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La Petite Academy #7140
1921 South Independence Boulevard
Virginia beach, VA 23456
(757) 471-6104

Current Inspector: Rene Old (757) 404-1784

Inspection Date: April 23, 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.
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks (22VAC40-191)
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Technical Assistance:
MAT training requirements for diabetes discussed.

Comments:
An unannounced monitoring inspection was conducted on 04/23/2019 from 10:15am - 1:40pm. At the time of entrance there were 61 children in care with 11 staff. The children ranged in age from infant - six years. Children were observed during late morning program time which included outdoor play. Nap was additionally reviewed. Records reviewed for three new staff and eight children in care. The inspector additionally reviewed injury documentation for an injury that occurred on 04/15/2019. The violations are listed on the violation notice and were reviewed with administrative staff at the conclusion of the inspection.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on record review, the center failed to ensure that children's records contained all of the required elements: Evidence: 1. The record for child 1 lacked an address for the second emergency contact. 2. The record for child 2 lacked an address for the first emergency contact.

Plan of Correction: This has been completed. Management will conduct periodic reviews to ensure continued compliance.

Standard #: 22VAC40-185-240-D-1
Description: Based on record review and interview, the center failed to ensure that when diabetes medication is administered the administration shall be performed by a staff member who has satisfactorily completed a training program for this purpose approved by the Board of Nursing and taught by a registered nurse who is licensed by the Commonwealth of Virginia to administer medications. Evidence: 1. Staff 1 and staff 2 do not have current MAT training for administration of insulin and glucagon 2. Center medication logs indicate that diabetes medications have been administered daily to child 4 since 02/25/2019 by staff 1 and staff 2. 3. Staff 1 stated that she did not have MAT certification for diabetes. 4. Staff 2 provided a MAT diabetes certificate that expired on 11/01/2017.

Plan of Correction: The class has been scheduled for 5/25/19 to certify 3 of our staff in the building. To ensure compliance there will always be a staff member on site from open to close who is MAT Diabetes certified.

Standard #: 22VAC40-185-270-A
Description: Based on observation, the center failed to ensure that outside areas of the center shall be maintained in a safe condition. Evidence: 1. The following safety hazards were observed on the outdoor playground: a. One area of the fence on the toddler playground is broken at the bottom. This area of wood has sharp and splintered areas which are accessible to children using this playground. b. There is a gap at the bottom of the fence gate between the toddler playground and parking lot area that is wide enough for a child's leg or arm to become stuck in. c. The ground around the cement basketball court has settled and eroded away leaving a gap between the cement and ground. This is a trip hazard. d. There are significant gum balls on the ground and sidewalk areas on all of the playgrounds. These are a trip hazard. e. One of the landscape timbers on the toddler playground has deteriorated and is separated from the surrounding timbers that boarder the mulch. This is a trip hazard.

Plan of Correction: 1-a, 1-b, 1-e has been corrected. 1-c and 1-d will be corrected within 30 days. Our safety captain has been assigned with checks and report any discrepancies to management within 24 hours to ensure compliance. Management will do periodic checks to ensure compliance. DM will periodically inspect on visits.

Standard #: 22VAC40-185-420-E-3
Description: Based on record review and interview, the center failed to request at least annually parent confirmation that the required information in the child's record is up to date. Such sharing of information shall be documented. Evidence: 1. The enrollment record for child 3 was lasted reviewed and updated by the parent on 01/24/2017. 2. Administrative staff confirmed that documentation of an annual update was no available for child 3.

Plan of Correction: This will be completed by 5/10/19. Management will conduct periodic reviews to ensure continued compliance.

Standard #: 22VAC40-185-510-E
Description: Based on medication review, the center failed to ensure that medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: 1. One prescription medication for child 4 was not labeled with the child's name. Additionally, the prescription label was not attached therefore the name of the medication, the dosage amount and time to be given was not affixed to the medication.

Plan of Correction: This will be corrected by 5/17/2019. This medication was purchased over the counter and not provided with labels. Parent is working with Physician to get this corrected. Going forward all medications related to long term management plans will have proper labeling before enrollment. Management will do periodic checks to ensure compliance. DM will periodically check on visits.

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. To find programs participating in Virginia Quality, click here.

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