VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Cynthia's Child Care Center LLC
100 North Carter Street
Suite 8 & 10
La crosse, VA 23950
(434) 253-3052

Current Inspector: Cindy Horne (804) 297-4469

Inspection Date: Feb. 26, 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)

Technical Assistance:

n/a

Comments:

An unannounced renewal inspection was conducted on February 26, 2020 to determine the center?s compliance with licensing standards. The inspector was on-site from 11:30am to 1:42pm. The census for today?s inspection consisted of 24 children. Upon arrival the children were observed napping and tummy-time in the infant room. The children provide their own meals from home. All classrooms were observed during today?s visit. Five children?s records and five staff records were reviewed during this inspection. Per the center director, medication is not administered and transportation is not provided at this time. The center?s first aid kit and emergency supplies were inspected and found complete. Last emergency drill: 2/5/20 Last shelter-in-place drill: 10/7/19 and 12/30/19 Health Inspection: 7/11/19 Fire Inspection: 8/23/19 Liability insurance: expires 5/21/2020 The center?s emergency plan was reviewed on 7/15/19. Today, the following child to staff ratios were observed: Infants: 5:2 Twos: 8:1 Threes: 11:2 The owner/director was available for the inspection. The owner/director was present at the exit interview, at which time, inspection findings were reviewed and an Acknowledgement of Inspection was signed and left with the licensee. Please complete the ?plan of correction? and the ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1.) steps to correct the noncompliance with the standard(s), 2.) measures to prevent the noncompliance from occurring again; and 3.) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). If you have any questions about this inspection, please contact the licensing inspector, Kelly Adriazola, at (804) 662-9760.

Violations:

Standard #:	22VAC40-185-60-A
Description:	Description: Based on record review, the center did not ensure that the center maintains and keeps at the center a separate, complete record for each child enrolled. Evidence: 1. The record of Child #4 did not contain an address of one emergency contact person. 2. The records of Child #3 and Child #5 did not contain documentation of viewing proof of the child?s identity and age.
Plan of Correction:	Files are updated
Standard #:	22VAC40-185-270-A
Description:	Description: Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The hallway restroom the children use contained large areas of chipped and peeling paint.
Plan of Correction:	Spoke with the owner of the building on 6/14/20 concerning the bathroom
Standard #:	22VAC40-185-280-A
Description:	Description: Based on observation and interview, the center did not ensure that hazardous substances such as cleaning materials, insecticides, and pesticides were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1.There was baby room air freshener located in the infant room by the diapering table and within reach of children. Children 2 years and under are changed in this area. The label contained the words "keep out of reach of children," "caution," and "warning." 2. There was spray disinfectant located in the infant room by the diapering table and within reach of children. Children 2 years and under are changed in this area. The label contained the words "keep out of reach of children," "caution," and "flammable." 3. There were 2 travel size hand-sanitizers hanging from 2 cribs. The labels contained the words "keep out of reach of children" and "flammable." 4. Staff stated the disinfectant spray is used for the diapering table.
Plan of Correction:	Corrected on site
Standard #:	22VAC40-185-290-3
Description:	Description: Based on observation, the center did not ensure electrical outlets have protective covers that are of a size that cannot be swallowed by children. Evidence: 1. In the area where lunch is served there were 13 of 15 uncovered outlets. 2. Administration acknowledged the outlets were not covered.
Plan of Correction:	Corrected on site
Standard #:	22VAC40-185-370
Description:	Description: Based on observation and interview, the center did not ensure that when an infant is placed in his crib, he shall be placed on his back. Evidence: 1. Child #5 was asleep on his stomach with a bib around his neck. 2. Staff identified the child as being 3 months old. Staff stated the child's parent requested the child sleep on his stomach because he doesn't like to sleep on his back and cries.
Plan of Correction:	Corrected on site
Standard #:	22VAC40-185-500-A
Description:	Description: Based on observation on February 26,2020, the center did not ensure that staff and children's hands shall be washed with soap and running water after a diaper change. Evidence: 1. Staff was observed to not wash a child's hands with soap and running water after diapering. 2. A staff member was observed to not wash their hands with soap and running water after diaper changing.
Plan of Correction:	Reminded staff they are required to wash hands with soap and water after diapering
Standard #:	22VAC40-185-500-B
Description:	Based on observation on February 26, 2020, the center did not ensure the diapering surface shall be cleaned and sanitized after each use and that diapers shall be disposed in a leak-proof or plastic lined storage system that is foot-operated or used in such a way that neither the staff member's hand nor soiled diaper touches an exterior surface during disposal. The center did not ensure a nonabsorbent surface for diapering or changing shall be used. Evidence: 1. Staff was observed, after diapering, to not clean and sanitize the changing pad. 2. Staff was observed, after diapering, disposing of the dirty diaper in a trash can with no lid, which was neither leak-proof or foot-operated. 3. There was a changing pad in the changing area that was ripped in 2 places. The rips were approximately 4 and 3 inches long and exposed the inner foam of the pad, which no longer makes the surface nonporous.
Plan of Correction:	1. Reminded staff to clean the area. 2 and 3 corrected on site
Standard #:	22VAC40-185-560-G
Description:	Description: Based on observation and interview, the center did not ensure food from home container is clearly dated and labeled in a way that identifies the owner. Evidence: Shelves are sectioned by children's names and there are approximately two names per shelf. The food is then placed on the shelf according to which child brought it in. Each container is not labeled with a name and none of the food is dated.
Plan of Correction:	Corrected on site
Standard #:	22VAC40-185-570-C
Description:	Description: Based on observation and interview on February 26, 2020, the center did not ensure to maintain a record of each child on formula to include the brand of formula and the child's feeding schedule. Evidence: 1. There was no documentation of infant feeding schedules. 2. Staff stated they do not keep a record of infant feeding schedules. 3. There were infants in care on February 26, 2020.
Plan of Correction:	Corrected on site
Standard #:	22VAC40-185-570-E
Description:	Description: Based on observation and interview, the center did not ensure each infant bottle was labeled with the child's name and dated. Evidence: 1. Several prepared bottles of formula were observed not labeled with a child's name and not dated. 2. Staff stated the children pull the labels off. 3. There were several infants in care.
Plan of Correction:	Corrected on site