VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Heavenly Hands Early Learning Center
2800 Hill Street
Lynchburg, VA 24501
(434) 386-8082

Current Inspector: Kelly Campbell (540) 309-2494

Inspection Date: April 16, 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 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 22VAC40-191 Background Checks (22VAC40-191)

Comments:

An unannounced focused inspection was completed on 4/16/2019. The inspection was result of an Intensive Plan of Correction (IPOC) which was signed by the facility on 2/19/2019. The inspection was focused on four key areas identified on the IPOC (administration, infant and toddler care, staffing and supervision and backgrounds). The inspector arrived at 9:25 A.M. and departed the program at 11:20 A.M. Six violations that were directly related to the IPOC were not found to be in compliance on the date of the inspection. The provider?s response(s) for the ?plan of correction? were not received as of May 2, 2019 and will not appear on this Violation Notice.

Violations:

Standard #:	22VAC40-185-140-A
Description:	Based on review of five children's records, the center failed to ensure that all children had a physical within 30 days of enrollment. Evidence: 1. Child # 1 started the program on on 2/11/2019 and did not have a physical exam. The child had a sick visit form from a physician's office. 2. Child # 2 started the program 9/10/2018 and did not have a physical exam.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-60-A
Description:	Based on review of five children's records, the center failed to ensure that all records were complete. Evidence: 1. Child # 1 was missing one of the emergency contacts address, and missing the doctor's phone number.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-70-A
Description:	Based on review of eight staff's records, the center failed to ensure that all records were complete. Evidence: 1. Staff # 1 and 2 did not have the two required references and no job title. 2. Staff # 3 had one of the two required references.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-240-A
Description:	Based on review of four staff's records, the center failed to ensure that all staff received orientation training by the end of their first aid of assuming job responsibilities. Evidence: 1. Staff# 2 did not have a documented start date. Verified through interviews with staff # 2 she stated that she started work approximately two weeks ago. There was no documentation of an orientation training.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-280-B
Description:	Based observation, the center failed to ensure that all chemicals were locked. Evidence: 1. Observed in the downstairs room, there was a spray bottle of lysol sitting on the locked container on the wall. In the cubby next to the wall of the left of the room was a container of disinfectant wipes that were not locked and accessible. 2. In the infant room on the cubby above the changing table there was a container of disinfectant wipes that were not locked.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-340-A
Description:	Based on observation, the center failed to ensure that staff when supervising children shall ensure their care, protection and guidance. Evidence: 1. The LI and LA arrived at the center at 9:25 with 26 children present ages 7 months to 11 years in a mixed age grouping. At 9:27 A.M. there were 29 children with two staff. Two infants under 13 months of age, seven toddlers under the age of two years and twenty children preschool to school age. At 9:36 A.M. the third staff person arrived. Based on the mixed age grouping the required ratio is eight staff for 29 children. The center did not ensure the care and protection of the children in care.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-350-E-2
Description:	Based on observation, the center failed to ensure that the child to staff ratio when 16 month year old children are in the grouping of children. Evidence: 1. There were 23 children down stairs with two staff members. Five staff members were required to the mixed age grouping. A third staff member arrived for the downstairs grouping of children at 10:05 A.M. The youngest child in the grouping was approximately 20 months old. The required ratio is five children to one staff members. Five staff members are required for this grouping of children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-500-A
Description:	Based on observation , the center failed to ensure that all children's hands were washed before and after eating. Evidence: 1. Observed two infants being placed in a high chair and given morning snack. Both infants hands were not washed with soap and water or with a baby wipe before or after eating snack. 2. Observed one infant during a diaper change, the infant's hands were not washed with soap and water after the toileting procedure. 3. Observed three preschool children being served morning snack. The three children did not wash their hands or use a baby wipe before or after eating.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-500-B
Description:	Based on observation, the center failed to ensure that all diapering areas met the requirements according to the standard. Evidence: 1. Observed one diaper change, the staff person did not clean or sanitize the changing pad after the diaper change.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-560-K
Description:	Based on observation, the center failed to ensure that all tables used for feeding were cleaned and sanitized according to the standard. Evidence: 1. Observed in the infant room two infant eating morning snack, and the high chair trays were not sanitized before or after feeding. 2. Observed downstairs three preschoolers were eating morning snack as they arrived in the program. The tables were not sanitized after feeding.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-191-60-B
Description:	Based on review of four staff's records, the center failed to ensure that all staff had a sworn statement completed by the first day of employment. Evidence: 1. Staff # 1 was hired on 3/11/2019 and did not have a signed sworn statement. 2. Staff # 2 did not have a documented start date. Verified through interviews with staff that she began work approximately two weeks ago. Observed on the day of the inspection working with a group of children. There was no signed sworn statement.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-191-60-C-2
Description:	Based on review of five staff's records, the center failed to ensure that all CPS checks were received within the 30 days of hire. Evidence: 1. Staff # 1 started on 3/11/2019. There were no documentation that CPS check was returned within the 30 days of hire. There was no documentation that contact was made within the 30 days with the Office of Background Information to check the status of the backgrounds. Staff # 1 was observed on the day of the inspection working in a grouping of children.
Plan of Correction:	Not available online. Contact Inspector for more information.