VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Angel's Place Daycare Center II
9573 Shore Drive
Suite A
Norfolk, VA 23518
(757) 227-3332

Current Inspector: Rene Old (757) 404-1784

Inspection Date: Dec. 13, 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:

Today we reviewed egress to outside and the use of space heaters at length.

Comments:

An unannounced monitoring inspection was conducted from 1:45pm through 4:30pm. There were 66 children in care ages three months through four years old with 12 teaching staff and the program director. Children and staff records were reviewed. A walking of the center inside and outside was completed. Required postings, annual inspections, emergency evacuation drills first aid kit and medication were reviewed. Children were observed in teacher and self-directed activities. Violations were identified in the areas of administration, physical plant, special care provisions and emergencies and the license and appear on the violation notice. These violations were discussed with the center representative at the conclusion of the inspection on 12/13/18 and in part reviewed again by telephone on 12/17/18.

Violations:

Standard #:	22VAC40-185-130-B
Description:	Based on record review and interview the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1 - Child 5 most recent immunization update is dated 2/7/18 and is therefore, past due for update. The documented date of birth for child 5 is 8/6/17. 2 - Staff 1 confirmed that child 5 does not have documentation of immunization update on file.
Plan of Correction:	We have been made aware of the paper work that is now required and will insure each infant file meets the requirement.
Standard #:	22VAC40-185-140-A
Description:	Based on record review and interview the center failed to ensure that each child has physical report within 30 days of attendance. Evidence: 1 - The record for child 2 does not contain documentation of physical. Child 2 has a documented first date of attendance as 9/10/18. 2 - Staff 1 confirmed that there is not a physical on file for child 2.
Plan of Correction:	We informed parent that a well check up is not accepted for an infant physical, Mom has made an appointment to have a physical done and turned in to us.
Standard #:	22VAC40-185-160-A
Description:	Based on record review and interview the center failed to ensure that each staff member submits documentation of a negative tuberculosis screening no later than 21 days after employment. Evidence: 1 - The record for staff 2 contains a tuberculosis screening that is dated 12/1/18 more than 21 days from the documented date of hire which is 9/4/18. 2 - Staff 1 confirmed that the tuberculosis screening for staff 2 was obtained more than 21 days after the documented date of hire.
Plan of Correction:	We have created a new policy in accordance with state requirements all employees must have TB test and finger printing done before they can start.
Standard #:	22VAC40-185-60-A
Description:	Based on record review and interview the center failed to ensure that each child's record contains all required information. Evidence: - The record for child 1 does not contain documentation of date of enrollment or a telephone number and address for 1 of 2 emergency contacts. - The record for child 2 does not contain documentation of address for either emergency contact listed. Child 2 has a documented first date of attendance as 4/10/15. - The record for child 3 does not have documentation of annual information update. The last update is dated 8/21/17. - The record for child 4 does not have documentation of address for either emergency contact listed. - The record for child 5 does not have documentation of address for either emergency contact listed. Additionally, the records most recent documentation of annual update is dated 9/8/17. Staff 1 confirmed that all required information was not available in the records of child 1 through 5.
Plan of Correction:	Each parent was informed of the information we were missing and have corrected the items the same day, we have implemented a policy that upon signing a new registration every parent must update an emergency contact form
Standard #:	22VAC40-185-70-A
Description:	Based on record review and interview the center failed to ensure that staff records contain all required information. Evidence: 1 - The records for staff 2 and 3 do not have complete emergency contact information. The addresses of the emergency contact are not present.
Plan of Correction:	Had staff complete required information on the paper work that was missing.
Standard #:	22VAC40-185-270-A
Description:	Based on observation and interview the center failed to ensure that areas are maintained in safe condition. Evidence: 1 - In the two/three year old room the emergency egress exit is blocked with a piece of equipment approximately four feet tall and three feet wide. Additionally, a bulletin board made of paper and card stock is hanging down and blocking the the emergency exit door. 2 - In the two/three year old room there are electrical cords hanging down within reach of children, to a space heater and other equipment plugged in and on. The electrical cords pose an entanglement hazard and a toppling hazard as the heater in use could be pulled down on top of the sleeping children.
Plan of Correction:	We relocated the dramatic plat area to another area in the classroom. Owner- Angel gave Teacher space heater at 5:30am the space heater to heat up the room until the building unit heated up, it was supposed to be turned back in to the front desk once building heated up. We have called for service to have unit looked over and any issues addressed. We no longer have a need for space heater in the building.
Standard #:	22VAC40-185-270-B
Description:	Based on observation and interview the center failed to ensure that heat is supplied from a heating system approved in accordance with the Uniform Statewide Building Code. Evidence: 1 - There is a space heater plugged in and in use in the two/three year old room. The space heater is located on a shelf above two sleeping children. 2 - Staff 4 stated that the owner had supplied the space heater.
Plan of Correction:	Owner- Angel gave Teacher space heater at 5:30am the space heater to heat up the room until the building unit heated up, it was supposed to be turned back in to the front desk once building heated up. We have called for service to have unit looked over and any issues addressed. We no longer have a need for space heater in the building.
Standard #:	22VAC40-185-350-C
Description:	Based on observation and interview the center failed to ensure that when children are regularly in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group will apply to the entire group. Evidence: 1 - At approximately 2pm there were ten children in care in the toddler room with two staff. The children present in room ranged in age from 13months through 17months of age. - Staff 5 and 6 stated that periodically there are two staff present in room. 2 - At approximately 2:49pm there were 11 children ages 19 months through 28months with 2 staff. - Three children were awake and moving around the room. - Staff 7 and 8 stated that yesterday as well as today before lunch there were 11 children present with 2 staff. Staff 7 and 8 stated that yesterday after lunch there were 11 children present with 2 staff. - Staff 1 stated that there were two staff scheduled to care for children in the toddler/two room yesterday and today.
Plan of Correction:	There are normally 3 Teachers in that class we had a Teacher called away on an emergency, we quickly replaced her with one of our front desk staff. This class has 2 Part time staff members one that works the day shift and one that comes in afternoon, normally children are down and asleep when the day shift leaves so when the next shift person arrives, she steps in to monitor children while they sleep. This day a couple of the children needed to be changed and or use the restroom, so they were up and not asleep.
Standard #:	22VAC40-185-550-M
Description:	Based on record review and interview the center failed to maintain documentation of minor injuries as required. Evidence: 1 - The injury report for child 5, which is dated 9/27/18 does not include a second signature, method of parent notification or action to prevent reoccurrence. 2 - Staff 1 confirmed that the information is missing from the injury report.
Plan of Correction:	We did contact the parent regarding the injury through our Teacher parent portal and when the parent picked up they forgot to sign the report.
Standard #:	22VAC40-80-120-E-2
Description:	Based on observation and interview the center failed to post the findings of the most recent inspection in the facility. Evidence: 1 - The inspection results posted in the center are dated November 17, 2017. However, the most recent inspection was held on June 6, 2018. 2 - Staff 1 confirmed that the inspection posted was dated November 17, 2017.
Plan of Correction:	We have printed and posted the last inspection.