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Creative World Learning Center
6715 Little River Turnpike
Suite 103
Annandale, VA 22003
(703) 642-3544

Current Inspector: Kara Vaughan (703) 537-6241

Inspection Date: Dec. 3, 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.

Technical Assistance:
Discussed recordkeeping. Reviewed qualifications for staff who is scheduled to assume director responsibilities this month.

Comments:
An unannounced monitoring inspection was conducted from 9:30 am-2:00pm. At the time of entrance, 53 children were in care with 10 staff members present. Children were observed during snack time, circle time, identifying colors, and playing independently. A selection of 4 staff and 5 children records, the physical space, emergency supplies, evacuation drills, attendance records, injury reports, medications and the Emergency Preparedness Plan were reviewed. Areas of non-compliance are identified in the violation notice. A subsidy health and safety inspection (SHSI) was also conducted during this inspection. Please contact me if you have any questions at jessica.willis@dss.virginia.gov or 571-352-1453.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on record review, the center did not obtain documentation that 2 of 5 children received the immunizations required by the State Board of Health before the child can attend the center.

Evidence:
1. Child #1 began attendance at the center on 7/11/17. The first documented record of immunizations available for review was dated 9/21/17.
2. Child #2 began attendance at the center on 12/11/17. The first documented record of immunizations available for review was dated 12/27/17.

Plan of Correction: Immunizations were obtained and placed in the file. Children will not be permitted to begin until immunizations are turned in.

Standard #: 22VAC40-185-140-A
Description: Based on record review, the center did not ensure one child had a physical examination within one month after attendance.

Evidence:
Child #1 began attending the center on 7/11/17. The physical for Child #1 was dated 9/21/17.

Plan of Correction: A physical was obtained and placed in the file.

Standard #: 22VAC40-185-60-A
Description: Based on record review, 1 of 5 children's records did not contain all required information.

Evidence:
Child #1 began attendance on 7/11/17. The most recent documented parent confirmation that required information in the child's record is up to date was dated 7/1/18.

Plan of Correction: We have a tracking system in place for children who's information needs updated. We will present the information to parents to be updated in a more timely manner.

Standard #: 22VAC40-185-70-A
Description: Based on record review, 1 of 4 staff records did not contain all required information.

Evidence:
1. Staff #1 began employment on 11/25/19. The record for Staff #1 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering.

Plan of Correction: We will make sure references are called as soon as we get their resume and application.

Standard #: 22VAC40-185-240-A
Description: Based on record review, 1 of 4 staff did not receive all required training by the end of their first day.

Evidence:
Staff #1 began employment on 11/25/19. There is no documentation of training on recognizing child abuse and neglect and the legal requirements for reporting suspected child abuse.

Plan of Correction: We will make sure staff are aware they have to have the training completed before their first day.

Standard #: 22VAC40-185-550-D
Description: Based on record review, the center did not ensure practice evacuation drills were completed monthly.

Evidence:
Documentation of an evacuation drill for the month of November 2019 was not available for review.

Plan of Correction: We will create reminders at the beginning of each month to complete the drills.

Standard #: 22VAC40-185-550-M
Description: Based on record review, 1 of 4 injury reports did not contain all required information.

Evidence:
1 of 4 injury reports did not contain the time parents were notified.

Plan of Correction: We will create a guideline for staff to make sure all necessary information is included.

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.

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