VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Children of America Prince William
13871 Hedgewood Drive
Woodbridge, VA 22191
(703) 583-4708

Current Inspector: Sharon Allen (540) 272-2941

Inspection Date: Dec. 12, 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. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191) 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

Consultation provided on the space in Infant room A. Please review standards 440 J ( 1-2) regarding spacing of the cribs. Consultation provided on maintaining accurate attendance and signing children in and out of classrooms on the attendance sheets. Children should not casually and repeatedly be moved in and out of classrooms for ratio purposes. You will need to staff accordingly to ensure children are able to remain in their assigned classrooms with their peers. Consultation provided on safe sleep practices to include firm bedding, no filled blankets or toys in cribs and the need for tight fitted crib sheets.

Comments:

An unannounced renewal study was conducted today from 12:40 pm to 4:50 pm with the director who was present with 66 children with 9 staff providing supervision. Most of the children were napping during the walk through, however several of the infants were awake and playing on the floor. Six children and staff files were reviewed today as well as four medications and a sample size of 10 injuries/accidents. Please return your plan of correction by 12/20/19.

Violations:

Standard #:	22VAC40-185-140-A
Description:	Based on a review of six children's files, it was determined that child D enrolled on 1/7/19 and does not have a physical on file within 30 days of enrollment.
Plan of Correction:	Family has been notified that a current physical must be submitted. They have until 1/10/20 to turn it into the center.
Standard #:	22VAC40-185-160-A
Description:	Based on a review of six staff files and an interview with the director, it was determined that one staff did not have a tuberculosis statement on file within 21 days of employment or within 1 year prior to employment. Evidence: Staff A was hired on 10/21/19 and the chest x ray was dated 5/8/18.
Plan of Correction:	Staff member has until 12/27/19 to turn in a new tb test to the center.
Standard #:	22VAC40-185-70-A
Description:	Based on a review of six staff files and an interview with the director, it was determined that one staff did not have two references on file at the time of employment. Evidence: Staff B was hired on 5/8/19 and does not have references on file.
Plan of Correction:	References have been completed for staff member.
Standard #:	22VAC40-185-80-A
Description:	Based on a review of the attendance log and interviews, it was determined that the center is not maintaining accurate written record of the children present. Evidence: There were 6 infants present in the Infant B classroom but only one infant was listed on the attendance. There were 16 children present in the Preschool II A classroom however 19 were listed on the attendance. There were 12 children present in the Preschool I classroom however 14 children were listed on the attendance
Plan of Correction:	Teachers will be retrained on classroom attendance sheets and movement logs.
Standard #:	22VAC40-185-270-A
Description:	Based on observation and interviews, it was determined that the area and equipment is not maintained in a clean, safe or operable manner. Evidence: 1) The Licensing Inspector observed phone cords in reach of children in the Pre-K, Preschool II A and Preschool I classrooms. These cords could wrap around a child's neck in a "noose-like" fashion and present strangulation hazard. 2) Interviews revealed that a second mattress crib was placed on top of the original mattress crib for Infant A during nap time. The second mattress is soft and not firm and creates a soft sleeping space. 3) The Licensing Inspector observed loose-fitted crib sheets and filled blankets in cribs used by infants A, C, E, F and G.
Plan of Correction:	1. Center will raise pones in the classroom and replace the chords- 1/3/20 2. Mattress was removed and parent informed.- 12/12/19 3. Center purchased crib sheets for all cribs.
Standard #:	22VAC40-185-350-F
Description:	Based on observation and interviews, it was determined that the center and its staff are reassigning children from their regular group repeatedly, which disrupted the children's schedule and attachment to the staff members and their peers. Evidence: On 12/12/19 children in the Pre-K, Toddler, Preschool II A and Preschool I classrooms had been reassigned to different rooms for ratio purposes. Interviews revealed that the reassignment of children for ratio purposes happens daily.
Plan of Correction:	Management will review transitions and child attendance to ensure proper staffing occurs to minimize movement of children.
Standard #:	22VAC40-185-440-A
Description:	Based on observation and interview, it was determined that a crib was not provided for each infant during their designated rest periods. Evidence: The Licensing Inspector observed 5 cribs in the Infant A classroom, however 8 infants are enrolled in this room and interviews revealed that all 8 infants are present at times.
Plan of Correction:	3 cribs have been added to the classroom to accommodate the current enrollment.
Standard #:	22VAC40-185-440-B
Description:	Based on observation, it was determined that occupied cribs were not identified for use by a specific child. Evidence: Infant C's name was listed on Infant B's crib. There was no name listed on Infant D's crib.
Plan of Correction:	Cribs have been updated and labeled.
Standard #:	22VAC40-185-510-J
Description:	Based on observation and interview, it was determined that medication was not kept locked as the medication box is stored unlocked under the desk in the office, which is also kept unlocked.
Plan of Correction:	A lock has been purchased and review of medication policy has been administered to all manager and MAT trained staff. All on site medication has been placed in the locked box and stored in a secure area in the Director's office.