VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Learn N' Play Child Care Center
130 Camden Street
Danville, VA 24541
(434) 835-2587

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Aug. 5, 2021 and Sept. 10, 2021

Complaint Related: Yes

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 63.2(17) License & Registration Procedures

Comments:

A complaint inspection was initiated on 08/05/2021 and concluded on 09/16/2021. A complaint received by the department regarding allegations in the areas of supervision and ratio. Ann unannounced onsite visit was conducted on 08/05/2021 and the director was contacted by telephone with follow up questions on 09/10/2021. The evidence gathered during the investigation supported the allegations of non-compliance with standards or law and violations were issued.

Violations:

Standard #:	22VAC40-185-130-A
Complaint related:	No
Description:	Based on review of six children's records, the center failed to ensure that all immunizations were obtain prior to the enrollment date. 1. Child # 1 start date was 10/28/2020 and the date of the immunization was 1/11/2021. 2. Child # 3 start date was 7/28/2021 and on the day of the on site inspection there were no immunizations in the child's record. 3. Child # 4 start date was 1/18/2021 and on the day of the onsite inspection there were no immunizations in the child's record. 4. Child # 6 start date was 12/29/2020 and the date on the immunizations were 1/25/2021.
Plan of Correction:	In the future all immunizations will be obtained prior to the child starting.
Standard #:	22VAC40-185-140-A
Complaint related:	No
Description:	Based on review of six children's records, the center failed to ensure that each child had a physical examination within 30 days of enrollment. Evidence: 1. Child # 3 start date was 7/28/2021 and on the day of the onsite inspection there was no physical examination in the child's record. 2. Child # 4 start date was 1/18/2021 and on the day of the inspection there was no physical examination in the child's record.
Plan of Correction:	The director will make sure that physicals are obtained within the 30 days of enrollment.
Standard #:	22VAC40-185-60-A
Complaint related:	No
Description:	Based on review of six children's records, the center failed to ensure that all records were complete. Evidence: 1. Child # 2 did not have an enrollment date and birth verification documented. 2. Child # 3 did not have previous child care or other programs, physician and phone number and chronic physical problems. 3. Child # 6 did not have the address for the two emergency contacts and verification of birth documented.
Plan of Correction:	The director will obtain the missing information and will have a staff monitor.
Standard #:	22VAC40-185-70-A
Complaint related:	No
Description:	Based on view of three staff's records, the center failed to ensure that all staff records were complete. Evidence: 1. Staff # 2 did not have a documented start date.
Plan of Correction:	The director/owner will document as soon as possible and will make sure all records are complete.
Standard #:	22VAC40-185-90--A
Complaint related:	No
Description:	Based on review of six children's records, the center failed to ensure that a written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The agreement shall be signed by the parent. Evidence: 1. Child # 3 did not have the parent signature for the three written agreements.
Plan of Correction:	The parent will sign the three agreements today.
Standard #:	22VAC40-185-350-C
Complaint related:	Yes
Description:	Based on observation, the center failed to ensure that the mixed age grouping of children went by the youngest aged child in the group. Evidence: 1. Observed on the playground a grouping of 25 children with two staff members. The youngest child in the grouping was 2 years. The required number of staff is four for this mixed grouping of children.
Plan of Correction:	The director is currently hiring. Classrooms have been divided up to help ensure ratio is met. Some children have entered the public school system and numbers are lower.
Standard #:	22VAC40-185-350-E-4
Complaint related:	Yes
Description:	Based on observation the center failed to ensure that the preschool ratio was met. Evidence: 1. Observed 19 children with one staff person in the preschool classroom. The children were ages 3-5 years old. The required ratio for preschool aged children is 1 staff to 10 children.
Plan of Correction:	The director is currently hiring. Classrooms have been divided up to help ensure ratio is met. Some children have entered the public school system and numbers are lower.
Standard #:	22VAC40-185-350-E-5
Complaint related:	Yes
Description:	Based on observation the center failed to ensure that the ratio was met for the school age classroom. Evidence: 1. At approximately 10:30 AM there were 21 children ages 5-12 in one grouping of children with one staff person. At approximately 10:40 AM two children left making the grouping one staff person to 19 children. The required ratio is one staff to 18 children.
Plan of Correction:	The director is currently hiring. Classrooms have been divided up to help ensure ratio is met. Some children have entered the public school system and numbers are lower. Also some children have left the program.
Standard #:	22VAC40-185-510-E
Complaint related:	No
Description:	Based on observation, the center failed to ensure that all medications was labeled with the child's name. Evidence: 1. The medication for child # 6 was not labeled with the child's name.
Plan of Correction:	The director will make sure that the name is on medication.
Standard #:	22VAC40-185-510-G
Complaint related:	No
Description:	Based on interviews, and review of medication, the center failed to ensure that all requirements for medication were met. Evidence: 1. Medication for child # 6 was administered on 7/23, 7/27 and 8/3 by staff person # 4. Staff person # 4 stated that she does not have MAT training. 2. The medication that was given to the child on three occasions states that the manufactures instructions are for adults to take two gummies prior to a sleep event. The authorization that is signed by the parent on 4/5/2021 is for a child's version of the medication and to receive three gummies prior to nap time. The child was given two adult gummies on three separate occasions. The child's date of birth is 12/23/2014.
Plan of Correction:	The medication will be reviewed with parent before left at center to ensure it is correct. The director and staff will obtain MAT training.
Standard #:	22VAC40-185-510-N
Complaint related:	No
Description:	Based on observation, the center failed to ensure that all medication was returned to the parent after the 14 days from the original authorization. Evidence: 1. The authorization was completed by the parent on 04/05/2021. On the day of the onsite inspection the medication was at the center and was administered three times after the authorization had expired.
Plan of Correction:	The director sent the medication home with the parent. All medications will be monitored for dates.
Standard #:	63.2(17)-1720.1-B-4
Complaint related:	No
Description:	Based on review of three staff's records, the center failed to ensure that all new hires had the out of state background checks for each state that the staff person has lived in, in the past five years. Evidence: 1. Staff # 3 was hired 1/19/2021 and on the day of the onsite inspection the staff person did not have the out of state CPS check and the out of state sex offender check.
Plan of Correction:	The director will have the staff to complete the form and will ensure that all out of state backgrounds are completed.