VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Creative Critters III, Inc.
6540 Emmaus Church Road
Suite 103
Providence forge, VA 23140
(804) 557-2688

Current Inspector: Cassie Anderson-Leichty (757) 409-4668

Inspection Date: April 29, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 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 Facilities & Programs.

Comments:

The licensing inspector conducted an unannounced renewal inspection on Monday, April 29, 2019 from approximately 10:22 am to 2:20 pm determine the provider's compliance with licensing standards at the child day center. During this inspection, there were 35 children and 7 staff present at the center. The licensing inspector completed observations of the children in care participating in a variety of activities to include participating in feedings by staff, engaged in play with age appropriate equipment, participating in circle time, working in centers, transitioning outside to playground area, playing at the outdoor playground, transitioning indoors, and eating lunch. The children's lunch today consisted of meatballs with noodles, green beans, bananas, and milk. The center's classrooms, bathroom, facility, and outdoor playground areas were inspected. The first aid kit and emergency supplies, posted emergency contacts, and emergency drills were reviewed by the inspector. Medication is being administered, medications, and written authorizations were reviewed for the center's compliance. There were six children's and six staff's records reviewed during this inspection. The Department has not yet received a complete renewal application and annual fee from the center. The Department must receive a complete renewal application and fee prior to expiration of the license on 06/04/19 or the Department cannot renew the license. If you have any questions about this inspection, please contact the licensing inspector, Tiffany Harris, at (757)-403-3045.

Violations:

Standard #:	22VAC40-185-140-A
Description:	Based on review of children's record and interview with staff, the center did not ensure to obtain physical documentation for all children. Evidence: During the inspection on April 29, 2019, in Child#5's record (start date: 3/20/19) and Child#6's record (start date 10/11/17) documentation for a physical examination was not found. Interview with staff confirmed that required documentation for physical for both children was not available for review during this inspection.
Plan of Correction:	The center's director contacted children's parents to obtain required physical documentation.
Standard #:	22VAC40-185-70-A
Description:	Based on review of staff records, the center did not ensure to obtain all required information. Evidence: During the inspection on April 29, 2019, in Staff#'3'ss record (date of hire: 4/08/19) one of the references documented was missing the name of persons contacted and signature of person making call.
Plan of Correction:	The center's director will complete required information for references.
Standard #:	22VAC40-185-270-A
Description:	Based on observation at the center, the center did not ensure all areas and equipment were maintained in a clean, safe, and operable condition. Evidence: During the inspection on April 29, 2019, in the caterpillar 1 and Caterpillar 2 classrooms there were multiple areas of peeling paint which were accessible to the children in area.
Plan of Correction:	The center director will ensure maintenance touch up areas of paint in the classrooms.
Standard #:	22VAC40-185-280-B
Description:	Based on observation, the center did not ensure all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. During the inspection on April 29, 2019, the following observations were made: 1. The closet located in the Caterpillar 1 classroom was observed unlocked containing multiple containers of cleaners with the labels "keep out of reach of children". 2. At lunch time, the closet in the Caterpillar 1 classroom was observed with both doors open containing the cleaners with labels "keep out of reach of children" The children in care were observed in the classroom during both observations and cleaners were accessible.
Plan of Correction:	The center's director will ensure staff keeps the door lock and to remove all hazardous substances from the closet.
Standard #:	22VAC40-185-330-B
Description:	Based on playground observation, the center did not ensure resilient surfacing comply with minimum safety standards under equipment with moving parts or climbing apparatus. Evidence: During the inspection on April 29, 2019, the playground area equipment was observed with an unmeasurable amount of resilience surfacing while children were actively playing on equipment at the center.
Plan of Correction:	The center director will be working with landscaper to complete renovation of the playground. The playset equipment will be removed until completion,
Standard #:	22VAC40-185-380-A
Description:	Based on observations and interview with staff, the center did not ensure to post daily schedule that allows for flexibility as children's needs require. Evidence: During the inspection on August 29, 2019, there was not a daily schedule posted in the Caterpillar 1 classroom. Interview with staff confirmed that the daily schedule for Caterpillar 1 was not posted during this inspection.
Plan of Correction:	The center director will make sure that a schedule is always posted.
Standard #:	22VAC40-185-560-M
Description:	Based on observation at the center, the center did not ensure staff sit with children during meal times. Evidence: During the inspection on April 29, 2019, in the Caterpillar I and II classroom there were two staff in each group and both staff were observed standing while the children were observed eating their lunch at the table.
Plan of Correction:	The center director will complete training for all staff to ensure compliance.
Standard #:	22VAC40-191-60-C-2
Description:	Based on review of staff records and interview with staff, the center did not ensure to obtain a central registry finding within 30 days of employment or volunteer service. Evidence: During the inspection on April 29, 2019, the following central registry findings were not obtained within 30 days: 1. In Staff#5's record (date of hire: 03/08/19) there was no documentation found. 2. In Staff#6's record (date of hire: 3/21/19) there was no documentation found. 3. Interview with staff confirmed that the central registry findings for staff were not available for review during the inspection.
Plan of Correction:	The center's director followed up with department via email and telephone call requesting the status of findings for each staff. The center will ensure to follow up within the 30 days.