VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Lakeside Baptist Day Care Center
7401 Woodman Road
Richmond, VA 23228
(804) 266-1846

Current Inspector: Lauren Bickford (540) 280-0742

Inspection Date: April 30, 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. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Comments:

An unannounced monitoring inspection was conducted today, April 30, 2019 to determine the center's compliance with licensing standards. The inspection was initiated at 11:00 am and concluded at 3:30 pm. The inspection was conducted with the new director. Upon the inspectors arrival, children were observed napping in the infant room while the older infants reviewed flash cards of objects and colors. The toddler class played with toy trucks, on rocking toys and with musical keyboards. The two year old class was observed singing and dancing to a music tape of "If you're happy and you know it". Children also pointed out their finger paint art work to the inspector. The preschool children finished lunch, had bathroom breaks and prepared for nap. The preschool children were excited and told the inspector that they were making play-dough after nap. Later school age children arrived and worked on site words with staff. Children had time on the playground and the toddler class took a walk in the buggies. All areas used for child care were inspected to include the first and second floor hallways, bathrooms and classrooms, the cafeteria and all outside playground areas. The facility had the following information posted: the license, last inspection notice, emergency numbers, daily schedules, evacuation map/procedures, allergy/dietary restrictions/food sensitivities, and menu. Today's lunch consisted of chicken nuggets, broccoli (this was a noted change), pears and milk. The first aid kits for each floor of the building along with non-medical emergency supplies were reviewed and found complete. The inspector interacted with staff and children in care. Six staff records and five children's records were reviewed. Staff on site have DHO training, MAT, CPR and first aid training. Per the Director; medications are not being administered at this time. The most recent evacuation drill was documented on 04/15/2019. The two required shelter-in-place drills for 2018 was completed on 09/17/2018 and 12/17/2018. A lock down drill had been completed on 07/23/2018 and 03/01/2019. Today's Ratios: Infants: 4 infants with 1 staff. creepers: 7 children with 2 staff. Two's: 8 children with 1 staff. Toddler: 5 children with 1 staff. Pre-school: 6 children with 1 staff. school age: 3 children with 1 staff. Health Inspection 01/11/2019 Fire inspection 12/20/2018 Violations cited during the licensing period were reviewed for corrections, there were two repeat violation cited during today's inspection. If you have questions regarding this inspection, please contact the licensing inspector at 804-662-9758.

Violations:

Standard #:	22VAC40-185-160-A
Description:	Based on review of staff records, the facility did not obtain documentation of a negative tuberculosis screening for staff that had been completed within 12 months prior to or within 21 days after employing or volunteering. Evidence: Staff #4, with a hire date of 10/16/2018, had documentation of a tuberculosis screening that was dated 01/09/2019 exceeding the 21 days from hire to obtain.
Plan of Correction:	Per the director: I will ensure staff obtain a tuberculosis screening at the time of hire.
Standard #:	22VAC40-185-70-A
Description:	Based on review of staff records, the facility did not ensure all required information was obtained for each staff record. Evidence: 1. Staff #1, hired 01/09/2019, had two references dated 04/01/2019 and 04/02/2019 exceeding the requirement to obtain prior to hire. 2. Staff #3, hired 10/24/2018, had two references dated 04/01/2019 and 04/02/2019 exceeding the requirement to obtain prior to hire. 3. Staff #4, hired 10/16/2018, identified as a program leader did not have written documentation to demonstrate the individual possesses the education required for the job position. 4. Staff #5, hired 08/09/2018, identified as a program leader did not have written documentation to demonstrate the individual possesses the education required for the job position. Staff#5 had two references both dated 04/01/2019, exceeding the requirement to obtain prior to hire. 5. Staff #6, hired 11/26/2018, identified as a program leader did not have written documentation to demonstrate the individual possesses the education required for the job position.
Plan of Correction:	Per the director: We will obtain all documentation for each staff record before hire.
Standard #:	22VAC40-185-270-A
Description:	Based on observation, the facility did not ensure all areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: The stage area located in the pre-school classroom has a piece of wood trip that is broken and detached at one end posing a pinch point and exposing a jagged edge that could snag the skin of a child in care. A second piece of wood trim is broken and missing a corner piece exposing a nail.
Plan of Correction:	Per the director: I have requested the stage be removed from the classroom. It will be taped down to secure the detached piece and cover the nail until it can be removed.
Standard #:	22VAC40-185-420-E-3
Description:	Based on review of children's records, the facility did not annually obtain parent confirmation that the required information in the child's record is up to date. Evidence: 1. The most recent parent confirmation of up to date information for child #2 was dated 03/23/2018, exceeding the annual requirement. 2. The most recent parent confirmation of up to date information for child #5 was dated 04/02/2018, exceeding the annual requirement.
Plan of Correction:	Per the director: I will have parents review children's records to confirm information is current.
Standard #:	22VAC40-185-570-C
Description:	Based on interview, the facility did not maintain a record of each child on formula that contained the the brand of formula. Evidence: When asked by the inspector, staff #4 reported she did not have a list of the formula the infants were on.
Plan of Correction:	Per the director: I will make a list of each child's formula to be kept in the record.
Standard #:	22VAC40-185-570-E
Description:	Based on observation and interview, the facility did not ensure prepared infant formula was dated and labeled with the child's name. Evidence: 1. Multiple prepared bottles for three children were observed in the refrigerator without names and today's date. 2. One child had two prepared bottles of formula that were labeled with the child;s name but did not have today's date.
Plan of Correction:	Per the director: I am sending out letters to parents to ask them to label all bottles with their child's name and the date daily. Staff will check to ensure they are labeled.
Standard #:	22VAC40-191-60-C-2
Description:	Based on review of staff records, the facility did not obtain a central registry finding within 30 days of employment or volunteer service. Evidence: Staff #5, hired 08/09/2018, had documentation of a central registry finding dated 09/17/2018, exceeding the 30 day allowance from hire to obtain.
Plan of Correction:	Per the director: Moving forward, we will make sure that all background checks are requested within 7 days of hire and a follow-up to the agency is made and documented to ensure they are back within 30 days.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on review of staff records, the facility did not obtain the results of a search of the central registry maintained by any other state in which the individual has resided in the preceding five years within 30 days of employment. Evidence: The record of staff #4, hired 10/16/2018, had documentation from the state of Tennessee dated 01/22/2019, exceeding the 30 days from hire to obtain. There was no documentation indicating a follow-up was conducted within 45 days after the request was made.
Plan of Correction:	Per the director: Moving forward, we will make sure that all background checks are requested within 7 days of hire and a follow-up to the agency is made and documented to ensure they are back within 30 days.