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Creme de la Creme
16351 Navigation Drive
Woodbridge, VA 22191-6503
(703) 580-8887

Current Inspector: Angela Dudek (804) 629-8167

Inspection Date: Jan. 30, 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.
22VAC40-80 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:
**Discussed with the director to remind staff on proper procedures for sanitizing diapering surfaces.
**Discussed with the director on notification of communicable illnesses to parents and guardians.

Comments:
An unannounced Renewal Inspection was conducted today from TIME. There were 180 (Infants to school-age) directly supervised by 31 staff. The physical plant, 8 staff records, 9 children?s records, 6 children's medications and medication authorization records, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed participating in group play, listening to stories, playing in the gym, transitioning, eating lunch. Diapering and hand-washing procedures were also observed. There was a sufficient supply of books, toys, and materials for the children. There was an adequate number of staff with current certification in MAT, CPR and First Aid, as well as DHO training. Staff-to-child ratios were in compliance. The center was clean and organized. Areas of non-compliance are identified in this report. If you have any questions regarding this inspection, please contact the Licensing Inspector. Keesha Minor (keesha.minor@dss.virginia.gov) (540) 340-2672.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on review, the facility did not ensure that they obtained documentation that each child has received immunizations before the child can attend the center.
Evidence: Reviewed 9 children's records and found that Child 1 did not have documentation of an immunization record.

Plan of Correction: Will obtain the missing record by February 7th.

Standard #: 22VAC40-185-130-B
Description: Based on review, the facility did not ensure that they obtained documentation of additional immunizations once every six months for children under 2 years of age.
Evidence: Reviewed 9 children's records and found that Child 5 did not have documentation of additional immunizations. Last documented immunization was dated 5/28/19.

Plan of Correction: Will obtain updated documentation by February 7th.

Standard #: 22VAC40-185-140-A
Description: Based on review, the facility did not ensure that each child has documentation of a physical examination.
Evidence: Reviewed 9 children's records and found that Child 1 did not have documentation of a physical exam in their file.

Plan of Correction: Will locate and have on file by the 7th.

Standard #: 22VAC40-185-160-A
Description: Based on review, the facility did not ensure that each staff member submits documentation of a TB screening no later than 21 days after employment.
Evidence: Reviewed 8 staff records and found that Staff 7 did not have documentation of a TB screening and has been employed more than 21 days.

Plan of Correction: Will obtain documentation by next week.

Standard #: 22VAC40-185-70-A
Description: Based on review, the facility did not ensure that each staff record contains the required minimum information.
Evidence: Reviewed 8 staff records and found that Staff 3 did not have documentation of age verification.

Plan of Correction: Corrected at the time of the visit.

Standard #: 22VAC40-185-270-A
Description: Based on observation, areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.
Evidence: Observed on the playground, large cracks on both sides of the blue play equipment.

Plan of Correction: Will be corrected by Monday.

Standard #: 22VAC40-185-540-A
Description: Based on observation, the facility did not ensure that they had the minimum required items in the first aid kit.
Evidence: Observed that the first aid kit was missing triangular bandages.

Plan of Correction: Ordered at the time of the visit.

Standard #: 22VAC40-185-570-E
Description: Based on observation, the facility did not ensure that prepared infant formula was refrigerated, dated and labeled with the child's name.
Evidence: Observed that there were 2 baskets of infant formula that were not dated.

Plan of Correction: Corrected at the time of the visit.

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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