VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Visions Child Development Center - Williamsburg Road
4501 Williamsburg Road
Suite L
Henrico, VA 23231
(804) 222-1648

Current Inspector: Heather Dapper (804) 625-2304

Inspection Date: May 20, 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 63.2 Facilities & Programs.

Technical Assistance:

N/A

Comments:

An unannounced monitoring inspection was conducted on Monday, May 20, 2019 to determine the center's compliance with licensing standards. The inspector arrived at 9:45AM and concluded the inspection at 2:00 PM. There were 21 children in care during the inspection. Children and staff were observed engaging in activities to include dancing, snack time, transitioning to the rest room, and outside time. Five children's record, six staff records, children's equipment, learning materials, outdoor and indoor space, rest rooms, first aid and emergency supplies were inspected. Violations were cited and are documented on the violation notice. Please complete the ?plan of correction? and ?date to be corrected? for each violation listed on the violation notice and return it to me within 5 business days from receipt. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only. If you have any questions about this inspection, please contact the licensing inspector, Heather Dapper, at (804) 662-7014.

Violations:

Standard #:	22VAC40-185-130-B
Description:	Based on a review of children's records, the provider did not ensure each record contained additional immunizations once every six months for children under the age of two years. Evidence: The record for child #1 (date of birth 06/08/18), had one immunization record documented on 09/27/18.
Plan of Correction:	"Will Address ASAP."
Standard #:	22VAC40-185-160-C
Description:	Based on a review of staff records, the center did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening. Evidence: The record for staff #5 (date of initial TB screening 03/19/17) did not contain updated TB screening results as of 05/20/19.
Plan of Correction:	"TB screening scheduled for tonight."
Standard #:	22VAC40-185-270-A
Description:	Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: On the playground, the dome climber had a jump rope tied on the structure posing risk of head entrapment or strangulation.
Plan of Correction:	A plan of correction was not received.
Standard #:	22VAC40-185-280-B
Description:	Based on observation, the center did not ensure all hazardous substances such as cleaning materials, were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the entry hallway, one spray bottle labeled bleach and water was not locked to prevent access by children. Preschool age children use this hallway to get to the bathrooms.
Plan of Correction:	"Will address ASAP."
Standard #:	22VAC40-185-290-3
Description:	Based on observation, the center did not ensure that areas used by children of preschool age or younger shall have protective covers on all electrical outlets. Evidence: 1. In classroom #1, seven electrical outlets did not contain electrical outlet protective covers. 2. The children present ranged in age from three years to four years of age.
Plan of Correction:	Plan of correction was not received.
Standard #:	22VAC40-191-60-C-2
Description:	Based on review of five staff records, the center did not ensure the central registry findings for three staff members was obtained within 30 days of employment. Evidence: 1. During the inspection, the licensing inspector observed the record for staff #2 (hire date 03/19/19), staff #3 (hire date 03/04/19) and staff #4 (hire date 01/31/19) did not contain the central registry findings. 3. A member of management stated staff #2, staff #3 and staff #4 are still working at the center.
Plan of Correction:	"Will address ASAP."
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on review of staff records, the center did not obtain fingerprint results by 09/30/2018 for all staff hired prior to 01/22/2019 and fingerprint results prior to hire for staff hired after 01/22/2018. Evidence: 1. The record for staff #3 (date of hire 03/04/2019) had fingerprint results dated 03/06/2019, two days after hire date. 2. The record for staff #6 (date of hire 04/05/2017) did not contain documentation of fingerprint results. The last criminal record check was completed on 04/22/2017. The deadline for fingerprinting all current (in place before January 19, 2018) employees who are required to have a fingerprint based criminal history search must have the fingerprint based search completed before September 30, 2018.
Plan of Correction:	"Will Address ASAP."