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:

22VAC40-185 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.

Technical Assistance:

Discussed orientation training documentation, organizing documents, facility cleanliness, program leader qualifications and USDA requirements.

Comments:

Licensing inspector arrived at 11:59 am and departed at 5:20 pm to conduct a Licensing 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 6 children records and 6 staff records. Areas of non-compliance were reviewed with the director.

Violations:

Standard #:	22VAC40-185-140-A
Description:	Based on 1of 6 records reviewed, the licensee did not ensure that each child had a physical examination before the child's attendance or within one month after attendance. Evidence: The center did not have documentation of a physical examination for child #5 (start date 05/30/2019). Confirmed with the program director.
Plan of Correction:	The physical has been put in the students file.
Standard #:	22VAC40-185-60-A
Description:	Based on 4 of 6 children's records reviewed, the licensee did not ensure each child enrolled had a record which contained all required information. Evidence: Record for child #1, child #2, child #4 and child #5 did not contain documentation of home address of each parent who has custody.
Plan of Correction:	Our registration form has been updated by adding specific wording that outlines the required information about the custodial parents. Each parent has been given a copy and 24 hours to return.
Standard #:	22VAC40-185-70-A
Description:	Based on 5 of 6 staff records reviewed and staff interview, the licensee did not ensure each staff record contained all required documentation. Evidence: The records for staff #1 was missing one reference. Staff #2, staff #3 and staff #5 were missing two references. The record for staff #1 did not have documentation of completed orientation. The records for Staff #1, Staff #2, Staff #3, Staff #4 and Staff #5 did not contain documentation that they did not have any health problems that would interfere with them fulfilling the job responsibilities.
Plan of Correction:	The files have been updated with the required information.
Standard #:	22VAC40-185-270-A
Description:	Based on observation, the licensee did not ensure areas and equipment of the center, outside, shall be maintained in a clean, safe and operable condition. Evidence: -In bathroom #1 there is white paint peeling off the cabinet. -In the Pre- K classroom there is peeling paint behind the classroom door. -In the hallway, there was dirt on the wall and hand prints . -In the center there are multiple areas of peeling paint in classrooms and hallways. -Outside at the playground area, the green chair was broken, red cone was cracked and blue table had a crack on top of table. -Roots were visible could cause tripping hazards.
Plan of Correction:	All broken toys have been from the playground and the house has been moved over the root is no longer exposed. The center is being painted for the new school year but we will do touch ups in the meantime.
Standard #:	22VAC40-185-440-B
Description:	Based on observation and staff interview, the licensee did not ensure cribs were identified for use by a specific child. Evidence: Cribs in the infant classroom were not identified for individual use. Staff #2 confirmed the center is working on labeling each crib for specific child but it was not completed. Director confirmed the cribs were not labeled to identify a specific child.
Plan of Correction:	Cribs have been properly labeled.
Standard #:	22VAC40-185-440-F
Description:	Based on observation and staff interview, the license did not ensure rest mats with cushioning can be completely sanitized on all sides before the use by another child. Evidence: Rest mats located in the three year old classroom were observed to show splits along the side seam line revealing the cushion underneath. The rest mats can no longer be sanitized on all sides when the foam is exposed. Director stated he has spoken to staff about removing all mats with rips out of the classrooms.
Plan of Correction:	Mats have been discarded and parents have been notified that mats need to be replaced. Students can use the centers mats until parents replace theirs.
Standard #:	22VAC40-185-500-A
Description:	Based on observation, the licensee did not ensure staff wash their hands with soap and running water before and after helping a child use the toilet or a diaper change, and before feeding or helping children with feeding. Evidence: While staff #1 was changing a diaper, there was a child picking up sippy cups. Staff #1 stopped changing the diaper and took sippy cups away from the child. Staff #1 continued to change the diapers.
Plan of Correction:	Staff has been retrained on proper diaper changing and proper hand sanitizing procedures.
Standard #:	22VAC40-185-500-B
Description:	Based on observation, the licensee did not ensure a nonabsorbent surface for diapering , disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal and the diapering area was sanitized after each use. Evidence: -In the infant classroom, one of two diapering surface had three rips approximately 1/2 inch each. Director confirmed there were rips on the diapering surface. -In the one's classroom, the foot operated diapering pale was in a corner that was not accessible to be used in such away that neither the staff members hand or the soiled diaper touches and exterior surface of the storage system during disposal. Staff #1 confirmed she disposed the diaper by lifting the lid of the diapering pail because she was unable to use foot operated pedal because the diapering table was blocking the diapering pail. -In the one's classroom, staff #1 did not have sanitizer to clean the diapering surface. Staff#1 confirmed she was out of sanitizer to clean the surface.
Plan of Correction:	The diapering surface has been replaced.
Standard #:	22VAC40-185-560-F
Description:	Based on record review and staff interview, the licensee did not ensure a one week menu was posted. Evidence: The center did not have current menu posted. Most recent menu posted was for June 17-21. Director verified the menu was not posted for the current week.
Plan of Correction:	Menu has been posted and kitchen staff have been re-trained on kitchen procedures.
Standard #:	22VAC40-185-570-A
Description:	Based on observation and staff interview, the licensee did not ensure when a child is placed in an infant seat or high chair, the protective belt was fastened securely. Evidence: Five infants were observed sitting at feeding/activity table without straps fastened. Director was present during observation acknowledging straps missing and infants not fastened at the feeding/activity table.
Plan of Correction:	Straps have been ordered and seats will not be used until straps are replaced.
Standard #:	22VAC40-185-570-E
Description:	Based on observation, the licensee did not ensure prepared infant formula shall be refrigerated, dated and labeled with the child's name. Evidence: In the refrigerator, 3 of 3 bottles in the refrigerator were not dated. Staff #2 confirmed child #1 and child #2. bottles were not dated.
Plan of Correction:	Staff has been re-trained on proper labeling of food.
Standard #:	22VAC40-80-120-E-2
Description:	Based on observation , the licensee did not ensure the findings of the most recent inspection was posted. Evidence: The most recent inspection posted was dated October 17, 2018. The most recent inspection was conducted on March 6, 2019. Program director confirmed it was not posted during the inspection.
Plan of Correction:	Inspection have been posted.