VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Smiles & Giggles Learning Center Incorporated
132 Fox Hill Road
Hampton, VA 23669
(757) 851-3030

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: May 14, 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(17) License & Registration Procedures

Comments:

An Unannounced Monitoring Inspection was conducted on May 14, 2019. The inspection began at 1:10 pm and ended at 6:00 pm. Upon entrance there were 26 children in care and 4 staff present with children. There was an additional staff on site for administrative purposes. The record review consisted of 6 children's records and 3 staff records. Children were observed during their rest period, eating snack and playing games. The results of the inspection were reviewed with the center director during the exit interview. Areas of non-compliance are noted on the violation notice. The inspection results will be reviewed with the Licensing Administrator. Please contact the licensing inspector with any questions (757) 404-0568.

Violations:

Standard #:	22VAC40-185-260-A
Description:	Based on documentation review and staff interview, the licensee did not ensure the center had obtained an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: On May 14, 2019, the most recent fire inspection available for review was dated 4-26-18.
Plan of Correction:	The center director will call for an inspection.
Standard #:	22VAC40-185-270-A
Description:	Based on observation and staff interviews, the licensee did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: On May 14, 2019, the following were observed and pose a health and safety concern for the children in care; 1) In the infant room there was tear in the seam of the red rug that was approximately 2 feet long and poses a tripping hazard. 2) In outside area, there are red painted columns that frame the outside windows and doors and the paint is chipping, peeling and easily comes off the columns. The columns are accessible to the children.
Plan of Correction:	The center director will work with the owner to repair items.
Standard #:	22VAC40-185-320-B
Description:	Based on observation and staff interviews, the licensee did not ensure each rest room areas for children were equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children. Evidence: On May 14, 2019, the rest room in the two's room and the rest room in the preschool room did not have toilet paper in 1 of the 2 rest room stalls. There were no paper towels for the two's room and none for the Pre-K room for the children to use after washing their hands.
Plan of Correction:	The center director will make sure there are supplies.
Standard #:	22VAC40-185-340-D
Description:	Based on record review of 3 staff records and staff interviews, the licensee did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Evidence: On May 14, 2019, there was not documentation indicating there was a program leader in the toddler room or a program leader in the two's room or Pre-K room. The center director confirmed staff #1, was the designated program leader for the toddlers and staff #2 and staff #3 were the designated program leaders for the Two's and Pre-K children.
Plan of Correction:	The center director will get the staff lead qualified. Director will work in the classroom until staff are qualified.
Standard #:	22VAC40-185-340-F
Description:	Based on observation and staff interviews, the licensee did not ensure children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: On May 14, 2019, at approximately 2:18 pm the center's door bell rang and a center staff member opened the door and 4 children, age range 5 to 9 (child #3, child #4, child #5 and child #6 ) were observed entering the child day center by themselves. Center staff and children confirmed the children were dropped off by the public school bus outside the center approximately 66 feet away from the center's front door. The center staff confirmed children walk from the bus stop to the center by themselves and there was not center staff supervision from the time the bus dropped them off until they entered the building.
Plan of Correction:	The center director will supervise children.
Standard #:	22VAC40-185-340-G
Description:	Based on observation and staff interviews, the licensee did not ensure children 10 years of age and older shall be within actual sight and sound supervision of staff. Evidence: On May 14, 2019, at approximately 2:18 pm the center's door bell rang and a center staff member opened the door and 2 children, age range 10 to 11 (child #1 and child #2 ) were observed entering the child day center by themselves. Center staff and children confirmed the children were dropped off by the public school bus outside the center approximately 66 feet away from the center's front door. The center staff confirmed children walk from the bus stop to the center by themselves and there was not center staff supervision from the time the bus dropped them off until they entered the building.
Plan of Correction:	The center director will supervise children.
Standard #:	22VAC40-185-350-E-3
Description:	Based on record review, observation and staff interviews, the licensee did not ensure for two-year-old children there was one staff member for every eight children. Evidence: On May 14, 2019, the required 1 staff for every 8 children age 2 was not maintained as listed below; 1) At approximately 2:30 pm, there were 17 children age range 2 years old (child #8) to age 5 with two staff. At approximately 3:05 pm child #7 left and there were 16 children with 2 staff. 2) At approximately 3:14 pm, 2 additional children (child #11 and child #9) entered the room and there were 17 children with two staff age range 2 years to 5 years. At approximately 3:26 pm child #10 left and there were 16 children with 2 staff.
Plan of Correction:	The center director will go behind staff and check ratio throughout the day.
Standard #:	22VAC40-185-450-A
Description:	Based on observation, the licensee did not ensure cribs, cots, mats and beds used by children other than infants during the designated rest period or during evening and overnight care shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Evidence: On May 14, 2019, in the two's room 16 children were observed sleeping and 5 children did not have a bottom cover and 1 child did not have a top cover.
Plan of Correction:	The center director will ensure the children have covers.
Standard #:	22VAC40-185-500-B
Description:	Based on observation and staff interviews, the licensee did not ensure all required diapering items were available and operable. Evidence: On May 14, 2019, the following items related to diapering were noted as inadequate; 1) In the toddler room there was not a nonabsorbent surface for diapering or changing in the toddler room as there was tear on the seam of the diaper pad and there was exposed foam. 2) In the two's room there was not a leakproof covered receptacle for soiled linens. 3) In the two's room there was not an operable leakproof or plastic-lined storage system that is either foot operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal of disposal diapers.
Plan of Correction:	The center director will purchase a new trashcan.
Standard #:	22VAC40-191-60-C-2
Description:	Based on record review of 3 staff records, the licensee did not ensure each staff had obtained a central registry finding (CPS) within 30 days of employment or volunteer service. Evidence: On May 14, 2019, the record for staff #1did not include a CPS finding. Date of hire was 2-26-2019.
Plan of Correction:	The center director will call and find out about the background check.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on record review of 3 staff records, the licensee did not ensure each staff had obtained a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 and any child abuse and neglect registry or equivalent registry maintained by any other state in which the individual has resided in the preceding five years for any founded complaint of child abuse or neglect against him. Evidence: On May 14, 2019, the records for staff #1 and staff #2 did not include a child abuse and neglect registry finding for the states they had lived in outside of VA within the last five years. Date of hire for staff #1and staff #2 was 2-26-2019.
Plan of Correction:	The center director will call and find out about the background check.