VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Nikki's Christian Daycare, Inc.
14900 Cloverdale Road
Woodbridge, VA 22193
(703) 897-6232

Current Inspector: Beth Velke (804) 629-8302

Inspection Date: Feb. 20, 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) 32.1 Report by person other than physician 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

Consultation provided on checking the playground prior to use to ensure that there is no standing water.

Comments:

An unannounced monitoring inspection was conducted today with the director, who was present with 74 children with 12 staff providing supervision. The Licensing Inspector was able to observe nap time, children awakening and washing their hands, snack ( cheese and crackers and water), diapering and children celebrating a birthday in one of the preschool classrooms. Nine medications for 6 children were reviewed as well as seven children and staff files. A sample size of 9 injury/accident reports were reviewed. By March 2, 2020 please provide documentation that you have mailed off for the out of state background check for staff A. Arrival time: 1:35 pm Departure time: 5: 15 om

Violations:

Standard #:	22VAC40-185-130-A
Description:	Based on a review of seven children's files, it was determined that one child did not have an immunization record on file prior to attendance. Evidence: Child C enrolled on 10/17/19 and there is no immunization record on file.
Plan of Correction:	I will get the record from the parent.
Standard #:	22VAC40-185-330-B
Description:	Based on an inspection of the toddler/two year old playground, it was determined that play equipment did not maintain a fall zone of six feet. Evidence: The merry go round tricycles and the blue and red composite structure with a slide were within 1 foot of the concrete sidewalk. These structures requires a 6 foot clearance.
Plan of Correction:	I will re position the equipment to ensure at least six foot clearance.
Standard #:	22VAC40-185-510-C
Description:	Based on reviewing nine medications for six children, it was determined that two medicatons on site did not have authorizations from the parent or physician. Evidence: There were no parental or physician authorization for the Epipen for child A and Children's Benadryl for child B.
Plan of Correction:	I will get the parents to sign a 10 day authorization which will allow for the parents to get the physician authorization as well.
Standard #:	22VAC40-185-510-J
Description:	Based on observation, it was determined that all medication at the center was not kept locked. Evidence: The Licensing Inspector observed a bottle of cold and flue medication on a cabinet unlocked in the 4 year old classroom. The medication belong to a teacher in the classroom.
Plan of Correction:	Locked during the inspection.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on a review of seven staff files and an interview with the director, it was determined that the center had not obtained the out of state central registry background checks from Georgia and Maryland for staff A, who was hired on 9/16/19. Evidence: There were no out of state background central registry background checks on file from Maryland and Georgia for staff A. These background checks were to be sent off within 30 days of employment. To date, these background checks have not been sent off.
Plan of Correction:	I will send of for these background checks by 2/21/20.