VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Dreamer's Learning Academy
100 Nadia Street
Manassas, VA 20111
(703) 335-8833

Current Inspector: Shawanda Henderson (540) 216-1434

Inspection Date: Nov. 26, 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 beginning at 2:40 p.m. and ending at 5:30 p.m. with the center director. There were 17 children in care ranging in age from 3 months to 4 years of age under the care and supervision of 4 staff. The Prek and two year old class were observed during nap and transition after nap. The two year old class was observed during afternoon snack that was gold fish crackers and water. Toddlers and infants were observed during naptime, waking from nap and during playtime. Diapering procedures were observed. The large playground was observed. Seven children's records and six staff records were reviewed. The director stated that there were no medications on site. There were two staff with Medication Administration Training (MAT) on site. All staff have CPR and First Aid certifciation. Please have plan of correction and date to be corrected by returned by close of business on December 6, 2019. If you have any questions regarding this inspection, contact Stephanie Reed at (540) 272-6558 or S.Reed@dss.virginia.gov

Violations:

Standard #:	22VAC40-185-130-A
Description:	Based on review of documentation, it was determined that the center did not obtain documentation of immunizations by the first day of attendance. Evidence: Child #4, start date 9/9/2019, did not have documentation of up to date immunizations in the record. Child #7, start date 9/30/2019, did not have documentation of immunizations in the record.
Plan of Correction:	I will make sure parents provide current copies of all documents on the enrollment checklist prior to the child's first day. I will review children's files monthly and give new forms to parents annually to ensure the information is current.
Standard #:	22VAC40-185-140-A
Description:	Based on review of documentation, it was determined that the center did not obtain documentation of physical examinations for children within the first month of attendance or within the required time frame for physicals. Evidence: Child #4, start date 9/9/2019, did not have documentation of a physical dated within one year. Child #7, start date 9/30/2019, did not have documentation of a physical in the record.
Plan of Correction:	I will make review all child files monthly to ensure all the documents are current. I have contacted the parents and asked them to provide a current physical within 7 business days.
Standard #:	22VAC40-185-70-A
Description:	Based on review of documentation, it was determined that the center did not have all required documents for staff records. Evidence: Staff #1, Staff #2, Staff #3, Staff #4, Staff #6 start date 9/9/19 and staff #5, start date 11/12/2019 did not have documentation of references in the record.
Plan of Correction:	Moving forward I will ensure all necessary documentation for staff records is collected and on file prior to the employees start date. All current staff files have been corrected
Standard #:	22VAC40-185-80-A
Description:	Based on review of documentation and interview with staff, it was determined that the center failed to keep a written record of attendance for children in care each day. Evidence: 1. In the PreK classroom, the PreK class and the two year old class were combined for nap time. Staff A reported there were 7 children in her class. Staff B reported there were 6 children in her class. There were 12 children present at the time of the room observation. There was no written attendance for either class. 2. In the infant room, infants and toddlers were combined for nap time. There was no written attendance for either class. 3. Staff interviews revealed that written attendance is not kept. Staff enter attendance on an app on their tablets and kept electronically. The tablets are password protected and cannot be accessed by first responders or other staff.
Plan of Correction:	Center will require all staff to use written daily attendnce sheet to ber kept on file for a period of 2 years as well as a white board for easily accessible head counts.
Standard #:	22VAC40-185-240-A
Description:	Based on review of documentation, it was determined that the center did not have documentation of orientation for staff. Evidence: Staff #1, Staff #2, Staff #3, Staff #4, Staff #6 start date 9/9/19 and staff #5, start date 11/12/2019 did not have documentation of orientation training in the record.
Plan of Correction:	I will make sure all new staff complete Orientation prior to or on their first day of employment. All current staff will complete orientation by 12/6/19
Standard #:	22VAC40-185-270-A
Description:	Based on observation, it was determined that not all areas and equipement of the center were maintained in safe, operable condition. Evidence: In the infant room, the handle on the storage closet is loose, easily removed and exposes a screw that is approximately 7 thread lengths with the sharp point exposed. A boppy brand pillow had a cover with at least three tears in the material that were tattered. worn and approximately an inch in length.
Plan of Correction:	I will post an Opening/Closing list in all classrooms. Staff will assess condition of room and necessary supplies daily and initial. I will do a walk throught of the center daily. We will repair or replace all broken equipment and worn items in a timely manner. Staff will report hazardous condition/items immediately.
Standard #:	22VAC40-185-280-G
Description:	Based on observation, it was determined that the center did not ensure that substituted containers clearly indicated the contents. Evidence: In the infant room, a pink liquid was in a spray bottle. There was a piece of masking tape along the bottom back of the bottle but the words were worn and could not be read. Staff indicated that the pink solution was the sanitziing solution used for the diaper pad.
Plan of Correction:	Staff will make sure all bottles are clearly labeled withthe contents and date.
Standard #:	22VAC40-185-290-3
Description:	Based on observation, not all electrical outlets were equipped with protective covers. Evidence: In the PreK room, there was an uncovered outlet in the middle of the room near the trash can. In the toddler room, there was one uncovered outlet located on the wall in the middle of the room.
Plan of Correction:	I will talk to the cleaning crew about replacing the outlet covers when they are done. I have also included "check outlet covers" on the opening/closing list in the classrooms
Standard #:	22VAC40-185-330-B
Description:	Based on observation, not all playground equipment met the minimum safety standards for resilient surfacing. Evidence: On the large playground, the use zone for the large slides does not meet the required eight feet use zone and measures at 7 feet 3 inches at the front of the slide chute and does not have the required resilient surfacing of six inches.
Plan of Correction:	I will submit the Allowable Variance Form
Standard #:	22VAC40-185-500-B
Description:	Based on observation, it was determined that the center did not follow diapering requirements including the required disposal system. Evidence: In the infant room, diapers were disposed of in the trash can. A staff was observed using their hand to open the lid to the trash can to throw away gloves after diapering. In the toddler room, there was a package of disposable plates, a package of construction paper and a little tykes brand piano toy on the diapering pad. In the two year old class, the disposal system for the diapers was a black trash can with a swinging lid which the diaper and staff hand must touch to dispose of the diaper.
Plan of Correction:	I purchased new trash cans for diaper disposal only. We also had a staff training on proper diaper disposal and hand washing techniques.
Standard #:	22VAC40-185-550-D
Description:	Based on review of documentation and interview with staff, it was determined that the center did not maintain documentation of monthly evacuation drills. Evidence: There was no documentation of fire drills for September and October 2019.
Plan of Correction:	I have located and updated the drill log. We conducted the monthly drill and will continue to conduct monthly drill to ensure the staff and children are prepared in case of an emergency.
Standard #:	22VAC40-191-40-D-1-B
Description:	Based on review of documentation, it was determined that the center did not obtain sworn statment or affirmation by the first day of employment and central registry background checks within 30 days of employment. Evidence: Staff #2, start date 9/9/19, Staff #4, start date 9/9/19, did not have documentation of central registry background check. Staff #1, Staff #3, Staff #6, start dates 9/9/19 central registry background checks were dated 10/29/19.
Plan of Correction:	Moving forward I will make sure all documents are signed and dated correctly on or before the first day of employment and all background cheks are done within the first 30 days of employment.
Standard #:	22VAC40-80-120-E-2
Description:	Based on observation, it was determined that the center did not post required documents. Evidence: The findings of the most recent inspection were not posted in the facility.
Plan of Correction:	I have posted a copy of the current inspection in the lobby of the center.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on review of documentation, it was determined that the facility did not obtain documentation of national fingerprint background checks as required. Evidence: Staff #2, start date 9/9/19, did not have documentation of fingerprint results under the facility. Staff #5, start date 11/12/2019, did not have documentation of fingerprint results under the facility.
Plan of Correction:	Staff will not be allowed to start until their fingerprints are on file at the center. All staff will be refingerprinted with the correct facility code.