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Smiles & Giggles Learning Center Incorporated
132 Fox Hill Road
Hampton, VA 23669
(757) 851-3030

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: Nov. 25, 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)
63.2(17) License & Registration Procedures

Comments:
An Unannounced Monitoring Inspection was conducted on November 25, 2019. The inspection began at approximately 8:20 am and ended at 2:45 pm. Upon entrance there were 14 children in care and 1 staff present with children. The record review consisted of 5 children's records and 3 staff records. Children were observed watching a video, freely playing and having their pictures taken. The results of the inspection were reviewed with the Center Director during the exit interview. Areas of non-compliance are noted on the violation notice. The inspection results will be reviewed with the Licensing Administrator. Please contact the licensing inspector with any questions (757) 404-0568.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on review of 5 children's records and staff interviews, the licensee did not ensure the center obtained documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Evidence: The record for child #1 and child #2 did not include immunization documentation available for review. Immunizations are required prior to the first day of attendance. First day attendance was reported as 11-12-19.

Plan of Correction: The Center Director will have the parent resubmit the immunization record.

Standard #: 22VAC40-185-160-C
Description: Based on review of 3 staff records and staff interviews, the licensee did not ensure that at least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department, staff members and individuals from independent contractors shall obtain and submit the results of a follow-up tuberculosis screening.

Evidence: The record for staff #1 has a TB screening dated 8-28-17 and the record for staff #3 has a TB screening dated 10-13-17. Staff #1 and staff #3 do not have documentation of update TB screenings available for review.

Plan of Correction: The Center Director will have the staff submit new screenings.

Standard #: 22VAC40-185-40-E
Description: Based on observation, staff interviews and documentation review, the licensee did not ensure to follow the center's own policies and procedures.

Evidence: The centers policy for transportation states "I give permission for my child care provider, or any approved employee of the above program, to transport my children
by Smiles and Giggles Van". Staff #2 transported child #1 and child #2 in their personal vehicle and did not drive the center's van, (Smiles and Giggles van) and stated "it was because they were not comfortable driving the van".

Plan of Correction: The center director will ensure that the policy is enforced and tell the staff they are not allowed drive the children. Will retrain all staff.

Standard #: 22VAC40-185-60-A
Description: Based on review of 5 children's records and staff interviews, the licensee did not ensure each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all the information.

Evidence: The following records did not include all the following information.
1) The record for child #1 and child #2 did not include the the employment phone number for one parent listed and the employment location and the phone number for the second parent listed.
2) The record for child #3 did not include employment phone numbers for both parents listed.
3) The record for child #4 did not include employment phone number for one parent listed.
4) The record for child #5 did not include the home address, the home phone number, employment location, employment phone number for one parent listed and the address for one emergency contacted listed.

Plan of Correction: The Center Director will update the records.

Standard #: 22VAC40-185-270-A
Description: Based on observation and staff interviews, the areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin.

Evidence: One ceiling tile in the infant room is missing and exposing the insulation. The infant room is currently closed since approximately November 12, 2019 as reported by Center Director.

Plan of Correction: The tile will be repaired.

Standard #: 22VAC40-185-340-C
Description: Based on observation and staff interviews, the licensee did not ensure that during the stated hours of operation, there always shall be on the premises when one or more children are present one staff member who meets the qualifications of a program leader or program director and an immediately available staff member, volunteer or other employee who is at least 16 years of age, with direct means for communication between the two of them. The volunteer or other employee shall have received instruction in how to contact appropriate authorities if there is an emergency.

Evidence: Between 8:20 am and 8:40 am there was 1 staff with 14 children in the multipurpose room. Staff #1 confirmed they were the only staff member in the building and that staff #2 had left the building to take children to school. Staff #1 confirmed there was not a staff or volunteer available in the building who had received instruction on how to contact appropriate authorities if there is an emergency. There was an individual observed in the building who was preparing to take pictures and this person was not a volunteer or staff member.

Plan of Correction: The Center Director will retrain on staff on supervision. Will write a new procedure for supervision and call outs/coverage.

Standard #: 22VAC40-185-340-D
Description: Based on record review and staff interviews, the licensee did not ensure in each grouping of children at least one staff member who meets the qualifications of a program leader.

Evidence: Staff #2 was observed as the only staff member working in the infant /toddler room and there was not documentation indicating they were qualified as a program leader. Center Director verbally confirmed there was not documentation of qualifications available for review for staff #2 and they are a designated as a "floater" who works in all the rooms.

Plan of Correction: Upon hiring all staff members will be lead qualified.

Standard #: 22VAC40-185-350-C
Description: Based on record review, observation and staff interviews, the licensee did not ensure that when children are regularly in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group.

Evidence: Between 8:20 am and 8:40 am there was 1 staff with 14 children in the multipurpose room. The age range of children in care was 2 months to age 8. The ratio of 1 staff for every 4 infants was not followed as the youngest child was an infant. The required ratio for infants is 1 staff for 4 infants. Staff #1 and staff #2 verbally confirmed all of the children are combined together in a mixed age group every morning from the approximately 6:00 am until approximately 8:40 am since the beginning of school in September 2019.

Plan of Correction: The ratio will be maintained and use the subs and floaters as needed.

Standard #: 22VAC40-185-440-A
Description: Based on observation and staff interviews, the licencee did not ensure that cribs shall be provided for children during the designated rest period.

Evidence: Two infants child #1 and child #6 were observed sleeping in a swing and a bouncer and there were not cribs available for the infants to use. Staff #1 and staff #2 verified child #1 and child #6 have not been sleeping in cribs since the infant room was closed on or about November 12, 2019.

Plan of Correction: If an emergency happens and they can not sleep in the infant room alternative arrangements will be made and cribs will be used.

Standard #: 22VAC40-185-500-A
Description: Based on observation and staff interviews, the licensee did not ensure handwashing procedures were followed.

Evidence: Center staff #2 was observed changing the diaper for child #5 and the child's hands were not washed with soap and running water and staff #2 did not wash their hands with soap and running water after the diaper change.

Plan of Correction: The Center Director will retrain the staff on diaper changing.

Standard #: 22VAC40-185-500-B
Description: Based on observation and staff interviews, the licensee did not ensure all required diapering items were available and operable.

Evidence: The following items related to diapering were noted as inadequate;
1) In the infant/toddler room staff #2 was observed changing the diaper for child #5 on a blanket that was placed on top of a diaper pad. A nonabsorbent surface for diapering or changing was not used.
2) Staff #2 was observed changing child #5 and the diapering surface was not cleaned with soap and at least room temperature water and sanitized after each use. Staff #2 was observed spraying the diaper pad with a spray container labeled "lysol" and then immediately wiping it down. The diaper pad was not sanitized as as that required it to be sprayed with a disinfectant and left to air dry or be wiped down after 2 minutes.

Plan of Correction: The Center Director will retrain the staff on diapering and cleaning the diaper station.

Standard #: 22VAC40-185-580-C
Description: Based on observation, staff interviews and center documentation, the licensee did not ensure to to follow transportation requirements/procedures.

Evidence: Staff #2 transported child #1 and child #2 to school during the inspection and the following was noted;
1) When staff #2 transported child # 1, age 6 and child #2 age 7 they did not follow the Virginia state statutes which requires all children under 8 to be properly secured in a child safety seat or booster seat, regardless of weight or height. Staff #2 verbally confirmed the children were not in car safety seats.
2) Staff #2 verbally confirmed they did not have the following information in the vehicle while transporting children;
a) the center's name, address, and phone number
b) a list of the names of children being transported
c) 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.).
3) the phone number for emergency medical services and for poison control.

Plan of Correction: There is a written transportation procedure and Center Director will inform all staff on what to do if unable to drive children to school in center vehicle or walk due to inclement weather.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. To find programs participating in Virginia Quality, click here.

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