VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mom's Tot Spot Child Development Center LLC-II
370 Fenwick Road
Fort monroe, VA 23651
(757) 722-1000

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: Dec. 10, 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 today, December 10, 2019, from approximately 10:30 am until 3:00 pm. At the time of entrance there were 37 children and 6 staff members present with children. There were additional staff on site for kitchen and administrative support. The sample size consisted of 6 children's records and 3 staff records. Two medications were reviewed. Children were observed playing outside, coloring and eating lunch. Previous violations were reviewed. Areas of non-compliance are identified on the violation notice. The results of the inspection were reviewed and verified with the center program director and center management during the exit interview. Please contact the licensing inspector with any question at 404-0568.

Violations:

Standard #:	22VAC40-185-260-B
Description:	Based on documentation review and staff interviews, the licensee did not ensure there was an annual health inspection report from the appropriate health department. Evidence: The most recent health inspection available for review was dated 8-8-18.
Plan of Correction:	Owner will call the health department and set up an inspection.
Standard #:	22VAC40-185-270-A
Description:	Based on observation and measurements, the licensee did not ensure that 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: On the playground there is a plastic walking beam that has a cracked and broken area that is between 1 and 3 inches long and it is also a pinching point. There is also a blue riding toy with a yellow seat that is cracked and broken in 3 separate areas and the cracks are between 3 and 7 inches long and also is a pinching point.
Plan of Correction:	The owner will discard the items today.
Standard #:	22VAC40-185-350-E-4
Description:	Based on observation and staff, the licensee did not ensure that for children from three years to the age of eligibility to attend public school, five years by September 30 there shall be one staff member for every 10 children. Evidence: In the 3 to 5 year old room, between 10:00 am to 12:00 pm there were 11 children ages 3-5 with only 1 staff member. Center director confirmed the age range of children in the classroom. Child #1, the eleventh child arrived in the classroom at approximately 10:00 am.
Plan of Correction:	The owner will put a plan in place to ensure that as children arrive management will move teachers around accordingly.
Standard #:	22VAC40-185-500-A
Description:	Based on observation and staff interviews, the licensee did not ensure that children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: The children in classroom #4 were observed preparing for and eating lunch and 12 out of 13 children did not wash their hands before eating.
Plan of Correction:	The owner will retrain the staff.
Standard #:	22VAC40-185-510-N
Description:	Based on review of 2 medications, staff interviews and documentation review, the licensee did not ensure that when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet Evidence: One medication, Epipen was observed and the physicians authorization had expired on 11-22-2019 and the medication had not been returned to the parent or disposed of.
Plan of Correction:	The owner will return the medicine and get a new authorization today.
Standard #:	22VAC40-185-520-C
Description:	Based on observation, documentiaon and staff interviews, the licnesee did not ensure that if diaper ointment or cream is used, all the requirements were followed. Evidence: Child #7 was observed during diaper change and a center staff put a cream on child #7 in the area where there was a diaper rash. This was not documented and in a record that includes the child's name, date of use, frequency of application and any adverse reactions is required when applying diaper cream or ointment. Written parent authorization for administering the cream had not been obtained. Center director reviewed documentation and confirmed there was not a written authorization for the cream.
Plan of Correction:	The owner will get a form filled out today and put a recording form in the classroom.
Standard #:	22VAC40-185-560-G
Description:	Based on observation and staff interviews, the licensee did not ensure that when food is brought from home it was labeled and dated in a way that identifies the owner. Evidence: Child #5 was observed eating food brought from home, Pedisure and the food was not labeled in a way that identifies the owner and dated with today's date. Child #5 was also observed eating Goldfish and the container was dated with yesterdays date 12-9-19, the center staff said "they probably forgot to change the date".
Plan of Correction:	The owner retrain the staff.
Standard #:	22VAC40-185-560-K
Description:	Based on observation and staff interviews, the licensee did not ensure that the tables were sanitized before and after each use for feeding. Evidence: The children in classroom #4 were observed preparing for and eating lunch and two out of two tables were not sanitized before eating.
Plan of Correction:	The owner will retrain the staff.
Standard #:	22VAC40-185-560-N
Description:	Based on observations and staff interviews, the licensee did not ensure that no child shall be allowed to drink or eat while walking around. Evidence: In classroom #4 during lunch time, child #8 was observed walking around and eating (an orange) and child #5 was observed walking around and drinking. Center staff confirmed child #8 and #5 were eating and drinking.
Plan of Correction:	The owner will retrain the staff.