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Amazing Grace Childcare Center, LLC
54 E. Cedar Fork Road
Richmond, VA 23223
(804) 480-3062

Current Inspector: Tara Barton (804) 381-8487

Inspection Date: Jan. 19, 2021 and Jan. 20, 2021

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)
20 Access to minor?s records
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:
None

Comments:
This inspection was conducted by licensing staff using an alternative remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.

An initial inspection was initiated on January 19, 2021 and completed January 20, 2021. The director was contacted by phone to initiate the inspection. A remote visual inspection was conducted by phone on January 19, 2021 in order to observe the center, areas designated for child care, and documentation. An additional review of documentation continued on January 20, 2021.

Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the facility.

Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return it to the licensing office within 5 business days. Your plan of correction should contain 1) steps to correct the non-compliance 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).

The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs. If you have any questions, please contact the licensing inspector at 804-662-9092.

Violations:
Standard #: 22VAC40-185-40-F
Description: Based on documentation review, the center did not ensure that any misleading or deceptive advertisement was prohibited. No child welfare agency shall make, publish, disseminate, circulate, or place before the public or cause, directly or indirectly, to be made, published, disseminated, circulated or placed before the public in this Commonwealth, in a newspaper or other publication; in the form of a book, notice, handbill, poster, blueprint, map, bill, tag, label, circular, pamphlet, or letter; or via electronic mail, website, automatic mailing list services (listservs), newsgroups, facsimile, chat rooms; or in any other way an advertisement of any sort regarding services or anything so offered to the public, which advertisement contains any promise, assertion, representation or statement of fact that is untrue, deceptive or misleading. Evidence: 1. While reviewing the center's parent handbook and the employee handbook, the licensing inspector observed repeated instances of the center being identified as "My Little Angels Childcare Center." 2. The employee handbook made an incorrect statement that staff who do not return after a break "will be reported to Child Care Licensing for NEGLECTFUL SUPERVISION. This action results in the employee not being allowed to work in child care again." 3. The contact name and phone number for the director is not correct in the employee handbook.

Plan of Correction: Per administration: "I have removed all wording of My Little Angels and replaced with Amazing Grace. I have removed the comment about neglectful supervision and the comment about not being able to work in childcare. I have corrected the contact name, number for the director."

Standard #: 22VAC40-185-240-B
Description: Based on review of the staff handbook, the facility did not provide in writing the required information.
Evidence:
The employee handbook did not address the following policies:
1. The center's policy for swimming and wading.
2. The center's policy for playground safety procedures; the employee handbook references only a paved playground surface. Policies should be updated to reflect the center's actual playground areas to include the paved area, the fenced area, and the infant/toddler area.
3. The center's procedures for supervising a child who may arrive after scheduled classes or activities including field trips.
4. The center's procedures to confirm absence of a child when the child is scheduled to arrive from another program or from an agency responsible for transporting the child to the center
5. The center's policy for any administration of medication. The applicant stated the center would not administer medications, however the employee handbook discusses administering medications multiple times.
6. The center's procedures for response to natural and man-made disasters.

Plan of Correction: Per administration: "I will add the following policies and procedures and have them on site for the next inspection."

Standard #: 22VAC40-185-240-D-5
Description: Based on review of records and interview, the center did not ensure at least one staff member had obtained within the last three years instruction in performing the daily health observation of children. Evidence: 1. The licensing inspector observed no daily health observation training in staff records. 2. Applicant #1 stated that neither she, nor any other staff had obtained daily health observation training.

Plan of Correction: Per administration: "I will make sure that at least one person on site will have DHO at all times."

Standard #: 22VAC40-185-270-A
Description: Based on observation and an interview with a member of administration, the center did not ensure that equipment shall be maintained in a safe condition. Evidence: 1. The licensing inspector observed a changing table in the infant/toddler classroom. The non-absorbent changing pad observed on the changing table was too large for the table and sat at an angle, with several inches of the changing pad not supported by the table. 2. During an interview with the licensing inspector, administration reported the changing pad was too large for the changing table and was not the changing pad that would be in use.

Plan of Correction: Per administration: "The correct changing pad has been replaced on the changing table."

Standard #: 22VAC40-185-420-A
Description: Based on review of the parent handbook, the facility did not have written policies to address all required procedures.

Evidence:

The parent handbook did not address the following required policies and procedures:
1. Operating information; adding information about non-school days and weather related closings, and a phone number where a message can be given to staff.
2. The center's transportation policy; the applicant stated she would not be providing transportation however the handbook discussed providing transportation in multiple areas of the document.
3. The center's policies for the arrival and departure of children; some requirements were discussed in conflicting ways within the two parent handbooks that were submitted; did not discuss policies addressing when a child is not picked up for emergency situations including but not limited to inclement weather or natural disasters.
4. The center's policy regarding any medication or medical procedures that will be given; the applicant stated she would not be administering medication; however the handbook discussed providing medication in multiple areas of the document.
5. The center's policy regarding the application of sunscreen, diaper ointment or cream, and insect repellent.
6. The center's established lines of authority for staff.
7. The custodial parent's right to be admitted to the center as required by The Code of Virginia.
8. The appropriate general daily schedule for the age of the enrolling child to cover all hours of operation.
9. The center's food policies; the applicant stated she would not be providing lunch however the handbook discussed providing lunch. All food policies throughout the handbook should reflect the center's current food policies as discussed during the application process and initial inspection.
10. Discipline policies including all acceptable and unacceptable discipline measures.

Plan of Correction: Per administration: "The following policies and procedures have been added to reflect the current policies for Amazing Grace Childcare Center."

Standard #: 22VAC40-185-430-K
Description: Based on observation, the center did not ensure that each child would be provided with an individual space for personal belongings. Evidence: 1. The licensing inspector observed that the infant/toddler, two year old, and four year old classrooms were each lacking individual storage areas. 2. The school age classroom required additional individual storage to accommodate for the storage needs of this age group.

Plan of Correction: Per administration: "I will add more cubby's and shelving to the needed classrooms."

Standard #: 22VAC40-185-440-H
Description: Based on observation, the center did not ensure that two of the four inspected cribs met the requirements for cribs. Evidence: 1. The licensing inspector observed that Crib A did not contain a mattress. 2. The licensing inspector observed that Crib B did not include any manufacturing information. 3. During an interview with the licensing inspector, administration reported that no mattress was available for Crib A during the inspection. Administration reported that the manufacturing information was not available for Crib B during the inspection.

Plan of Correction: Per administration: "I have thrown the crib B and have purchased a mattress for crib A."

Standard #: 22VAC40-185-500-C
Description: Based on observation and interview, the center did not ensure that the required toilet training equipment was available at the center. Evidence: 1. During an interview with the licensing inspector, Applicant #1 reported that there was no toilet chair, child size toilet, nor an adapter seat for an adult size toilet at the center. Applicant #1 stated the center would serve children who are toilet training and planned to utilize steps and an adapter seat for the two adult size toilets. 2. The licensing inspector observed two adult size toilets at the center, and observed no toilet training equipment. For every 10 children in the process of being toilet trained, there shall be at least one toilet chair, one child size toilet, or at least one adult size toilet with a platform or steps and an adapter seat.

Plan of Correction: Per administration: "I have added the toilet (child size) to the restroom and step stools to all restrooms and sinks."

Standard #: 22VAC40-185-540-C
Description: Based on observation, the center did not ensure that the first aid kit contained the required components. Evidence: The licensing inspector observed the first aid kit did not contain a second triangular bandage, antiseptic, a first aid instructional manual, or tweezers.

Plan of Correction: Per administration: "I have purchased all required items for the first aid kit and added them."

Standard #: 22VAC40-185-540-E
Description: Based on observation and interview, the center did not ensure that the required nonmedical emergency supplies were present. Evidence: 1. The licensing inspector did not observe a battery operated radio during the inspection. 2. During an interview with the licensing inspector, Applicant #1 reported the center was not equipped with a battery operated radio.

Plan of Correction: Per administration: "I have purchased the battery operated radio."

Standard #: 22VAC40-185-550-A
Description: Based on observation and interview, the center did not have an emergency preparedness plan. Evidence: 1. The licensing inspector did not observe an emergency preparedness plan during the inspection. 2. During an interview with the licensing inspector, Applicant #1 reported the emergency preparedness plan would be provided to the licensing inspector by the deadline of 1/20/2021 at 12 PM, however it was not received.

Plan of Correction: Per administraiton: "I never said it would be sent by 12 pm on 1/20/2021, but I did email it over the weekend."

Standard #: 22VAC40-185-550-C
Description: Based on observation and interview, the center did not ensure that emergency evacuation and shelter-in-place procedures/maps shall be posted in a location conspicuous to staff and children. Evidence: 1. The licensing inspector did not observe emergency procedures/maps posted in the center. 2. During an interview with the licensing inspector, Applicant #1 reported that no emergency procedures/maps were posted at the center.

Plan of Correction: Per administration: "I will post maps in each classroom and provide procedures in the staff breakroom."

Standard #: 22VAC40-185-550-F
Description: Based on observation, the center did not ensure a 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center were posted in a visible place at each telephone. Evidence: The licensing inspector observed no postings of emergency numbers to include: a 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center.

Plan of Correction: Per administration: "I will post all emergency numbers and the regional poison control center."

Standard #: 22VAC40-191-40-C-1-B
Description: Based on a review of three agent records, one record did not contain the required background checks within the required timeframes. Evidence: 1. The licensing inspector observed the record for Agent #2 did not contain Central Registry search results. 2. The licensing inspector observed the Sworn Statement for Agent #2 was dated 9/15/2020. The application was received by The Department on 12/18/2020. Sworn Statements shall be dated no more than 90 days from the date of application.

Plan of Correction: Per administration: "The Central Registry for Agent #2 has been returned and added to their file. I have retained a new signed copy of the Sworn Statement and added to their file."

Standard #: 63.2(17)-1721.1-B-4
Description: Based on a review of three agent records and interview, one agent record did not contain an out-of-state child abuse and neglect history search result. Evidence: 1. The licensing inspector observed the record for Agent #3 indicated the agent had lived in North Carolina in the last five years. 2. The record for Agent #3 did not contain a child abuse and neglect history search for North Carolina. 3. During an interview with the licensing inspector, Applicant #1 stated no North Carolina child abuse and neglect search had been requested.

Plan of Correction: Per administration: "The out of state search has been sent. Awaiting the return which could be up to 45 days."

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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