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Emmanuel Lutheran Preschool and Child Development Center
23 Semple Farm Road
Hampton, VA 23666
(757) 865-2851

Current Inspector: Michele Patchett (757) 439-6816

Inspection Date: Dec. 20, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-665 INTRODUCTION
22VAC40-665 ADMINISTRATION
22VAC40-665 STAFF QUALIFICATIONS & TRAINING
22VAC40-665 PHYSICAL PLANT
22VAC40-665 STAFFING & SUPERVISION
22VAC40-665 PROGAMS
22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES
22VAC40-665 SPECIAL SERVICES

Comments:
An unannounced monitoring inspection was conducted on December 20, 2018, from approximately 10:15 am until 4:35 pm. At the time of entrance there were 64 children and 13 staff members present with children. There were additional staff on site for kitchen and administrative support. The sample size consisted of 6 children's records and 10 staff records. Two medications were reviewed. Children were observed during lunch and playing group games in the multipurpose room. Previous violations were reviewed. Areas of non-compliance are identified on the violation notice. The results of the inspection were reviewed and verified with the center program director during the exit interview. Please contact the licensing inspector with any question at 404-0568.

Violations:
Standard #: 22VAC40-665-540-A
Description: Based on documentation review and vendor interviews, the vendor did not ensure all staff shall be evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB). Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: On December 20, 2018, the records for staff #8, date of hire 12-3-18 and staff #2, date of hire 11-6-2018 did not include documentation of obtaining a TB Screening. The record for staff #10, date of hire 11-26-18, included a TB screening dated 11-14-2016.

Plan of Correction: The center director will ensure staff that need TB screenings will not be on the schedule until they obtain the negative screenings. Obtaining a TB screening will be added as a new hire requirement.

Standard #: 22VAC40-665-580-F
Description: Based on documentation review and vendor interviews, the vendor did not ensure that all staff who work directly with children and who are employed by an approved vendor prior to must complete CPR and first aid training as required by this section within 90 days of hire. Evidence: On December 20, 2018, the record for staff #3 date of hire 6-13-2018 did not include documentation of CPR or first aid training.

Plan of Correction: The center director will ensure staff that need CPR and First aid will not be on the schedule until they obtain the training.

Standard #: 22VAC40-665-770-B
Description: Based on documentation review and vendor interviews, the vendor did not ensure the emergency preparedness plan shall contain all procedural components. Evidence: On December 20, 2018, the emergency plan did not include procedures for reuniting children with a parent or an authorized person designated by the parent to pick up the child for the emergency plan to include evacuation, shelter-in-place and lock down.

Plan of Correction: The center director will edit the disaster response emergency plan to include checking ID's and authorization forms for pick up of children.

Standard #: 22VAC40-665-770-B-2-e
Description: Based on documentation review and vendor interviews, the vendor did not ensure the emergency preparedness plan included accommodations or special requirements for those needing them. Evidence: On December 20, 2018, the emergency plan did not include procedures for accommodations or special requirements for infants, toddlers, and children with special needs to ensure their safety during shelter-in-place, evacuation and lock down.

Plan of Correction: The center director will edit the disaster response emergency plan to include accommodations for infants, toddlers and special needs.

Standard #: 22VAC40-665-770-B-5
Description: Based on documentation review and vendor interviews, the vendor did not ensure all the required procedures were included in the emergency plan. Evidence: On December 20, 2018, the emergency plan did not include procedures to ensure continuity of operations that essential functions are maintained during an emergency.

Plan of Correction: The center director will edit the disaster response emergency plan to include essential functions.

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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