VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Bundle of Joy VI, Inc.
7620 Left Flank Road
Mechanicsville, VA 23116
(804) 559-2007

Current Inspector: LaTasha Smith (804) 588-2362

Inspection Date: Nov. 5, 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) 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 renewal inspection 11/05/2019 from 09:20 a.m. to 2:45 p.m. The children were observed participating in story time, learning through play in centers, painting and playing on the playground. The lunch 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 the center's vans and mini buses. The facility was equipped with manipulatives and supplies, and items were available to the children. Ten children?s records and ten employee records were reviewed during this inspection. The center administers medication and medication was reviewed. The center's first aid kit and emergency supplies were inspected. Last emergency drill: 10/18/2019 Last shelter-in-place drill: 07/16/2019 Last fire inspection: 01/03/2019 Last health inspection: 7/02/2019 Today, the following child to staff ratios were observed: Infant 1 - 5:2 Infant 2 - 7:3 Cruisers - 7:2 Toddlers - 10:2 Twos A - 12:2 Twos B - 6:1 Threes A - 10:1 Threes B - 6:1 Pre-Kindergarten - 12:2 School Age - 11:1 School Age - 17:1 The violations from the previous inspections were checked for corrections. There was one repeat violation found during today?s inspection. If you have any questions about this inspection, please contact the licensing inspector, Kandra Brown, at (804) 662-9038.

Violations:

Standard #:	22VAC40-185-160-A
Description:	Based on record review, the center did not ensure that two of ten staff records contained documentation of a negative tuberculosis screening no later than 21 days after employment. Evidence: 1. The record of staff #8 (start date: 10/7/2019) did not have documentation of a negative tuberculosis screening. 1. The record of staff #9 (start date: 9/13/2019) did not have documentation of a negative tuberculosis screening.
Plan of Correction:	Staff #8 has sent a TB screening. 11/6/19 Staff #9 is scheduled to have it completed.11/9/19 Log "due by" to ensure all testing is completed on time.
Standard #:	22VAC40-185-70-A
Description:	Based on review, the center did not ensure that ten of ten staff records had all of the required information. Evidence: 1. The record of staff #1 (start date: 5/13/2019) did not have information about any health problems which may interfere with fulfilling their job responsibilities. 2. The record of staff #2 (start date: 5/13/2019) did not have information about any health problems which may interfere with fulfilling their job responsibilities. 3. The record of staff #3 (start date: 6/17/2019) did not have information about any health problems which may interfere with fulfilling their job responsibilities. 4. The record of staff #4 (start date: 6/24/2019) did not have information about any health problems which may interfere with fulfilling their job responsibilities. 5. The record of staff #5 (start date: 5/13/2019) did not have information about any health problems which may interfere with fulfilling their job responsibilities. 6. The record of staff #6 (start date: 10/28/2019) did not have information about any health problems which may interfere with fulfilling their job responsibilities. 7. The record of staff #7 (start date: 6/19/2019) did not have information about any health problems which may interfere with fulfilling their job responsibilities. 8. The record of staff #8 (start date: 10/07/2019) did not have information about any health problems which may interfere with fulfilling their job responsibilities. 9. The record of staff #9 (start date: 9/13/2019) did not have information about any health problems which may interfere with fulfilling their job responsibilities. 10. The record of staff #10 (start date: 10/31/2019) did not have information about any health problems which may interfere with fulfilling their job responsibilities.
Plan of Correction:	A new document will be created for existing employees and new employees moving forward.
Standard #:	22VAC40-185-270-A
Description:	Based on observation, the center did not ensure that areas and equipment of the center, were maintained in a clean, safe and operable condition. Evidence: 1. The following classrooms contained walls with chipped and/or peeling paint within the the reach of children in care; Toddlers, Twos A, Twos B, Threes B, Pre-Kindergarten and the 3rd grade School Age classroom. 2. The sand boxes located on the Toddler/Twos and Preschool/School Age playgrounds had several torn pieces of tarp sticking up through the sand. Parts of the tarp could be easily torn off which presented a choking hazard. The inspector observed several children playing in the sand boxes.
Plan of Correction:	1. Maintenance has been informed and addressing the issue. Staff has been informed to let management know if it occurs again. 2. Maintenance will be removing all tarp particles.
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. The laundry room closet was unlocked and contained several unlocked cleaners. 2. Bus #13 had an unlocked cleaner located behind the driver's seat within the reach of children.
Plan of Correction:	Corrected during the inspection.
Standard #:	22VAC40-185-330-B
Description:	Based on observation, it was determined that the preschool/school age playground did not have sufficient resilient surfacing underneath and surrounding the climbing play equipment and swings. Evidence: 1. Directly underneath and surrounding the center's preschool/school age playground climbing structure was wooden mulch as well as decomposed wooden mulch which has turned to mud/dirt. The inspector measured several areas around the structure. The wooden mulch measured approximately 1.5 to 4 inches in depth in the use zone surrounding the play equipment. The use zone for the play equipment required six inches of resilient surfacing. 2. Directly underneath and surrounding the center's preschool/school age swings, was wooden mulch as well as decomposed wooden mulch which has turned to mud/dirt. The inspector measured several areas around the structure. The wooden mulch measured approximately 1 to 4 inches in depth in the use zone surrounding the swings. The use zone for the swings required six inches of resilient surfacing.
Plan of Correction:	Resilient surfacing is on order. Trips to the playground will be done regularly for mulch inspection, and "fluffing" to elongate mulch lifespan and ensure proper observation of underlying mulch quality.
Standard #:	22VAC40-185-500-B
Description:	Based on observation, the center did not ensure that disposable diapers were disposed in a leak proof or plastic lined storage system that is either foot operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: The inspector observed soiled diapers in a trash can located in the Two year old restroom. The trash can was not leak proof or foot operated and could not be used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal.
Plan of Correction:	The trash can has already been ordered.