VIRGINIA DEPARTMENT OF SOCIAL SERVICES

La Petite Academy #7135
625 Cedar Rd.
Chesapeake, VA 23322
(757) 436-3492

Current Inspector: Rene Old (757) 404-1784

Inspection Date: March 22, 2019

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 Child Abuse & Neglect 63.2(17) License & Registration Procedures

Comments:

An unannounced renewal inspection was conducted on 03/22/2019 from 10:55am - 2:20pm. At the time of the tour there were 82 children in care with 14 teaching staff and two administrative staff. The children in care ranged in age from infant - six years. Children were observed during morning program time which included outdoor play. Lunch, nap and transportation procedures were additionally observed. The sample size included a review of records for 10 staff and 11 children. The inspector also reviewed medication and documentation of children's injuries. Violations in the areas of staff qualifications and training, staffing and supervision, special care provisions and special services were identified and appear on the violation notice.

Violations:

Standard #:	22VAC40-185-350-F
Description:	Based on observation, interview and record review, the center failed to obtain a parent's written permission and a written assessment by the program director and program leader before assigning a child to a different age group with a staff-to-child ratio for the established age group. Evidence: 1. Child 1, age 23 months, was observed in the two-year old class during the inspection. a. The staff-to-child ratio for the two-year old age group is 1:8 and this ratio was maintained in this class with a total of two staff and 15 children. b. The required staff-to-child ratio for children ages 16 months - 24 months is 1:5. 2. Administrative staff stated that child 1 had been transitioned into the two-year old group on 03/18/2019 as this was the most appropriate placement for child 1 based on her development level. 3. Administrative staff confirmed that there was no written assessments on file for child 1 nor was there any written notification and/or permission from the parent of child 1 for this placement.
Plan of Correction:	Effective immediately, management will obtain written notification and/or permission from the parents prior to transitioning children to the next age group. Children will not be moved to new classroom without documented conference and parent permission. Parent signed off on this transition the day of the visit.
Standard #:	22VAC40-185-510-E
Description:	Based on observation, the center failed to ensure that medication shall be labeled with the child's name. Evidence: 1. One over-the-counter medication was not labeled with the child's name. a. The medication was stored inside of a labeled plastic bag however, the actual medication box did not contain any type of name label.
Plan of Correction:	Safety Captain will review all incoming medications to verify proper labeling and forms. Management will audit medication box weekly to ensure compliance.
Standard #:	22VAC40-185-510-N
Description:	Based on medication review, the center failed to ensure that when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: 1. One over-the-counter medication had not been picked up by the parent within 14 days as required. a. The parent authorization was signed on 02/19/2019 and appeared to indicate that the medication was to be administered on 02/19/2019 only.
Plan of Correction:	Medication was sent home day of inspection. Effective this week, management will audit medication box weekly to ensure all expired meds are sent home timely.
Standard #:	22VAC40-185-550-D
Description:	Based on record review and interview, the center failed to implement a monthly practice evacuation drill. Evidence: 1. The emergency log for the facility did not indicate that a fire drill had been conducted in January 2019. 2. Administrative staff confirmed that a fire drill had not been conducted in January 2019.
Plan of Correction:	Monthly fire drills will be completed and documented. Safety Captain will oversee drill completion each month and Management will monitor drill log on or before the 25th of each month ensuring completion and proper documentation.
Standard #:	22VAC40-185-580-C
Description:	Based on observation, the center failed to ensure that during transportation of children emergency numbers for poison control and 911or local dial number for police and fire shall be in transportation vehicles. Evidence: 1. The numbers for poison control and 911 were not in the two buses used to transportation children to and from public school. 2. Administrative staff and the bus driver confirmed that the emergency numbers were not in either bus.
Plan of Correction:	Emergency numbers were in first aid kit at time of inspection and posted in plain sight for quick reference on the day of inspection. Safety Captain and Management will inspect buses weekly, effective today to ensure compliance going forward.