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Lilly's Learning Pad - Fan Campus
2302 W. Main Street
Richmond, VA 23220
(804) 728-2051

Current Inspector: Lynn Powers (804) 840-8260

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 today, May 14, 2019 to determine the center's compliance with licensing standards. The inspection was initiated at 10:30 am and concluded at 4:00 pm. The owner/director was not on site at the inspector's arrival but arrived shorty after. Children were observed playing with toys and a tablet. Bathroom breaks and hand washing was conducted before lunch. Children provide their own lunch. Later children had a circle time and prepared for nap. The center provides transportation for school age children. All areas of the center were inspected. The facility has age appropriate materials and supplies. The first aid kit and non-medical emergency supplies were inspected for each floor of the building and for the vehicle used to transport children. The following required information was posted: emergency number, license, evacuation map, most recent inspection findings and daily schedules. Four staff records and six children's records were reviewed. Today's census: 16 children with 3 staff. Per the owner: currently there are no medications being administered. The most recent evacuation drill was documented on 04/17/2019. The two shelter-in-place drills were completed on 02/04/2019 and 04/09/2019. A lock down drill was conducted on 03/29/2019. Violations cited during the licensing period were checked for corrections. There were three repeat violations cited during today's inspection. Please complete the 'plan of correction' and 'date to be corrected' for each violation cited on the violation notice and return it to me within 5 business days from date of receipt. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standards, 2) measures to prevent the noncompliance from occurring again, and 3) person(s) responsible for implementing each step and/or monitoring any preventative measure(s). If you have any questions about this inspection, please contact the Licensing Inspector at (804) 662-9758.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on review of children's records, the center did not obtain documentation of each child's immunizations before the child attended the center. Evidence: 1. Child #1, enrolled 04/28/2019, did not have documentation of immunizations on file. 2. Child #2, enrolled 01/28/2019, had documentation of immunizations dated 02/01/2019 exceeding the first day of attendance.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-140-B
Description: Based on a review of six children's records, the center did not ensure that if a child, aged seven months through 18 months has had a physical examination prior to attendance, it shall be within three months prior to attendance. Evidence: The physical examination in the record of Child #3 (13 months old) was dated 09/12/2018. The start date for Child #1 was documented as 02/01/2019.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-60-A
Description: Based on review of six children's records, the center did not obtain all required information for each child's record. Evidence: The record of child #2 did not include the address for the two emergency contacts listed.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-70-A
Description: Based on review of four staff records, the center did not obtain all required information for each staff record. Evidence: 1. The record of staff #1, (hire 04/01/2019) did not contain the following: address and phone number of a person to be notified in an emergency which shall be kept at the center; two references as to character and reputation that were checked before employment; and written documentation to demonstrate the individual possesses the education and experience required by the job position. Staff #1 was identified as a program leader by the director. 2. The record of staff #3, identified as a program leader by the director did not have written documentation to demonstrate the individual possesses the education required by the job position.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-270-A
Description: Based on observation, the center did not ensure all areas of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: The spindle at the top of the stairwell railing is missing creating a gap large enough for a child's foot to fall through or become wedged in. The edge of the step where the spindle is missing has a chip of wood that is broken and creates a jagged edge.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-280-B
Description: Based on observation, the center did not ensure hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A container of floor cleaner was observed on the floor of the infant room approximately two feet from an infant that was playing on the floor. 2. A container of surface cleaner was observed sitting on the floor in the hallway outside the bathroom and infant room doorway. 3. A canister of insecticide was observed unlocked on the top shelf of the desk in the office. Children in care were observed in the office at the time of the inspection. 4. A bottle of multipurpose cleaner and window cleaner were observed unlocked on the second floor of the facility on a table.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-290-3
Description: Based on observation, the center did not ensure electrical outlets had protective covers. Evidence: An electrical outlet strip in the classroom occupied by children as young as two years of age did not contain protective covers.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-340-F
Description: Based on observation, the center did not ensure children under 10 years of age were always within actual sight and sound supervision of staff. Evidence: 1. While child #4 was sleeping on a mat in the front classroom, staff #3 was observed taking the remaining seven children to the bathroom located in the hallway, approximately 15 feet away from the classroom. Staff #3 was in the bathroom and could not see child #4 who was asleep in the classroom. 2. Staff #1 was observed leaving the infant room to check on a child who was in the front classroom, leaving two infants alone in the classroom for approximately one minute.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-410-5
Description: Based on observation, the center did not ensure staff did not engage in or make threats of a forbidden action to a child. Evidence: 1. During the May 14, 2019 inspection, Staff #3 was heard making the following statements to a child: "I'm calling your mom; she said to throw away your snack if you don't lay down". "Do you want your snack in the trash?" 2. Staff #3 stated she was not really going to throw the snack away; she was just trying to get the child to lay down.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-440-A
Description: Based on observation, the center did not ensure cribs, cots, rest mats or beds were provided for children during the designated rest period and not be occupied by more than one child at a time. Evidence: Four children were observed resting on one tumble mat during nap time.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-440-E
Description: Based on observation, the center did not ensure there was at least 12 inches of space between occupied cots, beds, and rest mats. Evidence: During nap time, a rest mat was observed between two cots. Two legs from each cot were on top of the rest mat. The two cots and mat, all occupied by children, were not at least 12 inches apart.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-450-A
Description: Based on observation, the center did not ensure cribs, cots, mats and beds used by children other than infants during the designated rest period had linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Evidence: 1. One child was observed during nap time on a cot without a top and bottom cover. 2. Staff #3 stated the child had forgotten to bring covers for nap time on Monday.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-560-G
Description: Based on observation, the center did not ensure when food is brought from home, the food container was sealed and clearly dated and labeled in a way that identifies the owner. Evidence: The eight children in the combined two year old through pre-school classroom were observed eating lunches that were brought from home. The lunches were not labeled with their name and date.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-570-C
Description: Based on interview, the center did not maintain a record of each child on formula that contained the brand of formula and the child's feeding schedule. Evidence: The director stated she did not have a record of the brand of formula or the feeding schedule for each infant enrolled.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-191-60-B
Description: Based on review of four staff records, the center did not obtain a completed sworn statement for one staff prior to employment or providing volunteer services. Evidence: Staff #1, hired 04/01/2019, did not have a completed sworn statement on file. The sworn statement was signed and not dated.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-191-60-C-2
Description: Based on review of four staff records, the center did not deny continuous employment of a staff who did not have a central registry finding within 30 days of employment. Evidence: 1. The record for staff #2 did not contain a central registry finding. The staff began employment on 02/11/2019. 2. The director stated staff #2 is currently employed with the center.

Plan of Correction: Not available online. Contact Inspector for more information.

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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