VIRGINIA DEPARTMENT OF SOCIAL SERVICES

A Little Peace of Mind Day Care & Learning Center, Inc.
100 Arboretum Place
Suite 190
North chesterfield, VA 23236
(804) 330-5025

Current Inspector: Lynn Powers (804) 840-8260

Inspection Date: July 16, 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. 22VAC40-80 SANCTIONS. 22VAC40-80 HEARINGS PROCEDURES. 22VAC40-191 Background Checks (22VAC40-191) 32.1 Report by person other than physician 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures

Comments:

An unannounced focused monitoring inspection was conducted on July 16, 2019 to determine compliance with violations. Eight older children were on a field trip to the movies. The two and three year old children were playing on a Little Tikes Bounce and Slide house, having lunch, and preparing for rest. Lunch served today: pasta with meat, green beans, crackers, jello, and milk. One medication for one child was reviewed; please return to parent or discard. Five children's files and four staff files were reviewed - please see Supplemental Summary for missing items. Please call me if you have any questions at 804-662-9766 or e-mail tara.barton@dss.virginia.gov.

Violations:

Standard #:	22VAC40-185-160-B
Description:	Based on review of four staff files, the facility failed to have an acceptable tuberculosis screening for each staff. Evidence: the tuberculosis test for Staff C was not signed by a physician or a physician's designee.
Plan of Correction:	Staff C will obtain a physician signature on the most recent TB test.
Standard #:	22VAC40-185-70-A
Description:	Based on review of four staff files, the facility failed to have all required information in each staff file. Evidence: Staff A (date of hire 7/11/2019) did not have documentation of two or more references as to character and reputation as well as competency checked before employment, the address of the emergency contact, or dated orientation training.
Plan of Correction:	All staff will have references before being hired, completed emergency contacts, and orientation will be dated.
Standard #:	22VAC40-185-90--A
Description:	Based on review of three children's records, the facility failed to have a signed written agreement between the parent and the center in each child's record by the first day of the child's attendance. Evidence: the parent of Child A (date of enrollment 7/15/2019) did not sign the agreement that addresses obtaining emergency medical treatment, picking up the child when ill, or reporting communicable illness to the facility within 24 hours.
Plan of Correction:	All children's files will be checked for signatures.
Standard #:	22VAC40-185-340-A
Description:	Based on observation, the facility failed to ensure the care and protection of children. Evidence: The Little Tikes Inflatable Jump n Slide Bounce House manufacturer's instructions include: 1. Intended for outdoor domestic family use only. 2. Maximum number of children: three 3. Ages 3 to 8 years 4. Must be anchored using stakes. There were up to five children on the bounce house at a time, ages 2 and 3 years old, and it was placed inside a classroom.
Plan of Correction:	The Bounce House will only be used when in compliance with manufacturer's instructions.
Standard #:	22VAC40-185-340-D
Description:	Based on observation, staff interview, and staff files, the facility failed to have at least one staff member who meets the qualifications of a program leader regularly present. Evidence: there was no lead teacher in the infant room (Staff B) or in the twos and threes room (Staff A and Staff D).
Plan of Correction:	A lead teacher will be present in each grouping of children.
Standard #:	22VAC40-185-350-C
Description:	Based on observation, the facility failed to maintain the applicable staff to children ratio when children are regularly in mixed age groups. Evidence: 1. The infants and toddler groups combine every day; the ratio for infants is 1 staff for every 4 infants. There was one staff person present with seven children ages 6 months to 19 months. 2. The twos and threes combine regularly; the ratio for toddlers is 1 staff for every 5 children. There were two teachers present with one toddler and twelve 2 and 3 year olds.
Plan of Correction:	Center director will hire more staff or will go into the classrooms to ensure ratios are met.
Standard #:	22VAC40-185-510-N
Description:	Based on review of one medication, the facility failed to return medication to a parent within 14 days when an authorization for medication expires. Evidence: the short term medication authorization for Child D was completed 6/4/2019. The authorization is valid for ten days and the parent should have been notified that the medication needed to be picked up within 14 days or the authorization should be renewed. The medication was still on site on 7/16/2019.
Plan of Correction:	The medication will be sent home with the parent or will be discarded.
Standard #:	22VAC40-185-570-B
Description:	Based on observation, the facility failed to hold an infant who could not hold his own bottle and propped the bottle with a blanket. Evidence: Child E reportedly can not hold his own bottle; he was in a bouncer seat with a blanket propping the bottle while he ate on July 16, 2019.
Plan of Correction:	Bottles will not be propped. Infants who can not hold their own bottles will be held while being fed.
Standard #:	22VAC40-191-60-C-2
Description:	Based on review of four staff files, the facility failed to have a search of the central registry (CPS check) for all staff within 30 days of employment. Evidence: Staff D (date of hire 4/26/2019) did not have documentation of a search of the central registry within 30 days of employment.
Plan of Correction:	Center director will contact Office of Background Investigations (OBI) to check the status of the CPS check for Staff D. All CPS checks will be mailed within 7 days of hire and a copy will be made before sending. If not received within 30 days, a phone call will be made to OBI.
Standard #:	22VAC40-80-120-E-2
Description:	Based on observation and staff interview, the findings of the most recent inspection of the facility were not posted. Evidence: the most recent inspection dated 5/15/2019 was not posted in the facility.
Plan of Correction:	The current inspection will be posted.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on review of four staff files, the facility failed to have fingerprint results prior to hire for each staff. Evidence: Staff A (date of hire 7/11/2019) did not have fingerprint results on file.
Plan of Correction:	Staff A will get fingerprint results before returning to the center on 8/1/2019 for the next shift.