VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Tuckaway-Varina Child Development Center
1501 Midview Road
Henrico, VA 23231
(804) 222-3225

Current Inspector: Cindy Horne (804) 297-4469

Inspection Date: Nov. 6, 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. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-80 SANCTIONS. 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:

An unannounced renewal inspection was conducted on November 6, 2019 from approximately 12:05 PM to 4:30 PM to determine the center's compliance with licensing standards. In addition, a focused monitoring inspection was conducted in order to review areas of previous non-compliance. The child to staff ratios were deemed in compliance with licensing standards. The following staff-to-child ratios were observed in the classrooms: BBI (infants) 2:6, BBII (infants) 1:3, OBI (16mo-2y) 2:14 (napping), OBII (2y) 1:15 (napping), GBII (2y-3y) 1:15 (napping), YBI (3y-4y) 1:12 (napping), K (5y) 1:7. Lunch today consisted of loaded mashed potatoes, ham, cheese, broccoli, wheat crackers, and milk. The staff were observed to be engaged with the children in age appropriate activities and to be meeting the needs of the children in care. The facility had the required postings in the facility. The first aid kit and non-medical emergency supplies were inspected and found complete. The last evacuation drill was conducted on 10/16/19. The last shelter-in-place drill was conducted on 9/17/18. The Emergency Preparedness plan is current. Health Inspection: 7/1/19. Fire Inspection: 1/11/19. Medications and authorizations were reviewed. There were staff present who are certified in medication administration, daily health observation, First Aid, and CPR. 6 children's records, 6 staff records, and 5 agent records were reviewed. 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 about this inspection, please contact the licensing inspector at (804) 662-9092.

Violations:

Standard #:	22VAC40-185-160-C
Description:	Based on a review of six staff records, the licensee did not ensure that one record contained documentation of an updated tuberculosis screening, which is required at least every two years. Evidence: The record for Staff #1 contained documentation of last having a tuberculosis screening on 7/14/16.
Plan of Correction:	The provider?s response for the plan of correction was not received as of November 14, 2019 and will not appear on the Violation Notice.
Standard #:	22VAC40-185-60-A
Description:	Based on a review of six children's records, three records did not contain the required documentation. Evidence: 1. The licensing inspector observed the record for Child #1 (start date 9/5/17) did not contain documentation of viewing proof of the child's identity and age, and did not contain documentation of updated immunizations. 2. The record for Child #2 (start date 10/29/19) did not contain addresses for two emergency contacts. 3. The record for Child #3 (start date 10/28/19) did not contain documentation of viewing proof of the child's identity and age.
Plan of Correction:	The provider?s response for the plan of correction was not received as of November 14, 2019 and will not appear on the Violation Notice.
Standard #:	22VAC40-185-70-A
Description:	Based on an interview with administration, observations, and a review of six staff records; three records did not contain the required information. Evidence: 1. The licensing inspector observed the record for Staff #1 (hire date 9/11/12) did not contain the documentation of education and training hours needed to be qualified as a program leader. During an interview with the licensing inspector, administration stated Staff #1 is employed as a program leader. The licensing inspector observed Staff #1 in the role of program leader during the inspection. 2. The record for Staff #2 (hire date 9/5/17) did not contain the documentation of education and training hours needed to be qualified as a program leader. During an interview with the licensing inspector, administration stated Staff #2 is employed as a program leader. The licensing inspector observed Staff #2 in the role of program leader during the inspection. 3. The record for Staff #6 (estimated hire date 7/14/18) did not contain documentation of the current job title or an accurate date of employment. The record for Staff #6 did not contain the documentation of education and training hours needed to be qualified as a program leader. During an interview with the licensing inspector, administration stated Staff #6 is employed as a program leader. The licensing inspector observed Staff #6 in the role of program leader during the inspection.
Plan of Correction:	The provider?s response for the plan of correction was not received as of November 14, 2019 and will not appear on the Violation Notice.
Standard #:	22VAC40-185-240-C
Description:	Based on review of six staff records, the center did not ensure all staff who worked directly with children obtained at least 16 annual hours of staff development activities that are related to child safety and development and the function of the center. Evidence: 1. The licensing inspector observed the record for Staff #1 (hire date 9/11/12) contained documentation of 3.5 hours of annual training hours for 2018-2019. 2. The record for Staff #2 (hire date 9/5/17) contained documentation of 8.5 hours of annual training hours for 2018-2019. 3. The record for Staff #3 (hire date 1/21/13) contained documentation of 3 hours of annual training hours for 2018-2019. 4. The record for Staff #4 (hire date 6/21/17) contained documentation of 2 hours of annual training hours for 2018-2019. 5. The record for Staff #5 (hire date 8/20/18) contained documentation of 2 hours of annual training hours for 2018-2019. 6. The record for Staff #6 (hire date 7/14/18) contained documentation of 1.5 hours of annual training hours for 2018-2019.
Plan of Correction:	The provider?s response for the plan of correction was not received as of November 14, 2019 and will not appear on the Violation Notice.
Standard #:	22VAC40-185-330-B
Description:	Based on observations, the center did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. EVIDENCE: 1. The licensing inspector observed that three of three mulch depth samples taken at the caterpillar climbing equipment on the school-age playground measured less than six inches. 2. Six of nine mulch depth samples taken at the largest school-age playground equipment area measured less than six inches.
Plan of Correction:	The provider?s response for the plan of correction was not received as of November 14, 2019 and will not appear on the Violation Notice.
Standard #:	22VAC40-185-500-B
Description:	Based on observations at the facility, the facility did not ensure that a nonabsorbent surface for diapering or changing was used. EVIDENCE: The inspector observed a tear in the nonabsorbent surface covering on the pad used to change diapers in the Baby Birds I classroom. The tear exposed fabric that was not nonabsorbent.
Plan of Correction:	The provider?s response for the plan of correction was not received as of November 14, 2019 and will not appear on the Violation Notice.
Standard #:	22VAC40-185-520-C
Description:	Based on observation and record review, the facility did not ensure that the requirements were met for the use of diaper ointment. Evidence: The licensing inspector observed diaper ointments for Children C and D in the Orange Bird II classroom. Staff were unable to locate the written parent authorizations. 2. In the Orange Bird I classroom, the parent authorizations for diaper cream for Child A expired on 10/26/18 and on 2/21/19 for Child B. If diaper cream or ointment is used, written parent authorization noting any known adverse reactions shall be obtained.
Plan of Correction:	The provider?s response for the plan of correction was not received as of November 14, 2019 and will not appear on the Violation Notice.
Standard #:	22VAC40-185-550-E
Description:	Based on a review of emergency drill records and a staff interview, the center did not maintain a record of the dates of emergency practice drills for one year. Evidence: 1. The licensing inspector observed there was no documentation of a shelter-in-place drill record for 2018 available during the inspection. 2. During an interview with administrative staff, staff reported no record for 2018 was available and no record for 2019 was available as the shelter-in-place drills for 2019 had not been conducted at the time of the inspection.
Plan of Correction:	The provider?s response for the plan of correction was not received as of November 14, 2019 and will not appear on the Violation Notice.
Standard #:	22VAC40-185-550-M
Description:	Based on a review of five injury report records, four records did not contain the required documentation. Evidence: 1. The licensing inspector observed that three injury reports reviewed did not contain documentation noting the date, time and method of parent notification. 2. One injury report did not contain documentation noting the date and time of parent notification. 3. One injury report did not contain documentation noting the date, time and method of parent notification, and it did not contain documentation noting any future action to prevent future injury.
Plan of Correction:	The provider?s response for the plan of correction was not received as of November 14, 2019 and will not appear on the Violation Notice.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on a review of six staff records, the facility did not obtain results of a national fingerprint-based criminal history record check for one staff member in the required timeframes. Evidence: The record for Staff #1 indicated a hire date of 9/11/12 and results from the national fingerprint-based criminal history record check dated 11/13/18. For staff employed prior to 1/22/2018, a statement of eligibility based on a national fingerprint-based criminal history record check was required to be obtained prior to 9/30/2018.
Plan of Correction:	The provider?s response for the plan of correction was not received as of November 14, 2019 and will not appear on the Violation Notice.