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Four Seasons Daycare
5295 Windsor Drive
King george, VA 22485
(540) 663-3373

Current Inspector: Florence Martus (804) 389-0157

Inspection Date: Dec. 2, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-665 INTRODUCTION
22VAC40-665 ADMINISTRATION
22VAC40-665 STAFF QUALIFICATIONS & TRAINING
22VAC40-665 PHYSICAL PLANT
22VAC40-665 STAFFING & SUPERVISION
22VAC40-665 PROGAMS
22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES
22VAC40-665 SPECIAL SERVICES

Technical Assistance:
n/a

Comments:
A Subsidy Health and Safety Inspection was conducted on Monday, December 2, 2019 to review supplemental health and safety requirements. The inspector arrived at 09:30am and concluded the inspection at approximately 12:30pm. The center?s director was present and assisted the inspector throughout the inspection. The census for today?s inspection consisted of 64 children in the direct care of 11 staff members. Additional staff were on site and available to the children in care. Upon arrival, the children were engaged in a variety of activities. Each classroom was inspected and formal observations were completed. In the Infant room, the children were observed interacting with staff, playing with toys, and sleeping. The children in the Toddler room were observed playing with toys, interacting with peers, and the staff. Diapering procedures were observed in both classrooms. In the Twos room, the children were observed sitting on the carpet as their names were called to prepare to go outside. Staff were engaged with the children and were observed offering guidance when needed. In the Threes room, some of the children were playing with play-doh and others on the carpet with toys. The children in the Fours room were observed during a teacher-led activity. The children later moved to the tables to work on a Clifford book and learned about hibernation. In the Fives room, the children were observed learning about the letter J and coloring a Christmas tree. Some of the children were later observed playing outside. The school age children were not present during the inspection. The center is equipped with age and stage appropriate materials and equipment for the children?s use. All areas where the children receive care, inside and outside, were inspected and found to be in compliance. The center had the following posted: license, daily schedules, emergency numbers, evacuation maps, menu, and various parent information. Today?s lunch consisted of chicken nuggets, bread and butter, French fries, mixed fruit, and milk. The center?s first aid kit and non-emergency supplies were inspected and found complete. During the inspection, five children?s records and five staff records were reviewed. Medication is administered and four medications were reviewed today. The most recent evacuation drill was documented on 11/21/2019. Two shelter-in-place drills were documented on 03/23/2019 and 09/25/2019. The most recent lockdown drill was documented on 09/25/2019.

Fire Inspection: 10/24/2019 Health Inspection: 08/08/2019

A licensing inspection was also conducted this date; the two inspections combined cover all subsidy health and safety requirements. Only subsidy requirements that are not covered in licensing standards are reviewed during this supplemental inspection. Violations were found during this supplemental inspection and are identified on the violation notice.

Please complete the `plan of correction? and `date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from the date of receipt. You should specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance 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, contact the licensing inspector, Florence Martus, at (804) 662-9772.

Violations:
Standard #: 22VAC40-665-520-B-11
Description: Based on a review of five children's records and interview on 12/02/2019, the vendor did not ensure to have a written allergy care plan for one child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and steps to take in the event of a suspected or confirmed allergic reaction.

Evidence: 1) The record for Child #5, who started at the center on 10/15/2018, indicated the child had a diagnosed food allergy, but the record did not contain a written allergy care plan. 2) During interview, a member of management confirmed that the center did not have a written allergy care plan on file for Child #5.

Plan of Correction: Per the Vendor: "1) Allergy action plan had been requested previously. Once asking the parent again for the plan, she brought it in the following day.

2) Will follow up with parents/doctors when requesting documents.

3) [Director]" - will ensure compliance.

Standard #: 22VAC40-665-540-A
Description: Based on a review of five staff records on 12/02/2019, it was determined that the vendor did not ensure that three staff shall be evaluated by a health professional and be issued a statement that the individuals are determined to be free of communicable tuberculosis (TB) within the required time frames.

Evidence: 1) The record for Staff #3, whose hire date was 11/12/2019, contained documentation of a TB screening dated 11/19/2019. 2) The record for Staff #4, whose hire date was 10/25/2019, contained documentation of a TB screening dated 05/02/2019. 3) The record for Staff #5, whose hire date was 07/01/2019, contained documentation of a TB screening dated 05/28/2019. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.

Plan of Correction: Per the Vendor: "1) Sent staff for up to date TB screening.

2) Will make sure all staff have within 30 day period.

3) [Director]" - will ensure compliance.

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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