VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Heavenly Hands Early Learning Center
2800 Hill Street
Lynchburg, VA 24501
(434) 386-8082

Current Inspector: Kelly Campbell (540) 309-2494

Inspection Date: Dec. 16, 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. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Comments:

An unannounced monitoring inspection was completed on 12/16/2019. The inspector arrived at 10 A.M. and departed the program at 1;30 P.M. There were 22 children in care with four staff present. Five children's records and five staff records were reviewed. Observed the children during: arrival, feeding time, nap, free play, music and lunch. Discussion with staff about phase 2 training in the Licensing Office on January 21, 2020, February 20.2020 and March 20, 2020.

Violations:

Standard #:	22VAC40-185-60-A
Description:	Based on review of five children's records, the center failed to ensure that all records were complete. Evidence: 1. Child # 4 was missing addresses to both of the emergency contacts. 2. A record for children # 6 and 7 were not able to be found during the inspection. .
Plan of Correction:	The administrator will have the parent to complete the missing information. The administrator stated that she had the records at the beginning of the inspection and missed placed them. She will continue to look for the records until they are located.
Standard #:	22VAC40-185-240-D-5
Description:	Based on record review and interviews with staff, the center failed to ensure that at least one staff person present with DHO (daily health observation) training. Evidence: 1. Staff # 5 stated that currently no one on staff has DHO.
Plan of Correction:	The administration will ensure that at least one person has DHO as soon as possible.
Standard #:	22VAC40-185-270-A
Description:	Based on observation, the center failed to ensure that all areas and equipment were maintained in clean, safe and operable condition. Evidence: 1. The rocking chair in the infant room was broken and posed a hazard to anyone trying to sit in the chair. 2. Observed in the entrance that a piece of the wooden door frame was starting deteriorate and posed a hazard to the children.
Plan of Correction:	A chair has been ordered and the broken one will be removed now instead of when the new ones arrives. The owner of the building will be contacted to have the wooden door frame fixed and or replaced.
Standard #:	22VAC40-185-350-E-1
Description:	REPEAT VIOLATION Based on observation, the center failed to ensure that the child to staff ratio when 16 month year old children are in the grouping of children. Evidence: 1. There were 17 children down stairs with two staff members. Four staff members were required for grouping of children. A third staff member was working obtaining records for the LI and was not directly supervising the children. The youngest child in the grouping was approximately 15 months old. The required ratio is four children to one staff members. There were one child under 16 months old, three children 16 months-24 months, ten 2 years old, three 3-4 years old for a total of 17 children with two staff.
Plan of Correction:	Stated by the director a staff person called out today today to place them out of ratio. In the future the children will be separated into age groupings to help ensure the ratio.
Standard #:	22VAC40-185-550-C
Description:	Based on observation, the center failed to ensure that the emergency evaluation map had the required components. Evidence: 1. The emergency evacuation map did not contain the procedures and shelter in place. .
Plan of Correction:	The administrator will add the missing items to the map.
Standard #:	22VAC40-185-560-F
Description:	Based on observation, the center failed to ensure that all requirements for when food is provided was met. Evidence: 1. Observed lunch being served to 17 children. The requirement is for two components of vegetable and or fruit, a grain, milk and protein. The children were served one vegetable/fruit and a protein with milk.
Plan of Correction:	The director stated that normally the food is delivered by a local business. The place was unable to deliver on this day. In the future when food is provided all components will be served.
Standard #:	22VAC40-185-560-F-4
Description:	Based on observation, the center failed to ensure that all children under the age of 3 were not offered choking hazards. Evidence: 1. Observed child # 6 being served a large piece of chicken. The child was under 16 months old. The child started to choke and was able to couch up the piece of chicken. The LI reminded the staff to served smaller pieces.
Plan of Correction:	The director again will make sure that when good is provided by the center that all pieces are small enough not to cause choking.
Standard #:	22VAC40-185-560-M
Description:	Based on observation, the center failed to ensure that all staff sat with children during meal times. Evidence: 1. Observed the staff standing while the children ate lunch. The staff are required to sit will children during meal times.
Plan of Correction:	The director will make sure that all staff are sitting during meals.
Standard #:	22VAC40-191-60-C-2
Description:	REPEAT VIOLATION Based on review of five staff's records, the center failed to ensure that all CPS checks were received within the 30 days of hire. Evidence: 1. Staff # 4 started on 9/18/2019 and staff # 1 was hired on 10/25/2019. There were no documentation that a CPS check was returned within the 30 days of hire. There was no documentation that contact was made within the 30 days with the Office of Background Information to check the status of the backgrounds.
Plan of Correction:	The director and administrator will follow up with OBI and will either resubmit the background and send confirmation to the LI and or have the original ones returned.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on review of five staff records, the center failed to ensure that an out of state CPS check was completed. Evidence 1. Staff # 1 was hired on 10/25/2019 and stated that she had lived out side of the state of Virginia in the past five years. There was no documentation that the request for the CPS check in that state was completed.
Plan of Correction:	The director and administrator will request the out of the state CPS check as soon as possible.