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A Little Peace of Mind Daycare and Learning Center, Inc.
100 Arboretum Place
North chesterfield, VA 23236
(804) 330-5025

Current Inspector: Tara Barton (804) 381-8487

Inspection Date: May 15, 2019 and May 24, 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.
22VAC40-80 THE LICENSING PROCESS.
63.2(17) License & Registration Procedures

Technical Assistance:
Staff File Cover Sheet - please condense files to include only the most recent information and training hours so items can be easily found in the director's absence.

Comments:
An unannounced renewal inspection was conducted on May 15, 2019 with center staff. There were nine infants and toddlers with two staff and 22 two, three, and four year old with two staff. The children were having lunch, preparing for rest, arriving from school, and playing on the computer. Lunch served today: hot dogs on buns, fries, applesauce, and milk. Two medications for one child were reviewed; four staff are current in Medication Administration Training. Seven children's files and six staff files were reviewed - please see Supplemental Summary for missing items. The last health inspection was conducted 5/9/2018. The last fire inspection was conducted 2/26/2016 - an inspection is scheduled for 5/23/2019. Please call me if you have any questions at 804-662-9766 or e-mail tara.barton@dss.virginia.gov. **An additional inspection was conducted on May 24, 2019 to review staff records.

Violations:
Standard #: 22VAC40-185-160-C
Description: Based on review of six staff records, the facility failed to have tuberculosis test or screening for each staff at least every two years from the previous testing. Evidence: there was no documentation of Staff C or Staff F having a current tuberculosis test or screening.

Plan of Correction: Staff F obtained a tuberculosis test on May 20, 2019. Staff C will be leaving the position soon.

Standard #: 22VAC40-185-70-A
Description: Based on review of six staff records, the facility failed to have documentation of two or more references as to character and reputation as well as competency checked before employment. Evidence: there were no documented references on file for Staff A (date of hire 9/5/2018).

Plan of Correction: Per provider - Corrected. References were located in a separate file in the office.

Standard #: 22VAC40-185-80-A
Description: Based on a review of the attendance record and staff interview, the facility did not ensure all children were included on the written attendance record each day. Evidence: on May 15, 2019 at approximately 12:15 p.m., there were twelve preschool children present, but only eleven were marked on the attendance record.

Plan of Correction: The attendance record was updated to include all 12 children in care.

Standard #: 22VAC40-185-240-C
Description: Based on review of six staff files, the facility failed to have documentation of at least 16 hours of annual training for each staff. Evidence: there was no documentation to support that Staff C, Staff D, Staff E, or Staff F had 16 hours of annual training in the past twelve months.

Plan of Correction: Per provider - All staff training before 4/1/2019 was located in a staff binder in the office.

Standard #: 22VAC40-185-260-A
Description: Based on review of administrative documents, the facility failed to have documentation of an annual inspection from the appropriate fire official having jurisdiction. Evidence: the last documented fire inspection was conducted February 26, 2016.

Plan of Correction: A fire inspection was conducted on May 23, 2019. Provider faxed copies of 2017 and 2018 inspection on 5/29/2019

Standard #: 22VAC40-185-350-C
Description: Based on observation, the facility failed to maintain the applicable staff to children ratio when children are regularly in mixed age groups. Evidence: the two year old, three year old, and four year old children regularly gather in one room to eat lunch. On May 15, 2019, there was one toddler, nine two year olds, and 12 preschool children present with two staff.

Plan of Correction: Two staff members were on medical leave. One has returned. Owners are also now included in ratio.

Standard #: 22VAC40-185-350-E-1
Description: Based on observation, the facility failed to maintain the appropriate ratio for children ages birth to 16 months. The ratio is one staff member for every four children. Evidence: on May 15, 2019, there were nine infants with two staff supervising.

Plan of Correction: Two staff members were on medical leave. One has returned. Owners are also now in ratio.

Standard #: 22VAC40-185-350-F
Description: Based on observation and review of children's records, the facility failed to have a parent's written permission and a written assessment by the program director and program leader on file to assign a child to a different age group. Evidence: Child 1 (date of birth 5/31/2017) was moved to the twos room on 5/6/2019. There was no documentation in the file from the parent, lead teacher, or program director stating that the older age group is more appropriate for the child's developmental level and the staff to child ratio for the established age group.

Plan of Correction: On 5/16/2019, the parent gave written permission to move the child to the two year old age group, but there was no written assessment by the program director or program leader as to why the older age group would be more appropriate.

Standard #: 22VAC40-185-510-N
Description: Based on review of two medications, the facility failed to return medication to a parent within 14 days when an authorization for medication expires. Evidence: the short term medication authorization for one medication for Child 2 was completed 3/28/2019. The authorization is valid for ten days and the parent should have been notified that the medication needed to be picked up within 14 days or the authorization should be renewed. The medication was still on site on 5/15/2019.

Plan of Correction: The medication was returned to the parent by 5/24/2019.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on review of six staff records, the facility failed to have all staff submit to fingerprinting and obtain the results prior to hire. Evidence: Staff B (date of hire 4/26/2019) did not submit to fingerprinting until 5/2/2019. The results were obtained by the facility on 5/9/2019.

Plan of Correction: Fingerprints will be conducted and results will be received before new staff are hired.

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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