caution or warning were observed: 1. Butterfly Classroom-There was a canister of air neutralizer, a can of disinfectant mist and a bottle of prime in an unlocked lower cabinet 2. The lock on the Adult bathroom in the Infant Toddler Building was not secured and there were three cans of air neutralizer, a bottle of toilet cleaner and four cans of paint.

Plan of Correction: The items in the Butterfly classroom were moved to a different locked area. The lock on the bathroom door was repaired while the inspector was present.

Standard #: 22VAC40-185-330-B
Description: Based on observation and inspection of the facility, the licensee did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child's trajectory in the event of a fall while the equipment is in use. Evidence: During the inspection conducted on October 19, 2018, the following was observed on the outdoor playground areas: 1. On the Two Year Old Playground, the wood mulch in the fall zones surrounding and underneath the green dinosaur climber and the pink-blue play composite were inadequate and could not be measured. The wood mulch had become compacted. 2. On the School Age Playground , the wood mulch in multiple areas of the fall zones surrounding and underneath the play equipment was inadequate and measured at approximately 5"deep.

Plan of Correction: Mulch will be ordered Monday morning.

Standard #: 22VAC40-185-430-F
Description: Based on observation and inspection of the facility, the licensee did not ensure that the climbing portions of indoor slides and climbing equipment over 18 inches shall not be over bare flooring. Evidence: During the inspection conducted on October 19, 2018, the climbing portion of the indoor loft in the Toddlers classroom was approximately 23" and the loft was placed on the bare floor.

Plan of Correction: The staff members moved the loft on to the carpet in the classroom while the inspector was present.

Standard #: 22VAC40-185-510-C
Description: Based on observation and inspection of the facility, the licensee did not ensure that the center's procedures for administering medication shall include all required information. Evidence: During the inspection conducted on October 19, 2018, there were three expired medications in the medication box. The center's policy for medication was requested and it did not include methods to prevent use of outdated medication.

Plan of Correction: The necessary documents will either be created or gained from another location. The expired medication will be sent home when the child is picked up today.

Standard #: 22VAC40-185-510-E
Description: Based on observation and inspection of the facility, the licensee did not ensure that medication was labeled as required. Evidence: During the inspection conducted on October 19, 2018, there were three medications that were not labeled with the child's name.

Plan of Correction: Staff will be instructed that when they receive medication to write the name on the original package.

Standard #: 63.2-1720.1-B-2
Description: Based on record review, in one of six staff records reviewed, the licensee did not ensure that staff submit to fingerprinting and obtain results prior to employment. Evidence: During the inspection conducted on October 19, 2018, Staff #6 was hired on 2/5/18 and the center did not receive fingerprint results until 2/8/18.

Plan of Correction: Going forward we will ensure fingerprints are returned before hire date.

Standard #: 63.2-1720.1-B-3
Description: Based on record review, in one of six staff records reviewed, the licensee did not obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 and any child abuse and neglect registry or equivalent registry maintained by any other state in which the individual has resided in the preceding five years for any founded complaint of child abuse or neglect against him. Evidence: During the inspection conducted on October 19, 2019, Staff #2 (date of hire 8/20/18) indicated living in two different states within the past five years and the center did not have documentation of requesting Out of State Child Abuse and Neglect searches for those states.

Plan of Correction: Both state programs will be called to check on the status.

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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