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Ashton Day Care, LLC
410 Washington Avenue
Colonial beach, VA 22443
(804) 224-5437

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: April 19, 2019

Complaint Related: No

Areas Reviewed:
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:
A Subsidy Health and Safety inspection was conducted on April 19, 2019 to review supplemental health and safety requirements. The inspection was initiated at 10:00 am and concluded at 12:45 pm. Upon the inspector's arrival, children ages 2 years through 5 years were engaged in circle time. Children sang songs, talked about Easter and read the story" It's not easy being a bunny". Later children painted with watercolors. The infant and toddlers played with toys and were observed during lunch time. Diapering was also observed with hand washing being conducted. The two through five year old children had time outside on the playground before returning inside for lunch and nap. Today's lunch consisted of pizza, peaches, green beans and milk. All areas of the facility were inspected to include the playground area. The classroom off of the office is not being used by children at this time. There is age appropriate materials in each classroom. The first aid kit and non-medical supplies were inspected and found complete. The center had the required information posted. The inspector interacted with staff and children in care. A licensing inspection was also conducted this date; the two inspections combined cover all subsidy health and safety requirements. Only subsidy requirements that are not covered in licensing standards are reviewed during this supplemental inspection. Violations were found during the supplemental subsidy health and safety inspection requirements and are identified on the violation notice. Three staff records and five children's records were reviewed. Today's Ratios Observed: (2-5 years combined): 15 children with 3 staff. Infants: 4 infants with 1 staff. Toddlers: 3 toddlers with 1 staff. If you have questions regarding this inspection, please contact the licensing inspector at 804-662-9758.

Violations:
Standard #: 22VAC40-665-500-F
Description: Based on review of children's records and interview, the vendor did not maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: The records of child #1 and child #2 indicated dietary restriction and the record of child #5 had documentation of a diagnosed food allergy however there was no written list with the children's allergies, sensitivities, and dietary restrictions accessible to all staff.

Plan of Correction: Per the director: I will review children's records and create a list of children's allergies, sensitivities, and dietary restrictions that will be dated, accessible to staff and kept confidential in each room.

Standard #: 22VAC40-665-510-B
Description: Based on observation and interview, a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurred was not maintained at the center. Evidence: During the inspection on 04/19/2019, a child was observed being picked up by the grandparent at approximately 12:00 pm. The child left and was not signed out. The inspector asked staff #4 if she had an attendance sheet to ensure children were signed out. Staff #4 stated they were using a new program where parents signed children in and out of the center daily on the computer and that the screen had locked this morning preventing some parents from signing in or out. The director reset the computer revealing only nine out of twenty-two children present were signed in for today, April 19, 2019.

Plan of Correction: Per the director: I will ensure the staff opener knows how to reset the computer to make sure the program is available for parents to sign in and out daily.

Standard #: 22VAC40-665-520-B-11
Description: Based on review of five children's rcords, one child with a diagnosed food allergy did not have a written food allergy plan with all of the requirements. Evidence: The record of child #5 contained documentation of a diagnosed food allergy. The record of child #5 did not contain a written allergy care plan that included instructions from a physician regarding the food to which the child is allergic to and steps to be taken in the event of a suspected or confirmed allergic reaction.

Plan of Correction: Per the director: I will have the parent provide an allergy care plan to be kept in the child's record.

Standard #: 22VAC40-665-540-A
Description: Based on review of staff records, the center did not obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: Staff #2, with a hire date of 03/11/2019, had documentation of a tuberculosis screening dated 03/18/2019, exceeding the date of hire.

Plan of Correction: Per the director: We will have staff obtain a tuberculosis screening before their first day of employment.

Standard #: 22VAC40-665-650-E
Description: Based on interview and documentation review, the center did not have a written policy that described how the vendor will ensure children receive care by a consistent staff or team of staff members. Evidence: During the inspection on 04/19/2019, the inspector discussed the subsidy requirements that became effective on October 17, 2018. Staff #1 stated a written policy and procedure to ensure children are cared for by a consistent staff or team of staff members had not been completed. This requirement was required to be in place by December 15, 2018.

Plan of Correction: Per the director: We will develop a written policy to ensure group sizing and consistent staffing for children in care.

Standard #: 22VAC40-665-770-B-5
Description: Based on documentation review and interview, the center did not ensure the emergency preparedness plan contained continuity of operations procedures to ensure that essential functions are maintained during an emergency. Evidence: During the inspection on 04/19/2019, the inspector reviewed the emergency preparedness plan. The plan did not contain written plans on how the center will ensure continuous operation procedures are in place to ensure essential functions are maintained during an emergency. This subsidy requirement became effective on October 17, 2018 and was required to be in place by December 15, 2018.

Plan of Correction: Per the director: We will develop a written plan for continuous care in an emergency and add it to the emergency preparedness plan.

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. To find programs participating in Virginia Quality, click here.

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