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Two By Two Learning Center, Inc.
2499 W. Beverley Street
Staunton, VA 24401
(540) 213-2292

Current Inspector: Barbara Workman

Inspection Date: July 18, 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.
22VAC40-191 Background Checks (22VAC40-191)
63.2 Facilities & Programs.

Comments:
An unannounced monitoring inspection was completed on 07/19/2019 from 9:20 A.M.-3:00 P.M. At the time of the inspection 61 children were in care with thirteen staff and one administrators present. Six children records, seven staff records, one medication and required documentation, five injury reports, emergency plan, first aid kits, emergency supplies, health inspection, fire inspection, playground, and posted required information were reviewed. Children were observed during infant feeding, diapering, outside gross motor playtime, one-on-one infant and toddler interactions, behavioral guidance, free choice activities, transitions, handwashing, lunchtime, naptime, and a quiet time for schoolage children. The exceptions to compliance are noted on the violation notice. If you have any questions or concerns contact the licensing inspector at (540)-430-9257 for further assistance.

Violations:
Standard #: 22VAC40-185-140-A
Description: Based on a review of children's records, the center failed to obtain documentation of a physical examination within 30 days after the first day of attendance. Evidence: 1. Child #1's physical was dated 05/28/2019. Child #1's first date of enrollment was 03/11/2019. 2. Child #2's physical was dated 03/27/2019. Child #2's first date of enrollment was 01/02/2019. 3. Staff verified the the dates the physicals were obtained and the first day of enrollment.

Plan of Correction: Administration will track new enrollments and if not received with 30 day period services will be suspended until the physical form is received.

Standard #: 22VAC40-185-160-C
Description: Based on review of staff files, the center failed to ensure that at least every two years from the date of the initial screening a follow-up tuberculosis screening will be completed. Evidence: 1. Staff #4's last documented tuberculosis screening was dated 06/26/2017. 2. Staff verified the date of the most current tuberculosis screening on file as of 06/26/2017.

Plan of Correction: Staff will be sent to obtain a current tuberculosis screening within the next two weeks.

Standard #: 22VAC40-185-60-A
Description: Based on a review of children's files, the center failed to ensure that all required information was in a child's file. Evidence: 1. Child #3's file had no documentation of viewing proof of the child's identity and age. 2. Staff verified that Child #3's file did not contain documentation of viewing proof of the child's identity and age.

Plan of Correction: Staff will contact the parent and obtain documentation of child's identity and age.

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. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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