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:

22VAC40-665 STAFF QUALIFICATIONS & TRAINING 22VAC40-665 PHYSICAL PLANT 22VAC40-665 STAFFING & SUPERVISION 22VAC40-665 PROGAMS 22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES 22VAC40-665 SPECIAL SERVICES

Technical Assistance:

n/a

Comments:

An unannounced Subsidy Health and Safety Inspection (SHSI) 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. A licensing inspection was conducted on the same date as the SHSI supplemental inspection; the two inspections combined cover all subsidy health and safety requirements. Only subsidy requirements that are not covered in licensing standards are reviewed during this supplemental inspection. Three violations of the supplemental subsidy health and safety requirements were found. 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 #:	22VAC40-665-580-E-2
Description:	Description: Based on record review, the provider did not ensure within the first 90 days of employment of service all caregivers complete current certification in cardiopulmonary resuscitation (CPR) and first aid, to include an in-person competency demonstration. Evidence: The record of Staff #3 (DOH 6/3/19) did not contain documentation of first aid training.
Plan of Correction:	Staff member has basic life support training in CPR and AED. Staff member will get First Aid as soon as possible
Standard #:	22VAC40-665-650-E
Description:	Description: Based on record review and interview, the center did not ensure to develop a policy and procedure for groups of children to receive consistent care by staff. Evidence: 1. There was no documentation of a policy and procedure created for consistent care. 2. Administration acknowledged they were unaware this policy needed to be developed.
Plan of Correction:	Working on this policy
Standard #:	22VAC40-665-770-B-5
Description:	Description: Based on review of the record and interview, the center did not ensure to have a continuity of operations procedure. Evidence: 1. There was no documentation of a continuity of operations procedure. 2. Administration acknowledged they did not know to develop a continuity of operations procedure.
Plan of Correction:	Working on developing this policy