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:

22VAC40-665 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:

A Subsidy Health and Safety inspection was conducted on April 30, 2019 to review supplemental health and safety requirements. The inspection was initiated at 11:00 am and concluded at 3:30 pm. The inspection was conducted with the new director. Upon the inspector?s 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. 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 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 were 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. If you have questions regarding this inspection, please contact the licensing inspector at 804-662-9758.

Violations:

Standard #:	22VAC40-665-540-A
Description:	Based on review of staff records, the facility did not ensure that one of six staff records contained documentation of a tuberculosis screening that was completed within the 30 calendar prior to the date of employment and submitted at the time of employment and prior to coming into contact with children. Evidence: The record of staff #1, hired 01/09/2019, had documentation of a tuberculosis screening dated 05/03/2018, exceeding 30 days prior to hire.
Plan of Correction:	Per the director: I will ensure staff obtain a tuberculosis screening by the time of hire but no more than 30 days prior to hire.
Standard #:	22VAC40-665-580-B
Description:	Based on review of staff records, the facility did not ensure staff obtained Virginia preservice training within the first 90 days of employment. Evidence: Staff #1, hired 01/09/2019, did not have documentation of Virginia pre-service training exceeding 909 days from hire.
Plan of Correction:	Per the director: The staff member is working on completing the training.
Standard #:	22VAC40-665-580-E-2
Description:	Based on review of staff records, the facility did not ensure staff obtained first aid training within 90 days of employment. Evidence: Staff #1, hired 01/09/2019, did not have documentation of first aid training exceeding 90 days from hire.
Plan of Correction:	Per the director: I will schedule a class for staff to obtain first aid training.
Standard #:	22VAC40-665-580-F
Description:	Based on review of staff records, the facility did not ensure staff hired prior to October 17, 2018 obtained CPR and first aid training as required by this section by January 16, 2019, Evidence: Staff #4, hired 10/16/2018 did not have documentation of CPR and first aid training as of 04/30/2019,
Plan of Correction:	Per the director: I will schedule a class for staff to obtain the CPR and first aid training.
Standard #:	22VAC40-665-650-E
Description:	Based on interviews 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, the licensing inspector discussed the subsidy requirements that became effective on October 17, 2018. The facility had not written a policy and procedure to ensure children are cared for by a consistent staff or team of staff members. This requirement was required to be in place by December 15, 2018
Plan of Correction:	Per the director: I will add a policy and procedure for ensuring children receive care by a consistent staff or team of staff members.
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: 1. During the inspection, the licensing 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. 2. The director reported the emergency preparedness plan did not have procedures to ensure essential functions are maintained during an emergency.
Plan of Correction:	Per the director: I will add the procedure to the emergency preparedness plan. A new copy of the emergency template was printed and will be completed.