VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Childcare Network #64
8210 Walmsley Boulevard
Richmond, VA 23235
(804) 276-6593

Current Inspector: Lauren Bickford (540) 280-0742

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

Technical Assistance:

n/a

Comments:

An unannounced renewal inspection was conducted on Tuesday, May 14, 2019 to determine the center's compliance with licensing standards. The inspector arrived at the center at 10:30am and concluded the inspection at 3:30pm. The center's director and assistant director assisted the licensing inspector throughout the inspection. The census for today?s inspection consisted of 76 children in the direct care of 14 staff. Two additional staff were available on site during the inspection. Upon the inspector?s arrival, the children were engaged in a variety of activities. The children in the K-Prep class were observed playing outside in their respective area of the playground. The children were observed interacting with staff and practicing the theme of the week. The theme of the week is "Let's Dig" and the letter D. The children in the Three's class were observed in their classroom as they prepared for lunch. The children in the Two's class were observed eating lunch and interacting with staff. The children in the Toddler's class were observed in their respective classroom, interacting with peers, and staff. Diapering procedures were observed in the Toddler's class and in the Infant's class. Some of the school-aged children were later observed arriving to the center from school and preparing for snack. Staff were observed having positive interactions with the children. The playground was inspected. The classrooms are decorated with the children?s artwork and are equipped with age and stage appropriate materials. The center had the following posted: license, daily schedule, emergency numbers, evacuation maps, menu and various parent information. The center provides transportation and three of the buses were inspected today. Seven children's records and five staff's records were reviewed. Two medications and authorizations were reviewed. The last documented health inspection: 07/13/2018, the last documented fire inspection: 12/07/2018, the last documented evacuation drill was held on 04/25/2019, the last shelter-in-place drill was documented on 03/20/2019. If you have any questions about this inspection, please contact the licensing inspector, Florence Martus, at (804) 662-9772.

Violations:

Standard #:	22VAC40-185-140-A
Description:	Based on a review of seven children's records on 05/14/2019, the center did not ensure one child obtained documentation of a physical examination by or under the direction of a physician prior to attendance or within one month of attendance. Evidence: 1) The record for Child #5 (DOE: 02/18/2019) did not contain a physical examination report.
Plan of Correction:	Per the director: The parents will be contacted to obtain the missing physical. In the future, physicals will be obtained within the required time frame.
Standard #:	22VAC40-185-160-A
Description:	Based on a review of five staff records on 05/14/2019, the center did not ensure two staff obtained documentation of a negative tuberculosis (TB) screening no later than 21 days after employment. Evidence: 1) The record for Staff #4 (DOH: 05/14/2018) contained the results of a TB screening that were dated 09/03/2018. 2) The record for Staff #5 (DOH: 08/21/2018) contained the results of a TB screening that were dated 09/25/2018. Documentation of the screening shall be submitted no later than 21 days after employment or volunteering and shall have been completed within 12 months prior to or 21 days after employing or volunteering.
Plan of Correction:	Per the director: During an audit of records, we noticed the TB results for these staff were missing and were submitted late. In the future, the results will be requested within the required time frame.
Standard #:	22VAC40-185-70-A
Description:	Based on a review of five staff records on 05/14/2019, the center did not ensure five records contained the required information. Evidence: 1) The records for Staff #1 (DOH: 05/13/2019), Staff #2 (DOH: 05/08/2019), Staff #3 (DOH: 02/04/2019), Staff #4 (DOH: 05/14/2018, and Staff #5 (DOH: 08/21/2018) did not contain the signature of person making the calls for reference checks that were taken over the phone. If a reference check is taken over the phone, documentation shall include: dates of contact; names of persons contacted; the firms contacted; results; and signature of person making call.
Plan of Correction:	Per the director: The reference sheets used will be updated to include an area where the person making the calls can sign.
Standard #:	22VAC40-185-280-B
Description:	Based on observation at the center on 05/14/2019, the center did not ensure to keep hazardous substances such as cleaning materials in a locked place using a safe locking method that prevents access by children. Evidence: 1) The licensing inspector observed a bottle of bleach, sanitizing wipes, and disinfectant spray in an unlocked cabinet in the Two's room.
Plan of Correction:	Corrected on site. Per the director: Cleaning materials will be kept in a locked place. The lock on the cabinet will be replaced to ensure it locks properly.
Standard #:	22VAC40-185-290-3
Description:	Based on observation at the center on 05/14/2019, the center did not ensure all electrical outlets had protective covers. Evidence: 1) The licensing inspector observed two outlets without protective covers in the K-Prep classroom. 2) The licensing inspector observed two outlets without protective covers in the boys bathroom in the Two's classroom. 3) The licensing inspector observed two outlets without protective covers in the girls bathroom in the Two's classroom. Electrical outlets shall have protective covers that are of a size that cannot be swallowed by children.
Plan of Correction:	Per the director: Outlets will be corrected today. In the future, teachers will do class observations to ensure all electrical outlets have protective covers.
Standard #:	22VAC40-185-420-E-3
Description:	Based on a review of seven children's records and interview on 05/14/2019, the center did not obtain annual documentation of parent confirmation that the required information in two children's records are up to date. Evidence: 1) The record for Child #6 (DOE: 03/05/2018) was last updated on 03/05/2018. 2) The record for Child #7 (DOE: 01/09/2017) was last updated on 09/19/2017. 3) During interview, the director confirmed that there was no documentation of annual review/update for Child #6 or for Child #7.
Plan of Correction:	Per the director: The updated information will be obtained for these records and a method created to ensure all annual updates are obtained.
Standard #:	22VAC40-191-60-C-2
Description:	Based on a review five staff records on 05/14/2019, the center did not ensure that two staff members had a central registry finding within 30 days of employment. Evidence: 1) The record for Staff #4 indicated a hire date of 05/14/2018 and the central registry finding was dated 07/23/2018. 2) The record for Staff #5 indicated a hire date of 08/21/2018 and the central registry finding was dated 11/01/2018. The records did not contain documentation of any further contact, and the staff were continuously employed.
Plan of Correction:	Per the director: Upon hiring staff, all background checks will be monitored to ensure they are received timely.