VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Peake Childhood Center
1306 Thomas Street
Hampton, VA 23669
(757) 825-6200

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: Aug. 19, 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

Technical Assistance:

The new toddler playground was reviewed. Discussed with provider the requirement for ensuring there is adequate resilient surfacing for all outside equipment that requires it. Discussed time frame related to required orientation training and required written information to be given to staff.

Comments:

An unannounced Monitoring Inspection was conducted on August 19, 2019 from approximately 10:35 pm until 2:50 pm. Upon entrance there were 79 children and 15 staff present with children. Additional staff were on site for program and administrative purposes. The record review sample consisted of 8 children's records and 5 staff records. Five medications were reviewed. Children were observed during their morning routine, to include reading, playing in centers (blocks, homeliving, cars) and preparing for lunch. Infants were observed freely playing, sleeping and eating lunch. The results of the inspection were reviewed and verified with the Center Director during the exit interview. Areas of noncompliance are noted on the violation notice. If you have any questions, contact your licensing inspector at (757) 404-0568.

Violations:

Standard #:	22VAC40-185-280-B
Description:	Based on observation and staff interviews, the licensee did not ensure that all hazardous substances were kept in locked place. Evidence: The following hazardous substances were observed stored in an unlocked place and were labeled "keep out reach of children" and "caution" . 1) In room 111 there was a disinfectant spray, disinfectant wipes, container of bleach, spray bottle of bleach /water solution and hand sanitizer observed on an open top shelf in the classroom. 2) In the multipurpose room there was one container of hand sanitizer observed on a book shelf. 3) In the infant room there was one container of hand sanitizer observed near the diaper changing station.
Plan of Correction:	1) Room 111 was given a locked cabinet to store hazardous substances. 2) Hand sanitize was removed from multipurpose room and infant room.
Standard #:	22VAC40-185-500-B
Description:	Based on observation and staff interviews, the licensee did not ensure a nonabsorbent surface for diapering or changing shall be used. Evidence; In the infant room, the diaper pad had one tear and the foam was exposed and is not longer nonabsorbent.
Plan of Correction:	Diaper pads was given to teacher. Teacher did not recognize small tear.
Standard #:	22VAC40-185-510-A
Description:	Based on a review of 5 medications and staff interviews, the licensee did not ensure that medication was given only with parental authorization Evidence: One medication, a pain reliever for child #1, was administered 3 times during July 2019 without parental written authorization. Center Director confirmed information.
Plan of Correction:	New forms were filled out by parents. Also doctor order was given to parents to get doctor orders. Staff has been notified of policy. Written policy will be placed in medication.
Standard #:	22VAC40-185-510-C
Description:	Based on review of medication information and staff interview, the licensee did not ensure the center's procedures for administering medication shall include methods to prevent use of outdated medication. Evidence: A review of the medication policy determined and confirmed by the Center Director that the center's medication policy did not include methods to prevent the use of outdated medication.
Plan of Correction:	Information was updated in medication log.
Standard #:	22VAC40-185-510-G
Description:	Based on review of 5 medications, documentation review and staff interview, the licensee did not ensure that when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. The center has obtained written authorization from a parent or guardian; Evidence; One nonprescription medication, (pain reliever) for child #1 had an expired authorization as of 7-5-2019 and the medication had not been sent home or disposed of as required.
Plan of Correction:	New forms were filled out by parents. Also doctor order form was given to parents to get doctors orders. Staff has been notified of policy. Written policy will be placed in medication log book. New forms were filled out by parent. Also, doctor order forms was given to parents to get doctor orders. Staff was been notified of policy written policy will be placed in medication.
Standard #:	22VAC40-185-510-N
Description:	Based on review of 5 medications, documentation review and staff interview, the licensee did not ensure that when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Evidence; One nonprescription medication, (pain reliever) for child #1 had an expired authorization as of 7-5-2019 and the medication had not been sent home or disposed of as required.
Plan of Correction:	New forms were filled out by parent. Also, doctor order forms was given to parents to get doctor orders. Staff was been notified of policy written policy will be placed in medication.
Standard #:	22VAC40-185-550-M
Description:	Based on documentation review and staff interview, the licensee did not ensure the center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence and included all required information. Evidence; Five injury reports were available for review and 3 did not include the date the parent was notified of the injury and 1 did not include the required second signature.
Plan of Correction:	Injury report form will be updated with proper place for date. Staff was reinforced to make sure two signatures are placed on forms. Teachers and office staff have updated forms.
Standard #:	22VAC40-185-570-A
Description:	Based on observation and staff interviews, the licensee did not ensure that when a child is placed in an infant seat or high chair, the protective belt shall be fastened securely. Evidence; In the infant room, child #8 was observed sitting in the highchair and the buckle was not fastened. Center staff indicated he had just finished eating lunch in the highchair.
Plan of Correction:	Retrained teacher teacher on policy.
Standard #:	22VAC40-185-570-I
Description:	Based on observation and staff interviews, the licensee did not ensure one-day's emergency supply of disposable bottles, nipples, and commercial formulas appropriate for the children in care shall be maintained at the center. Evidence; In the infant room, there was not an emergency bottle, nipple and formula appropriate for child #7 and child #8. Center staff confirmed missing supplies.
Plan of Correction:	Program director purchased containers to place emergency formula along with extra bottles with nipples in storage.