VIRGINIA DEPARTMENT OF SOCIAL SERVICES

From Russia With Love
3637 Virginia Beach Boulevard
Virginia beach, VA 23452
(757) 536-4111

Current Inspector: Rene Old (757) 404-1784

Inspection Date: Dec. 6, 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) 63.2(17) License & Registration Procedures

Technical Assistance:

The Division of Licensing Programs does not accept online CPR/First Aid courses if it does not also include an in-person skills demonstration as part of the training.

Comments:

An unannounced renewal inspection was conducted on 12/06/2018 from 10:15am - 12:40pm. At the time of entrance there were 21 children in care with three staff. The children ranged in age from 16 months - four years. Children were observed during morning program time which included music, outdoor play and preschool lessons. Lunch and nap was also observed. Records reviewed for ten children and 6 staff. No medication is administered. The violations are listed on the violation notice and reviewed with administrative staff at the conclusion of the inspection.

Violations:

Standard #:	22VAC40-185-140-A
Description:	Based on record review and interview, the center failed to 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: 1. There was no documented physical exam on file for child 1. a. Child 1 has an enrollment date of 04/20/2018 and was in care during the inspection. 2. Administrative staff confirmed that child 1 did not have a documented physical exam on file.
Plan of Correction:	The director asked parents to complete and bring physical examination document for their child.
Standard #:	22VAC40-185-160-C
Description:	Based on record review and interview, the center failed to ensure that staff obtain the results of a tuberculosis screening at least every two years from the date of the first initial tuberculosis screening. Evidence: 1. The most recent tuberculosis screening for staff 1 was conducted on 01/20/2016. 2. Administrative staff verified that an updated TB screening was not on file for staff 1.
Plan of Correction:	The TB was complete on 12/14.
Standard #:	22VAC40-185-180-B
Description:	Based on observation and interview, the center failed to ensure that staff are capable of carrying out assigned responsibilities. Evidence: 1. When the inspector arrived at 10:00 , for the renewal inspection, the three staff present stated they did not speak English. a. None of the staff were able to answer questions regarding the age and names of the children in their care. b. None of the staff were able to answer questions regarding who was in charge of the facility. c. None of the staff were able to answer questions regarding the children's activities. 2. At approximately 10:15am , staff 4 arrived, who spoke English and was able to assist the inspector. a. Staff 4 acknowledged that none of the three staff present spoke English and that in the absence of the program director an English speaking staff was supposed to be present at all times.
Plan of Correction:	The director will make sure that all staff members will work on improving their English, and adult speaking English always will be present on the site.
Standard #:	22VAC40-185-340-B
Description:	Based on observation and interview, the center failed to ensure that during the center's hours of operation, one adult on the premises shall be in charge of the administration of the center. This person shall be either the administrator or an adult appointed by the licensee or designated by the administrator. Evidence: 1. When the inspector arrived at 10:15am it was unclear who was in charge of the administration of the center. 2. Staff 4 arrived at 10:30am. Staff 4 stated that either herself or staff 5 was designated as in charge of the center however, neither staff was present when the inspector arrived.
Plan of Correction:	The director will make sure that administrator or adult in charge of administration will always be present on the site.
Standard #:	22VAC40-185-420-E-3
Description:	Based on record review and interview, the center failed to request at least annually parent confirmation that the required information in the child's record is up to date. Such sharing of information shall be documented. Evidence: 1. The record for child 2 was last reviewed by the parent on 08/17/2016. 2. The record for child 3 was last updated by the parent on 06/16/2017. 3. Administrative staff confirmed that these records had not been updated annually by the parent.
Plan of Correction:	Director will make sure that the child's record is up to date annually, will contact all parents and ask them to update the forms.
Standard #:	22VAC40-185-530-A
Description:	Based on record review and interview, the center failed to ensure that there shall be at least one staff member trained in first aid, cardiopulmonary resuscitation, and rescue breathing as appropriate to the age of the children in care who is on the premises during the center's hours of operation. *This person shall have current certification by the American Red Cross, American Heart Association, National Safety Council, or other designated program approved by the Department of Social Services. Evidence: 1. None of the staff present, during the inspection, had current CPR and First Aid certification according to a review of staff records. a. Two staff have obtained CPR and First Aid from an on-line program however, on-line certifications do not meet the requirement of Standard 530.A
Plan of Correction:	The certification was completed on 12/16.
Standard #:	22VAC40-185-550-E
Description:	Based on record review and interview, the center failed to maintain a record of the dates of the monthly evacuation practice drill. Evidence: 1. The emergency log for the facility did not have an emergency fire drill documented for November 2018. 2. Administrative staff confirmed that the November fire drill had not been added to the emergency log.
Plan of Correction:	The violation was corrected on the time of inspection. Director will make sure that the monthly evacuation drill will be documented.