VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Cadence Academy Preschool
365 Ferry Road
Fredericksburg, VA 22405
(540) 371-9300

Current Inspector: Angela Dudek (804) 629-8167

Inspection Date: Feb. 17, 2021

Complaint Related: Yes

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 PROGRAMS. 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.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A complaint inspection was initiated on 2/17/2021 and concluded on 3/16/2021. A complaint/self-reported incident was received by the department regarding allegations in the areas of supervision and ratios. The director was contacted by telephone to conduct the investigation. The inspector emailed the director a list of documentation required to complete the investigation. The evidence gathered during the investigation supported the allegations of non-compliance with standards or law and violations were issued. Any violations not related to the complaint but identified during the course of the investigation can be found on the violation notice.

Violations:

Standard #:	22VAC40-185-130-A
Complaint related:	No
Description:	Based on review, the facility did not ensure that they obtained documentation of immunization records before the child can attend the center. Evidence: Reviewed 3 children's and found that Child A, B and C did not have documentation of immunization records.
Plan of Correction:	Ensure to collect current immunizations record of all children prior to start date and update as required
Standard #:	22VAC40-185-140-A
Complaint related:	No
Description:	Based on review, the facility did not ensure that each child has documentation of a physical examination within 30 days of their first day in care. Evidence: Reviewed 3 children's records and found that Child C did not have documentation of a physical exam and has been in care for more than 30 days.
Plan of Correction:	Ensure that all children have a current physical in their file within 30 days of start date. Corrected and ongoing
Standard #:	22VAC40-185-60-A
Complaint related:	No
Description:	Based on review, the facility failed to ensure that children's records were maintained with the required information. Evidence: Reviewed 3 children's records and found the following: 1) Child A and C did not have work information for both parents 2) Child B did not have a second emergency contact
Plan of Correction:	Collect missing documentation from parents. Retrain administrative team to completely and correctly collect required documents prior to enrollment. Director will audits all files and continue to so upon new child enrollment as well as monthly audits.
Standard #:	22VAC40-185-70-A
Complaint related:	No
Description:	Based on review, the facility did not ensure that staff records were maintained with the required information. Evidence: Reviewed 3 staff records and found that Staff C was hired before the facility obtained reference checks.
Plan of Correction:	Ensure all staff files are corrected reference checks are completed prior to hired date.
Standard #:	22VAC40-185-340-F
Complaint related:	No
Description:	Based on staff interviews, the facility did not ensure that children under 10 years of age are always within actual sight and sound supervision of staff. Evidence: Child A was bitten 6 times by another child in care, but staff did not see the incident occur. They believe it happened at a time when both staff were preparing snack and not actively supervising the children.
Plan of Correction:	Director has retrained staff on proper sight and sound supervision to ensure that children are always supervised to ensure safety. To further ensure that safety of our Nursery classroom, there will consistently by at least one teacher in the play area when children are present. Corrected on 2.18.2021 and on going.
Standard #:	22VAC40-185-350-E-1
Complaint related:	Yes
Description:	Based on staff interviews, and review of name to face attendance sheets, the facility did not ensure that children birth to 16 months had a ratio of 1 staff to 4 children. Evidence: In the Nursery 2 classroom, where the children are between the ages of 12 months and 17 months, on 2/3/2021 staff were out of ratio twice that day. Once with 2 staff and 10 children and once with 2 staff and 17 children. On 2/16/2021 there was 1 staff member and 8 children.
Plan of Correction:	Classrooms always remain in ratio. Director has retrained staff on the proper use and importance of accurate name to face documents to ensure current situation is clearly evident. Teacher will use separate name to face sheet when children are on buggy or visiting a different room. All teachers will sign in as required when entering a classroom to reflect how many staff and who is actually in classroom at all times. Re-training took place on 2/19/2021 and ongoing.
Standard #:	22VAC40-185-370-5
Complaint related:	Yes
Description:	Based on staff interviews, and photographs the facility did not ensure that infants were protected from older children. Evidence: Child A went home with 6 bite marks on their body, and staff affirmed that there are two older children in the classroom that are considered "biters", and that the bites did indeed occur in the classroom
Plan of Correction:	Infant rooms have designated age range. Nursery 1 is 6 weeks - 8 months and Nursery 2 range from 8 months to 16 months. All children will be protected from others. Staff has been retrained on documenting all biting incidents and notifying management of consistent issues so solutions can be put in place. Retraining 2.19.2021 and ongoing.