VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Heavenly Playhouse Childcare Center
10613 Patterson Avenue
Henrico, VA 23238
(804) 912-1698

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: Sept. 11, 2019 and Sept. 24, 2019

Complaint Related: Yes

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) 32.1 Report by person other than physician 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

None

Comments:

The licensing inspector conducted an unannounced complaint inspection on September 11, 2019 in response to a complaint received by our department on September 6, 2019. The inspector was on site from 9:15 AM to 11:50 AM. The allegations of the complaint were inadequate staff-to-child ratios, a failure to maintain a record of children's injuries, incorrect background check timeframes, inadequate supervision, and infant feeding requirements. Classroom observations were made, interviews were conducted, and records were reviewed. And additional unannounced inspection, on September 24, 2019 was conducted from approximately 11:00 AM to 11:50 AM for a review of additional documentation. The preponderance of the evidence gathered during the investigation supports one or more of the allegations and the complaint is determined valid. Violations were found in areas that were not a part of the original complaint. See the violation notice for more detail. Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return it to the licensing office within 5 business days. Your plan of correction should contain 1) steps to correct the non-compliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). If you have any questions, please contact the licensing inspector at 804-662-9092.

Violations:

Standard #:	22VAC40-185-60-A
Complaint related:	No
Description:	Based on a review of one child's record, the center did not ensure that the record contained the required documentation. Evidence: The licensing inspector observed the record for Child #1 (start date 8/26/19) did not contain the following: 1. Documentation of a parent's place of employment and work phone number 2. Name and phone number of child's physician.
Plan of Correction:	Per administration "Documentation of parent's place of employment will be added once parents get a job. Family physician information will be added."
Standard #:	22VAC40-185-70-A
Complaint related:	No
Description:	Based on a review of seven staff records and interviews, the center did not ensure six records contained the required documentation. Evidence: 1. The licensing inspector observed the record for Staff #1 (hire date: 6/12/19) did not contain documentation of a current tuberculosis screening. During an interview, administration reported that documentation could not be located during the inspection, but the screening had been completed. 2. The records for Staff #2 (hire date 9/9/19), Staff #3 (hire date 9/6/19), Staff #4 (hire date 9/6/19), Staff #6 (hire date 8/21/19), and Staff #7 (hire date 9/3/19) did not contain documentation of orientation training. Administration reported the training had been completed, but documentation was not located. 3. The records for Staff #2, Staff #3, and Staff #6 did not contain documentation of two references. Administration reported the references had been obtained, but documentation was not located.
Plan of Correction:	Per administration "center will ensure all staff records will have required documentation."
Standard #:	22VAC40-185-90--A
Complaint related:	No
Description:	Based on a review of one child's record, the center did not ensure that the record contained documentation of an authorization for emergency medical care by the child's first day of attendance. Evidence: The record for Child #1 listed a start date of 8/26/19 and contained documentation of authorization for emergency medical care signed by the parent on 9/11/19.
Plan of Correction:	Per administration "center will have parents fill in documentation of emergency medical care for Child #1."
Standard #:	22VAC40-185-290-3
Complaint related:	No
Description:	Based on observation, the center did not ensure that electrical outlets shall have protective covers. Evidence: The licensing inspector observed two outlets without protective covers during the inspection. One outlet was located in the infant/toddler classroom and the second outlet was located in the two-year classroom.
Plan of Correction:	Per administration "center will ensure that electrical outlets have protective covers daily."
Standard #:	22VAC40-185-350-E-3
Complaint related:	Yes
Description:	Based on documentation review and interviews, the facility did not ensure the required staff-to-child ratio of one staff member for every eight children was maintained for two-year-old children whenever children are in care. Evidence: 1. The licensing inspector interviewed a member of administration who reported the staff-to-child ratio for the 2-year-old classroom was 1:9 from approximately 8:45 AM to 9:10 AM on 9/6/19. 2. The licensing inspector reviewed the record for Staff #1 (hire date 6/12/19) which contained documentation stating the staff's unannounced absence on 9/6/19 caused the center to be over ratio. The required staff to child ratio for the classroom was 1:8.
Plan of Correction:	Per administration "center administration can't control unannounced absence by staff. Center will discuss and train staff on staff-to-child ratio."
Standard #:	22VAC40-185-570-E
Complaint related:	Yes
Description:	Based on observation and interview, the center did not ensure that prepared infant formula shall be refrigerated, dated, and labeled with the child's name. Evidence: The licensing inspector observed two bottles in the infant/toddler room that were not labeled with a child's name or dated. 2. During an interview with the licensing inspector, a staff member reported that each child's bottle is identifiable due to each child having a different style of bottle. Staff reported the two bottles contained prepared formula.
Plan of Correction:	Per administration "center will ensure that parents label children bottles. Staff will have training on infant bottle care."