VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Tick...Tock...Around the Clock, LLC
60 Battle Road
Hampton, VA 23666
(757) 224-3758

Current Inspector: Tiffany Jones (757) 403-3045

Inspection Date: Nov. 14, 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. 63.2(17) License & Registration Procedures

Comments:

An unannounced monitoring inspection was conducted on November 14, 2019 from approximately 10:00 am-4:30pm. Upon arrival to the facility, there were 63 children present with 12 staff members. Additional staff were on site for administrative and support purposes. The children were observed having snack, washing their hands, singing, resting and practicing emergency preparedness procedures. Six staff records and six children's records were reviewed. Areas of noncompliance are identified on the Violation Notice. Exit interview conducted with the Owner.

Violations:

Standard #:	22VAC40-185-160-A
Description:	Based on record review, in one of six staff records reviewed, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening no later than 21 days after employment and shall have been completed within 12 months prior to employment. Evidence: The owner confirmed that there was no documentation of a TB screening in the record for Staff #5 (date of hire 8/26/19).
Plan of Correction:	Staff #5 will obtain the TB screening tomorrow; he had a screening done but his paperwork was misplaced.
Standard #:	22VAC40-185-40-J
Description:	Based on observation and inspection of the facility, the licensee did not ensure that injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: The owner confirmed that the injury prevention procedures had not been reviewed and updated from October 2018-October 2019.
Plan of Correction:	We will review them at our staff meeting on November 17th and update if necessary.
Standard #:	22VAC40-185-260-A
Description:	Based on observation and inspection of the facility, the licensee did not provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The Owner confirmed that the most recent fire inspection report for the facility was more than one year old and was dated 7/6/18.
Plan of Correction:	Our new inspection will be taken place on November 18th. The results will be forwarded to the inspector.
Standard #:	22VAC40-185-280-B
Description:	Based on observation and inspection of the faciltiy, the licensee did not ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: The owner confirmed that there was a bottle of white out on a table in the Four Year Old Classroom and a bottle of hand sanitizer on the back cabinet in the Toddler classroom. Both items were labeled keep out of reach of children and warning, caution or flammable.
Plan of Correction:	We will remove and make sure that these things stay under lock.
Standard #:	22VAC40-185-500-B
Description:	Based on observation and inspection of the facility, the licensee did not ensure that diapering procedures were followed. Evidence: 1. A staff member in the Toddler classroom was observed disposing of a soiled diaper by lifting the lid to the diaper disposal system and spraying the diaper surface with a bleach-water solution without allowing the surface to air dry; the staff member immediately wiped the surface dry after spraying it with the solution. 2. A staff member in the Infant room changed a child's diaper and sprayed the diaper surface with a bleach-water solution without allowing the surface to air dry; the staff member immediately wiped the surface dry after spraying it with the solution. 3. Neither staff member cleaned the diapering surface with soap and water before sanitizing it.
Plan of Correction:	Training will be given to those staff members in those classrooms on November 17th on proper diapering procedures.
Standard #:	22VAC40-185-540-C
Description:	Based on observation and inspection of the facility, the licensee did not ensure that the first aid kits contained all required items. Evidence: The owner confirmed that the first aid kits on Van #1 and Van #3 did not include scissors, tweezers, triangular bandages and a thermometer.
Plan of Correction:	The items will be purchased and placed in the vans.
Standard #:	22VAC40-185-550-H
Description:	Based on observation and inspection of the facility, the licensee did note ensure that there was a required prepared document kept in the center's vehicles used to transport children to and from the center. Evidence: Two of the center's vehicles were inspected and the owner confirmed that neither vehicle had a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business (such as field trips, pickup/drop off of children to or from schools, etc.).
Plan of Correction:	We will make sure to create those documents and it will be completed and placed on the vans by November 18th.
Standard #:	22VAC40-185-570-E
Description:	Based on observation and inspection of the facility, the licensee did not ensure that bottles of prepared infant formula shall be refrigerated, dated and labeled with the child's name. Evidence: In the Infant room refrigerator, there were two bottles that were not dated and one additional bottle that was not dated or labeled with the child's name. In the Older Infant room, there was one bottle on the table that was not dated or labeled with the child's.
Plan of Correction:	The bottles will be corrected immediately.
Standard #:	22VAC40-80-120-E-2
Description:	Based on observation and staff interview, the licensee did not ensure that the findings of the most recent inspection of the facility were posted. Evidence: The Owner confirmed that the findings of the inspection conducted on August 20, 2019 were not posted.
Plan of Correction:	The findings were posted during the inspection.
Standard #:	22VAC40-80-120-E-7
Description:	Based on observation and inspection of the facility, the licensee did not ensure that certain documents related to the terms of the license are required to be posted on the premises. Evidence: The owner confirmed that the consent agreement dated September 24, 2019 was not posted in the facility.
Plan of Correction:	The agreement was posted during the inspection.