VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Tuckaway-Ellwood House Child Development Center
3319 Ellwood Avenue
& 3321 Ellwood Avenue
Richmond, VA 23221
(804) 355-5093

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: Sept. 30, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-185 PHYSICAL PLANT. 22VAC40-185 PROGRAMS. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 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.

Comments:

The licensing inspector conducted an unannounced monitoring inspection on 09/30/2019 from 10:10am to 3:15pm. The children were observed playing outside, participating in story time, singing and dancing. A formal observation was completed with the orange birds and chickadees classrooms. The menu was posted. Interviews were held with staff throughout the inspection, and the inspector interacted with children in each classroom when appropriate. All classrooms and playgrounds were inspected today as well as some of the center's mini buses. Five children?s records and five employee records were reviewed during this inspection. Ten injury reports were reviewed. The center's first aid kit and emergency supplies were inspected. Last emergency drill: 09/27/2019 Last shelter-in-place drill: 06/04/2019 Last fire inspection: 10/25/2017 Last health inspection: 12/12/2018 Today, the following child to staff ratios were observed: Baby Birds I (Infants) - 4:1 Baby Birds II (Infants) - 8:2 Chickadees (Toddlers and Twos) 14:3 Orange Birds (Twos) - 10:2 Green Birds (Threes and Fours) - 14:2 Yellow Birds (Fours) - 12:2 The violations from the previous inspections were checked for corrections. There were six repeat violations found during today?s inspection. The licensing inspector and center representative discussed requirements set forth by the Virginia Department of Health regarding the center's physical plant. The center's representative informed the inspector that Tuckaway Home Office was taking care of it and no further information was given. If you have any questions about this inspection, please contact the licensing inspector, Kandra Brown, at (804) 662-9038.

Violations:

Standard #:	22VAC40-185-70-A
Description:	Based on review, the center did not ensure that one of five staff records had all of the required information. 1. The record of staff #1 (start date: 7/2/19) did not have documentation of two or more references as to the staff's character, reputation and competency. 2. The record of staff #2 (start date: 4/16/19) did not have documentation of information regarding the staff's health problems which may interfere with fulfilling job responsibilities and a name, address and telephone number of a person to be notified in an emergency. 3. The record of staff #5 (start date: 6/3/19) did not contain written information to demonstrate that the staff possesses the education and training required by the job position. The center's representative informed the inspector that staff #5 is a program leader. The inspector observed staff #5 supervising infant children alone. Staff #5's record had documentation of 10 of the required 24 hours of training and did not have documentation of education.
Plan of Correction:	1. Director has completed an update on Staff #1 references and it was placed in the staff?s file. Director will have an Administrator check behind to make sure all documents are in employee?s file. To be corrected 9/30/19. 2. Staff #2 was given the documents during the inspection. The documents were signed and placed in the staff?s file. Director will have an Administrator check behind to make sure all documents are in employee?s file. To be corrected 9/30/19. 3. Staff #5 will receive 14 hours training to be completed within the next 30 days. Staff will not be scheduled to be alone in the classroom until the training is complete. Director will make sure lead teachers have the necessary training hours before being left alone in the classroom. To be corrected 10/30/19.
Standard #:	22VAC40-185-260-A
Description:	Based on record review, the center did not ensure to provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The center did not have documentation of a current annual fire inspection. The last documented fire inspection was dated 10/25/17.
Plan of Correction:	Director called to obtain a copy of the current fire inspection. Director has left message and will follow up in 15 days. Director will make sure documents are obtained at the end of each inspection.
Standard #:	22VAC40-185-280-B
Description:	Based on observation, the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There was a jar of bleach located in an unlocked cabinet in the orange birds bathroom. The cabinet was out of the reach of children in care. 2. There was a container of disinfectant wipes located on a shelf in the lobby within the reach of children. Several children were observed entering and exiting the center's lobby. 3. The inspector observed an open closet containing several cleaners in the hallway near the kitchen.
Plan of Correction:	All bleach and disinfectants were removed and locked up during the inspection. Director and Assistant Director will retrain staff on the procedure for keeping hazardous substances locked. The closet door in the hallway near the kitchen will be required to remain closed at all times.
Standard #:	22VAC40-185-290-3
Description:	Based on observation, the center did not ensure that electrical outlets had protective covers that are of a size that cannot be swallowed by children. Evidence: 1. The inspector observed two uncovered outlets in the Chickadees hallway underneath the cubby area. The outlets were within the reach of children. 2. There was one uncovered outlet located on a baseboard in the chickadees classroom within the reach of children in care. 3. There was one uncovered outlet in the green birds classroom located near the cubby area.
Plan of Correction:	The electrical outlets were covered during the inspection. Director and Assistant Director checked all outlets in the school and will check all outlets during opening and closing of the school. Opening and closing teachers will also be trained to check the outlet covers during opening and closing the classrooms.
Standard #:	22VAC40-185-330-B
Description:	Based on observation, it was determined that there was an insufficient amount of resilient surfacing in the use zone of the playground equipment. Evidence: 1. There was approximately 1 to 3.5 inches of rubber mulch underneath the multi-colored composite structure located on the preschool/school age playground. The multi-colored composite structure located on the preschool/school age playground required 6 inches of rubber mulch. The inspector observed several preschool children playing on the playground equipment. 2. There was approximately 0 to 3 inches of rubber mulch underneath the multi-colored composite structure located on the infant/toddler playground. The multi-colored composite structure located on the infant/toddler playground required 6 inches of rubber mulch. The inspector observed several children playing on the playground equipment.
Plan of Correction:	Mulch has been replenished to 6 inches under the playground structure. Director and Assistant Director will check the playground resilient surfacing when opening the building each morning and replenish when needed
Standard #:	22VAC40-185-500-A
Description:	Based on observation, the center did not ensure that staff wash their hands before and after diapering. Evidence: The inspector observed a teacher in the chickadees classroom change three children's diapers consecutively without washing their hands. The teacher had on a pair of gloves when diapering all three children.
Plan of Correction:	The Director reviewed the diaper changing policy with all staff. Director and Assistant Director and or Assistant Director will monitor classrooms to make sure the policy is being followed.
Standard #:	22VAC40-185-540-A
Description:	Based on observation and interviews, the center did not ensure that first aid kits were on field trips. Evidence: The orange bird classroom was observed leaving to go on a field trip without a first aid kit. The center's representative confirmed with the teachers that there was not a first aid kit present on the field trip.
Plan of Correction:	The Director reviewed the field trip policies and procedures with all staff. Director and Assistant Director will make sure staff have their first aid kits before leaving to go on any field trips.
Standard #:	22VAC40-185-540-C
Description:	Based on observation, the center did not ensure that first aid kits on each floor had all required items. Evidence: 1. The Yellow Birds classroom first aid kit did not contain tweezers, antiseptic wipes and gloves. 2. The Chickadees classroom first aid kit did not contain tweezers and a thermometer. 3. The Orange birds classroom first aid kit did not contain tweezers, a thermometer, antiseptic wipes, band-aids, and a first aid instructional manual. 4. The Green birds classroom first aid kit did not contain a cold pack and a first aid instructional manual. The classrooms listed above are all located on separate floors of the center. Complete first aid kits must be located on each floor of the building used by children.
Plan of Correction:	The Director has ordered the missing items for the first aid kits and will be replaced in 20 days. Director and/or Assistant Director will check and all first aid kits monthly and replace any missing items.
Standard #:	22VAC40-191-40-D-6
Description:	Based on record review, the center did not ensure one of five staff records contained documentation of the required background check results no more that 90 days prior to employment. Evidence: The record of staff #1 (start date: 7/2/19) had documentation of central registry results dated 8/8/18 and fingerprint results dated 4/27/18.
Plan of Correction:	Staff #1 was a former employee that left and returned. Staff will be sent to obtain updated fingerprint and Director will resend Central Registry. Director will send any returning employees to get fingerprints and resend Central Registry results before returning.
Standard #:	22VAC40-191-60-B
Description:	Based on record review, the center did not ensure that one of five staff records had documentation of a completed sworn statement prior to the first day of employment. Evidence: The record of staff #2 (start date: 4/16/19) did not have documentation of a completed sworn statement of affirmation.
Plan of Correction:	Staff #2 was given sworn statement of affirmation and it was signed and places in employee?s file during inspection. Director will have an Administrator check behind to make sure all documents are in employee?s file.
Standard #:	22VAC40-191-60-C-2
Description:	Based on record review, the center did not ensure that one of five staff records contained documentation of central registry results by the end of the 30th day of employment. Evidence: The record of staff #5 (start date: 6/3/19) did not have documentation of central registry results.
Plan of Correction:	Central Registry was in Staff# 5 file. Staff?s start date was 6/3/19 and the central registry results were dated 6/26/19.