VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Lilly's Learning Pad - Fan Campus
2302 W. Main Street
Richmond, VA 23220
(804) 728-2051

Current Inspector: Lynn Powers (804) 840-8260

Inspection Date: Feb. 28, 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 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Comments:

An unannounced monitoring inspection was conducted today, February 28, 2020 to determine the center's compliance with licensing standards. The inspection was initiated at 10:10 am and concluded at 2:30 pm. The owner/director was not on site at the inspectors arrival but arrived shorty after. Children were observed playing with toys and a tablet. Bathroom breaks and hand washing was conducted before lunch. Today's lunch consisted of beef stew, oranges, veggie stix and milk. Later children prepared for nap. The center provides transportation for school age children. All areas of the center were inspected. The facility has age appropriate materials and supplies. The first aid kit and non-medical emergency supplies were inspected for each floor of the building and for the vehicle used to transport children. The following required information was posted: emergency number, license, evacuation map, most recent inspection findings and daily schedules. Seven staff records and 12 children's records were reviewed. Today's census: 11 children with 2 staff. Per the owner: currently there are no medications being administered. The most recent evacuation drill was documented on 01/31/2020. A shelter-in-place drill was completed on 01/22/2020. A lock down drill was conducted on 01/15/2020. Violations cited during the licensing period were checked for corrections. There were four repeat violations cited during today's inspection. If you have any questions about this inspection, please contact the Licensing Inspector at (804) 662-9758.

Violations:

Standard #:	22VAC40-185-130-A
Description:	Based on review of children's records, the center did not obtain documentation of immunizations prior to a child's attendance for two children in care. Evidence: 1. The record of child #7, enrolled 02/05/2018, did not have documentation of immunizations on file. 2. The record of child #10, enrolled 08/01/2019, had documentation of immunizations dated 08/23/2019 exceeding the first day of care.
Plan of Correction:	Per the director: I will have the family provide documentation of immunizations. Going forward I will make sure documentation is obtained at enrollment.
Standard #:	22VAC40-185-140-A
Description:	Based on review of children's records, the center did not obtain documentation of a physical examination before the child's attendance or within one month after attendance. Evidence: The record of child #7, enrolled 02/05/2018, did not contain documentation of a physical examination exceeding 30 days after attendance.
Plan of Correction:	Per the director: I will have the family provide a copy of a physical for the record.
Standard #:	22VAC40-185-60-A
Description:	Based on review of children's records, the center did not obtain all required information for each staff record. Evidence: 1. The record of child #2 did not contain the name, address and phone number of a second emergency contact. 2. The record of child #3 did not contain the name, address and phone number of a second emergency contact. 3. The record of child #5 did not contain the name, address and phone number of a second emergency contact.
Plan of Correction:	Per the director: I will have the parents complete the missing information for each child's record.
Standard #:	22VAC40-185-90--A
Description:	Based on review of children's records, the center did not obtain written agreement between the parent and the center that was signed by the parent. Evidence: The record of child #2, child #3, child #5, child #6, and child #9 did not contain documentation of a written agreement between the parent and the center that was signed by the parent.
Plan of Correction:	Per the director: I will have each parent sign the written agreement page.
Standard #:	22VAC40-185-240-D-5
Description:	Based on review of eight staff records and interview, the center did not ensure there was always at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: 1. There was no documentation of daily health observation training in the eight staff records reviewed. 2. The director reported there are no staff with daily health observation training currently employed.
Plan of Correction:	Per the director: I will have staff complete the daily health observation training.
Standard #:	22VAC40-185-270-A
Description:	Based on observation, the center did not ensure all areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: Two holes in the drywall of the pre-K classroom wall were observed where the doorknob had made contact with the wall. The holes exposed loose dabre posing a hazard to children in care.
Plan of Correction:	Per the director: We will have repairs made to the wall.
Standard #:	22VAC40-185-270-B
Description:	Based on observation, the center did not ensure heat was supplied from a heating system approved in accordance with the Uniform Statewide Building Code (USBC, 13 VAC 5-62) except for camps. The heating system shall have appropriate barriers to prevent children from being burned, shocked, or injured from heating equipment. In addition, proper supervision shall be available to prevent injury. Evidence: A portable heater was observed on the floor of the blue classroom. The heater was on and hot to the touch. Children in care were sitting on the floor and ranged in age from 23 months to nine years. There was no barrier to separate the children from the heater.
Plan of Correction:	Per the director: I have turned the heater off and removed it from the classroom. We will not use the heater. m
Standard #:	22VAC40-185-270-C
Description:	Based on observation, the center did not ensure temperatures of inside areas occupied by children were maintained no lower than 68 degrees Fahrenheit. Evidence: 1. The thermostat on the wall of the second floor classrooms read 63 degrees. 2. Children were observed on the second floor in the school age classroom.
Plan of Correction:	Per the director: I will have the landlord check the thermostat for the second floor.
Standard #:	22VAC40-185-340-F
Description:	Based on observation and interview, the center did not ensure children under 10 years of age were always within actual sight and sound supervision of staff. Evidence: 1. As the inspectors arrived outside the center at 10:10 am, staff #3 was observed leaving the center, crossing the street, entering a car and driving away. 2. Upon entering the center, the inspector entered the infant classroom and observed child #6 (11 months in age) asleep in a crib with no staff in the classroom. 3. Staff #7 was observed down the hall in the toddler classroom with the door closed out of sight and sound of child #6. There were no other staff in the center. 4. At approximately 10:17, Staff #3 returned to the center. Staff #3 stated she had left child #6 alone to move her car.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-350-C
Description:	Based on observation and interview, the center did not ensure when children are regularly in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group appliedto the entire group. Evidence: 1. Nine children, ages 23 months through nine years of age were observed in the blue classroom with one staff, staff #7 when a ratio of one staff to every five children applied. 2. Staff #7 stated the blue classroom was regularly made up of mixed age groups
Plan of Correction:	Per the director: I have additional staff arriving, they were just running late.
Standard #:	22VAC40-185-540-C
Description:	Based on review and interview, the center did not maintain all required items for the first aid kits. Evidence: 1. The first aid kit on the second floor of the center did not contain tweezers, adhesive tape, and an ice pack or cooling agent as required\. 2. The director acknowledged the first aid kit on the second floor did not contain all required items.
Plan of Correction:	Per the director: I will purchase the missing items for the first aid kit.
Standard #:	22VAC40-185-540-E
Description:	Based on review and interview, the center did not ensure one working, battery operated flashlight was on each floor of each building that is used by children. Evidence: 1. There was no battery operated flashlight on the second floor of the center. 2. The director acknowledged she did not have a battery operated flashlight for the second floor of the center.
Plan of Correction:	Per the director: I will purchase an additional flashlight and batteries for the flashlight for the second floor.
Standard #:	22VAC40-185-560-F-4
Description:	Based on observation and interview, the center did not ensure a menu listing foods to be served for meals and snacks during the current one week period was posted in a location conspicuous to parents. Evidence: 1. A menu listing foods to be served for meals and snacks for the week of February 24th through February 28, 2020 was not observed. 2. The director acknowledged a menu was not posted.
Plan of Correction:	Per the director: I will post the weekly menu for parents to be able to review.
Standard #:	22VAC40-185-580-C
Description:	Based on interview, the center did not maintain all required information in transportation vehicles. Evidence: 1. Staff #2, identified as the driver, reported the vehicle used for center transportation did not contain emergency numbers as specified in 22VAC40-185-550 F and H; the center's name, address, and phone number; and a list of the names of the children being transported. 2. The director stated a binder containing the required information was in the building but not in the vehicle during transportation.
Plan of Correction:	Per the director: I will make sure the binder in carried in the vehicle while transporting children.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on the review of the eight staff records, the center did not request a search of out-of-state founded complaints of child abuse or neglect within 30 days of beginning employment for one staff members who had lived outside of Virginia within the last five years. Evidence: 1. Documentation for Staff #6 (hired 01/02/2020) indicated the staff members had lived outside of Virginia within the last five years. The record did not contain documentation of a request for founded complaints of child abuse from the state the staff member indicated they had lived in within the last five years. 2. The director stated an out-of-state child abuse search for Staff #had not been requested.
Plan of Correction:	Per the director: I will request the out of state background check right away.