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Emmanuel Lutheran Preschool and Child Development Center
23 Semple Farm Road
Hampton, VA 23666
(757) 865-2851

Current Inspector: Michele Patchett (757) 439-6816

Inspection Date: April 24, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES
22VAC-185 STAFF QUALIFICATIONS AND TRAINING
22VAC-185 PROGRAMS
22VAC-40-80 THE LICENSE
2VAC40-191 Background Checks (22VAC 40-191)
63.2 (17) License & Registration Procedures

Technical Assistance:
22VAC40-665-(9) SPECIAL CARE PROVISIONS & EMERGENCIES related to Subsidy Health and Safety Requirements was inadvertently.

Comments:
An unannounced Monitoring Inspection was conducted on April 24, 2019, from approximately 8:07 am until 2:40 pm. At the time of entrance there were 35 children and 8 staff members present with children. There were additional staff on site for kitchen and administrative support. The sample size consisted of 8 children's records and 12 staff records. Three medications were reviewed. Children were eating breakfast, during story time, and learning about the planets. Previous violations were reviewed. Areas of non-compliance are identified on the violation notice. The results of the inspection were reviewed and verified with the center program director and center management during the exit interview. Please contact the licensing inspector with any question at 404-0568.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on record review of eight children's records and staff interviews, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which shall contain all the information. Evidence: On April 24, 2019, the following records were determined incomplete: 1) The records for Child #3 and #5 did not include the employment location and employment phone number for one parent listed. 2) The records for Child #3, first date of attendance 10-2-2017 and Child #8, first date of attendance 1-15-2019 did not include a physical conducted by a physician or their designee within one month after attendance.

Plan of Correction: Director along with Preschool management team will ensure that all required documents are in all children files prior to first date of attendance.

Standard #: 22VAC40-185-70-A
Description: Based on record review of twelve staff records and staff interviews, the licensee did not ensure to maintain staff records kept for each staff person with all required information to include reference checks for staff hired after March 1, 1996. Documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. If a reference check is taken over the phone, documentation shall include all required documentation:. Evidence: On April 24, 2019, the following records did not include the required documentation for reference checks. 1) The documentation for the phone reference check for staff #8 did not include the date of contact and the signature of the person making the call for two reference checks conducted. 2) The documentation for the phone reference check for staff #9 did not include the signature of the person making the call for one reference check conducted. 3) There was only documentation of one reference check conducted for staff #10 and two are required.

Plan of Correction: Director along with Preschool management team will ensure there is at least a minimum of 2 satisfactory reference chekcs for each employe prior to first day of working with children.

Standard #: 22VAC40-185-270-A
Description: Based on observation and staff interviews, the licensee did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: On April 24, 2019, in the transitional toddler room seven of seven cribs designated for the children observed in care at approximately 8:10 am had crib sheets that were determined to not be maintained in a clean manner. The sheets on the seven cribs had many small pieces of dirt or material that were moveable by the center director when they used a baby wipe to remove the dirt/ material. Center staff confirmed the children had not been placed in the cribs that morning.

Plan of Correction: Director along with Preschool management team will ensure teachers are retrained on proper procedures of daily changing and cleaning of all bedding in cribs.

Standard #: 22VAC40-185-500-A
Description: Based on observation and staff interviews, the licensee did not ensure children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: On April 24, 2019, the following children were observed before or after eating and or drinking and their hands were not washed. 1) In room #109, two children were observed being served snack, eating snack and their hands were not washed prior to them eating. 2) In room #102, nine children were observed being served snack, eating snack and their hands were not washed prior to them eating. 3) In room #103, seven children were observed eating snack and their hands were not washed after they were finished eating.

Plan of Correction: Director along with Preschool management team will ensure that staff is retrained and aware of proper and acceptable hand washing procedures.

Standard #: 22VAC40-185-500-B
Description: Based on observation and staff interviews, the licensee did not ensure the requirements for diapering were followed; Evidence: On April 24, 2019, the following were observed as inadequate supplies or diapering; 1) In the Transitional Toddler room there was not a covered receptacle for soiled linens. 2) In room #108 the diaper pad had five rips, with exposed foam and therefore was no longer a nonabsorbent surface for diapering.

Plan of Correction: Director along with Preschool management team will ensure a lid is provided for any and all soiled linen. Director and Preschool management team will purchase a new changing pad or remove from cleaning table.

Standard #: 22VAC40-185-510-G
Description: Based on medication review of 3 medications and staff interviews, the licensee did not ensure the center may administer prescription medication that would normally be administered by a parent or guardian to a child provided that they had obtained written authorization from the parent. Evidence: On April 24, 2019, the center's medication administration documents stated a prescription topical medication, CeraVe' was administered on 4-10-19, 4-11-19, 4-12-19, 4-16-19, and 4-17-19 and parent authorization for administering the medication had expired on 4-1-2019.

Plan of Correction: Medication returned to parent.

Standard #: 22VAC40-185-510-N
Description: Based on medication review of 3 medications and staff interviews, the licensee did not 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. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Evidence: On April 24, 2019, two prescription topical medications, for child #7 were observed and the authorizations had expired. CeraVe' healing ointment expired on 4-1-2019 and CeraVe' motorizing cream expired on 1-20-2019 and the medication had not been sent home to the parent.

Plan of Correction: Director along with Preschool management team will ensure we have a system in place to monitor medication authorizations forms are always up to date.

Standard #: 22VAC40-185-570-E
Description: Based on observation and staff interviews, the licensee did not ensure prepared infant formula shall be refrigerated, dated and labeled with the child's name. Evidence: On April 24, 2019, in the infant room one infant was observed being fed and the bottle was not labeled or dated with their name.

Plan of Correction: Director along with Preschool management team will ensure teachers are retrained and aware of proper bottle labelling.

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. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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