VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Tots Around the Clock
11824 Fishing Point Road, Suite D
Newport news, VA 23606
(757) 327-0909

Current Inspector: Cassie Anderson-Leichty (757) 409-4668

Inspection Date: July 9, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-665 ADMINISTRATION 22VAC40-665 STAFF QUALIFICATIONS & TRAINING 22VAC40-665 PHYSICAL PLANT 22VAC40-665 STAFFING & SUPERVISION 22VAC40-665 PROGAMS 22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES 22VAC40-665 SPECIAL SERVICES

Technical Assistance:

Discussed the new SHSI requirements.

Comments:

Licensing inspector arrived at 11:59 am and departed at 5:20 pm to conduct a Licensing inspection and a Subsidy Health and Safety inspection. At the time of the tour there were thirty-six children in care with 7 staff . Additional staff was present to assist in the classrooms. Children were observed eating lunch, freely playing and napping. The sample size consisted of 5 children records and 6 staff records. Areas of non-compliance were reviewed with the director.

Violations:

Standard #:	22VAC40-665-500-F
Description:	Based on classroom review and interview, the vendor did not ensure to maintain in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: The center director and staff confirmed there was not a list in each classroom of children with allergies, sensitivities, and dietary restrictions.
Plan of Correction:	Director is composing list and will post in each room.
Standard #:	22VAC40-665-520-B-11
Description:	Based on record review and staff interview, the vendor did not ensure there was a written physician's allergy care plan for a child with a food allergy was not maintained in the child's file. Evidence: Child #4's physical and registration form confirmed the child had a physician diagnosed food allergy. The Director confirmed the center did not have a written allergy care plan for child #4.
Plan of Correction:	Director and owner met and updated new student policy that once allergy is identified the care plan must be in the file before child can attend. This particular students last day was Thursday 7/11/2019. They moved out of state.
Standard #:	22VAC40-665-540-A
Description:	Based on record review and staff interview, the vendor did not ensure staff documentation of the tuberculosis (TB) screening was completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: Staff #3 hired date June 3, 2019 documentation of tuberculosis (TB) was 04/26/2019. The test was not completed with the last 30 calendar of the date of employment.
Plan of Correction:	Director is updating policy make sure this doesn't happen again.
Standard #:	22VAC40-665-580-E-1
Description:	Based on staff interview, the vendor did not ensure staff who work directly with children shall have within 90 days of the date of employment to have cardiopulmonary resuscitation (CPR) and First Aid . Evidence: The vendor was unable to provide CPR ad First Aid documentation for Staff #1 during the inspection.
Plan of Correction:	Staff member did have cpr in their file. Management didn't know this certification was from an online source until it was brought to our attention by licensing and staff member confirmed CPR and FA is scheduled 7/27/2019
Standard #:	22VAC40-665-650-E
Description:	Based on record review and staff interview, the licensee did not ensure a written policy and procedure was developed that describes how the vendor will ensure that each group of children receives care by consistent staff or team of staff members. Evidence : The vendor did not develop a written policy and procedure to ensure group of children receives care by consistent staff. Confirmed with director .
Plan of Correction:	Staff is hired for specific classrooms and students are with those specific teachers daily . Teachers in classrooms are now identified on wall outside if classrooms. Policy has been updated to reflect.
Standard #:	22VAC40-665-770-B-5
Description:	Based on record review, the licensee did not ensure there was continuity of operation procedures to ensure essential function are maintained during and emergency. Evidence: The vendor was unable to provide documentation during the inspection of the written procedures for continuity of operations to ensure that essential functions are maintained during an emergency in the center's emergency plan. Confirmed by director.
Plan of Correction:	During the emergencies Parents are contacted and kept up to date with the latest information through our e-communication tool remind texting app and there is also a physical list being updated. This is stated in our emergency preparedness plan , which will be kept in an accessible place.
Standard #:	22VAC40-665-770-B-5
Description:	Based on record review, the licensee did not ensure there was continuity of operation procedures to ensure essential function are maintained during and emergency. Evidence: The vendor was unable to provide documentation during the inspection of the written procedures for continuity of operations to ensure that essential functions are maintained during an emergency in the center's emergency plan. Confirmed by director.
Plan of Correction:	During emergencies Parents are contacted and kept up to date with the latest information through our e-communication toll remind texting app and there is also physical list being updated. This is stated in our emergency preparedness plan. Which will be kept in an accessible place.