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Milestones Child Development Center
700 Fernwood Farms Road
Chesapeake, VA 23320
(757) 548-3300

Current Inspector: Heather Harrell (757) 334-4329

Inspection Date: Jan. 23, 2020

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
63.2 Facilities & Programs.

Comments:
An unannounced monitoring inspection was conducted on 1/23/20 from 10:40am until 1:20pm. At the time of entrance, there were 40 children in care with 10 staff present. 29 school-aged children arrived at the center with 2 staff at the conclusion of the inspection. A sample of 5 children's records and 5 staff records were reviewed. Children were observed playing on the playground, participating in morning learning activities, eating lunch and resting quietly during nap time. Hand washing, lunch service and school bus procedures were also observed. Medication, first aid and emergency supplies, documentation of emergency practice drills, children's injury reports and center postings were reviewed. Six violations in the areas of administration, special care provisions and emergencies and background checks are identified on the violation notice and were discussed with the center owner and director during the exit interview.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on record review and interview, the center did not ensure that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Evidence:
1. The record for child 1, age 8 months, (date of enrollment: 6/24/19) does not contain documentation of immunizations. Child 1 was in care on the day of the inspection.
2. The center director confirmed that the record for child 1 is lacking documentation of immunizations.

Plan of Correction: The center responded with the following: For the immunizations in question one was received while state was still here and the other was faxed over the following morning. This is a part of enrollment paperwork and will be checked by Program Director and Human Resources Manager to ensure we have
it before the child?s first day.

Standard #: 22VAC40-185-130-B
Description: Based on record review and interview, the center did not ensure that additional immunizations are obtained once every six months for children under the age of two years.

Evidence:
1. The most recent immunization record for child 1, age 23 months, is dated 10/1/18. Child 1 has an enrollment date of 10/3/18 and updated immunization records were due in April 2019 and October 2019.
2. The center director confirmed that updated immunizations records were not obtained every six months for child 1.

Plan of Correction: The center responded with the following: For the immunizations in question one was received while state was still here and the other was faxed over the following morning. This is a part of enrollment paperwork and will be checked by Program Director and Human Resources Manager to ensure we have
it before the child?s first day.

Standard #: 22VAC40-185-140-A
Description: Based on record review and interview, the center did not ensure that a physical examination by or under the direction of a physician was obtained before the child's attendance or within one month after attendance.

Evidence:
1. The record for child 1 (date of enrollment: 6/24/19) does not contain documentation of a physical examination. Child 1 was in care on the day of the inspection.
2. The center director confirmed that the record for child 1 is lacking documentation of a physical examination.

Plan of Correction: The center responded with the following: Updated physical forms will be disbursed to parents to turn in by next week Wednesday Feb 5, 2020.

Standard #: 22VAC40-185-70-A
Description: Based on record review and interview, the center did not ensure that each staff's record contain all the required information.

Evidence:
1. The record for staff 3 (date of hire: 11/15/19) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment or written information to demonstrate that the individual possesses the education and experience required by the job position of lead teacher.
2. The center director confirmed that the record for staff 3 is lacking reference checks and documentation of qualifications for lead teacher.

Plan of Correction: The center responded with the following: We will follow the new hire checklist all the way through and have 3 people lay their
eyes on new employee files. This will help us to be sure nothing slips through the cracks and all necessary documentation needed before employment is in their file.

Standard #: 22VAC40-185-550-D
Description: Based on a review of emergency drill records and interview, the center did not ensure that a minimum of two shelter-in-place drills are conducted per year.

Evidence:
1. The emergency drill record provided has no shelter-in-place drills documented for 2019.
2. The center director confirmed that the two required shelter-in-place drills were not conducted in 2019.

Plan of Correction: The center responded with the following: A lockdown drill and shelter in place took place on 1/24/2020.

Standard #: 63.2(17)-1720.1-B-3
Description: Based on record review and interview, the center did not ensure that staff who have lived outside of the state of Virginia within the past 5 years obtain a central registry check from that state.

Evidence:
1. Staff 1 has a hire date of 9/17/02. Staff 1 indicated on her sworn statement or affirmation, dated 2/8/18, that she currently resides in the state of North Carolina. There is no documentation that a request for an out of state central registry check was submitted to North Carolina for staff 1.
2. Staff 2 has a hire date of 7/1/19. Staff 2 indicated on her employment application and resume that she has resided in the state of Wisconsin within the past 5 years. There is no documentation that a request for an out of state central registry check was submitted to Wisconsin for staff 2.
3. The center director confirmed that out of state central registry search requests were not submitted for staff 1 or staff 2.

Plan of Correction: The center responded with the following: The background checks in question were sent off the following day for the employees in question.

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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