VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Dogwood Preschool
6000 Grove Avenue
Richmond, VA 23226
(804) 665-4902

Current Inspector: Heather Dapper (804) 625-2304

Inspection Date: May 4, 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 May 4, 2021 and completed May 4, 2021. The director was contacted by phone to initiate the inspection. A remote visual inspection was conducted by phone in order to observe the center, areas designated for child care, and documentation. 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 #:	22VAC40-185-240-D-5
Description:	Based on review of two staff records and an interview with administration, the center did not ensure there was one staff member on duty who has obtained, within the last three years, instruction in performing the daily health observation of children. EVIDENCE: 1. The licensing inspector observed that the records for Staff #1 and Staff #2 did not contain documentation of having obtained instruction in performing the daily health observation of children. 2. A member of administration stated there were no staff who had obtained the training for daily health observation.
Plan of Correction:	Completed 5.10.21 and certificate sent.
Standard #:	22VAC40-185-290-3
Description:	Based on observation, the center did not ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. Evidence: In Room number 203, designated to be used by children ages 3.5 years to 5 years old, the licensing inspector observed an outlet without a protective cover.
Plan of Correction:	Replaced
Standard #:	22VAC40-185-380-A
Description:	Based on observations, the center did not ensure that there shall be a posted daily schedule that allows for flexibility as children's needs require. Evidence: The licensing inspector observed no posted daily schedule in the facility.
Plan of Correction:	Daily schedules are posted.
Standard #:	22VAC40-185-430-K
Description:	Based on observations, the center did not ensure that provision shall be made for an individual place for each child's personal belongings. Evidence: The licensing inspector observed no individual storage areas for children's personal belongings in Room numbers 103, 201, 202, or 203.
Plan of Correction:	Baskets ordered
Standard #:	22VAC40-185-500-B
Description:	Based on observation, the center did not ensure that the diapering area was provided with the required elements. Evidence: 1. The licensing inspector observed surface designated for diapering was not nonabsorbent. The changing pad had several tears in the nonabsorbent cover, exposing an absorbent filler inside of the pad. 2. The changing pad was located on top of a storage cabinet with four bins underneath. For children younger than three years, the diapering area must be a changing table or a countertop designated for changing.
Plan of Correction:	Ordered
Standard #:	22VAC40-185-510-J
Description:	Based on observation, the center did not ensure that medication shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: The licensing inspector observed the following medications in an unlocked first aid kit located in the office of the first floor of the facility: A) 4 packets of antihistamine, 25 mg tablets B) 2 packets of Acetaminophen, 325 mg tablets C) 1 packet of burn cream which contained Lidocaine Hg .5%.
Plan of Correction:	Medicine has been disposed of
Standard #:	22VAC40-185-530-A
Description:	Based on a review of two staff records and an interview with administration, the center did not ensure that there shall be at least one staff member trained in first aid, cardiopulmonary resuscitation (CPR), and rescue breathing as appropriate to the age of the children in care who is on the premises during the center's hours of operation and also one person on field trips and wherever children are in care. Evidence: 1. The licensing inspector observed the records for Staff #1 and Staff #2 did not contain documentation of first aid or CPR training. 2. A member of administration stated that neither Staff #1 or Staff #2 had obtained first aid and CPR certification.
Plan of Correction:	CPR scheduled prior to visit for 5.25.21
Standard #:	22VAC40-185-540-C
Description:	Based on observations and an interview with administration, the center did not ensure that the required first aid kits contained the required items. Evidence: 1. The licensing inspector observed the first aid kit for the first floor did not contain a thermometer, scissors, and at least two triangular bandages. 2. The first aid kit for the second floor did not contain scissors, tweezers, a thermometer, and at least two triangular bandages. 3. A member of administration agreed the required items were not present in the two first aid kits.
Plan of Correction:	Kits were equipped with a thermometer, scissors, and at least two triangular bandages on the first floors and scissors, tweezers, a thermometer, and at least two triangular bandages on the second floor. Pictures sent 5.12.21 except triangle bandages ? on order, sent receipt.
Standard #:	22VAC40-185-540-E
Description:	Based on observation and an interview with administration, the center did not ensure that the required nonmedical emergencies supplies were present. Evidence: 1. The licensing inspector observed no battery operated flashlight on the first floor or the second floor of the facility. 2. The licensing inspector observed no battery operated radio in the facility. 3. A member of administration stated there was no battery operated radio in the facility, and there were no battery operated flashlights on the first or second floors of the facility.
Plan of Correction:	Battery powered flashlights and handheld radios on first and second floor ordered.
Standard #:	22VAC40-185-550-F
Description:	Based on observation and interview with administration, the center did not ensure that a 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center shall be posted in a visible place at each telephone. Evidence: The licensing inspector did not observe emergency numbers posted in the facility. 2. A member of administration stated emergency numbers had not been posted.
Plan of Correction:	Hang emergency numbers
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on a review of two staff records, the center did not obtain a national fingerprint-based criminal history record check for two staff members. Evidence: The records for Staff #1 and Staff #2 did not contain documentation of a national fingerprint-based criminal history record check.
Plan of Correction:	Completed, sent to licensing
Standard #:	63.2(17)-1721.1-B-2
Description:	Based on a review of five agent records, the center did not obtain a national fingerprint-based criminal history record check for five listed agents. Evidence: The records for Agent #1, Agent #2, Agent #3, Agent #4, and Agent #5 did not contain documentation of a national fingerprint-based criminal history record check.
Plan of Correction:	Two completed and sent to licensing. Last fingerprint appointments scheduled for 5.12.21. Results will be emailed as received.
Standard #:	63.2(17)-1721.1-B-4
Description:	Based on a review of five agent records and interview with administration, the center did not obtain the required out of state background checks for one agent. Evidence: 1. The record for Agent #2 indicated the agent resided in Washington D.C. within the last five years. 2. The record for Agent #2 did not contain a criminal history search result for Washington D.C. 3. The record for Agent #2 did not contain a child abuse and neglect registry search for Washington D.C. 4. A member of administration reported the Washington D.C. criminal search and child abuse and neglect search had not been completed for Agent #2.
Plan of Correction:	CPS was sent 5.7.21 - results will be process and send to Dogwood Preschool via email. Criminal was FedExed. Confirmed receipt and sent to Dogwood Preschool via regular mail on 5.11.21. Sexual offender registry has been run and resent to licensing on 5.12.21.