VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Little Academy
4721 Plank Road
Fredericksburg, VA 22407
(540) 785-3437

Current Inspector: Sharon Allen (540) 272-2941

Inspection Date: Sept. 25, 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 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

Technical Assistance was provided regarding injury reports, shelter-in-place drills, attendance, and trash cans.

Comments:

An unannounced monitoring inspection was conducted today from 9:35am-2:00pm. There were 44 children directly supervised by 6 staff and all classrooms were in ratio. The physical plant, outdoor playground space, programming, 6 staff records, 5 children?s records, 5 medications, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed painting, practicing counting, learning about the letter "C", reading books, listening to story time, and eating snack which consisted of Goldfish crackers and apple juice. Positive interactions between children and staff were observed during this inspection. There was an abundant supply of age appropriate materials for the children. The center was clean and organized. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact me at morgan.bryson1@dss.virginia.gov.

Violations:

Standard #:	22VAC40-185-160-C
Description:	Based on a review of six staff files and interview with the Director, the Facility did not obtain follow-up tuberculosis screening results for one staff every two years from the date of initial screening or testing. Evidence: Staff C's most recent tuberculosis test on file was dated 5/17/15. The Director stated that the staff has not obtained a more recent test.
Plan of Correction:	I will try to get her to go to the Health Department this week to get a screening. She cannot return until she has it.
Standard #:	22VAC40-185-60-A
Description:	Based on review of five children's records, the Facility did not have all of the required documentation in one child's file. Evidence: Child A did not have phone numbers for either of their two emergency contacts.
Plan of Correction:	I will have the mother fill in the phone numbers for the emergency contacts when she picks up today. The mother does not have contact information for the father.
Standard #:	22VAC40-185-240-D-5
Description:	Based on review of six staff files and interview with the Director, the Facility does not have a staff member on site who has completed Daily Health Observation training. Evidence: There was no documentation of Daily Health Observation training in any of the six staff files and the Director stated that no staff have completed the training at this time.
Plan of Correction:	I will schedule a nurse to come in and give the training to the staff.
Standard #:	22VAC40-185-270-A
Description:	Based on observation of the playground, not all areas outside the Facility were maintained in a safe condition. Evidence: The fence around the perimeter of the playground has green paint that is chipped and peeling off of the top bar. The top bar with chipping paint is within reach of the children when they are playing on the playground. Small pieces of the peeled paint were observed on the ground, also accessible to the children.
Plan of Correction:	I will see what our options are for repairing or replacing the fence.
Standard #:	22VAC40-185-280-B
Description:	Based on observation of the physical plant, hazardous substances such as cleaning materials were not kept in a locked place. Evidence: In the Yellow Bathroom, there were three spray bottles including a multi-purpose cleaner, glass cleaner, and bleach and water solution that were on a shelf above the changing table and were not locked. Children were observed entering and using the restroom during inspection.
Plan of Correction:	I will find something to lock the sprays in moving forward. Until then we will keep it locked in our supply closet.
Standard #:	22VAC40-185-500-A
Description:	Based on observation, children's hands were not washed with soap and water before snacks. Evidence: The children in the Twos and Younger Threes classes did not wash their hands before having morning snack.
Plan of Correction:	I will reiterate to staff our policies and procedures for handwashing and make sure that it is being done.
Standard #:	22VAC40-185-510-A
Description:	Based on review of medication, medication authorizations, and interview with the Director, written parental authorization was not obtained for all medication on site. Evidence: Child B has medication on site but there is no documentation of parental authorization on site.
Plan of Correction:	I will have the parents complete the 10 day form today and will give them a copy to give to the doctor for a long term authorization.
Standard #:	22VAC40-185-510-C
Description:	Based on review of medication, medication authorizations, and interview with the Director, the Facility did not follow procedures for administering medication that were consistent with manufacturer's instructions for age, duration, and dosage. Evidence: 1. There was one over-the-counter medication for Child D observed with manufacturer's instructions stating to consult a doctor for usage of a child under the age of six. The authorization for Child D (4-years-old) from the parent is dated 8/29/19 but did not include dosage instructions. There is no documentation from the child's doctor for the usage or dosage of the medication. The medication was administered on 8/29/19. 2. Child C has emergency medication on site with written parent authorization signed on 9/9/19 but did not renew the authorization within 10 working days or obtain the doctor's authorization for a long term medication.
Plan of Correction:	I will have the mother get a doctor's note for the over-the-counter medication. For the other child I will have the parent complete another 10 day form and send home a copy to have the doctor complete for long term authorization.
Standard #:	22VAC40-191-60-C-2
Description:	Based on review of six staff files and interview with the Director, the Facility did not obtain the results of a central registry search for all staff within 30 days of employment. Evidence: The files for Staff A (date of hire: 6/4/18) and Staff B (date of hire: 8/7/17) did not contain the results of a central registry search.
Plan of Correction:	I reached out to them today and left a message, if I do not hear back or they did not receive them, I will submit another form.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on review of six staff files and interview with the Director, the Facility did not obtain fingerprinting results for one staff prior to the first day of employment. Evidence: Staff C (date of hire: 1/8/17) was present during the inspection and did not have fingerprinting results on file.
Plan of Correction:	The staff has an appointment for tomorrow. I will send confirmation once I receive the results.