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Creative Childcare
10817 Tidewater Trail
Fredericksburg, VA 22408
(540) 371-8770

Current Inspector: Laura Brindle (540) 905-2062

Inspection Date: Sept. 15, 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.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Technical Assistance:
HB1823 adds ? 22.1-289.058 to the Code of Virginia. This bill requires all licensed child day programs and religiously exempt child day centers, certified preschools, family day system homes and certain other programs that serve preschool-age children operating in a building built before 2015 to be equipped with at least one carbon monoxide detector.

The final regulation to amend Standards for Licensed Child Day Centers (22VAC40-185, now 8VAC20-780) to address federal health and safety requirements will become effective on October 13, 2021. The final regulation can be found at https://townhall.virginia.gov/L/ViewXML.cfm?textid=15030.

Discussed VDSS Standard 490-E/VDOE Standard 8VAC20-780-490-E: Preventing the spread of disease. Children should be washing their hands before leaving the restroom rather than touching areas of the classroom before washing as staff will not always be able to clean and disinfect behind children right away.

Comments:
An unannounced renewal inspection was conducted today from 12:30pm to 3:15pm with the Director and program staff. There were 30 children in care, ranging from two-months-old to 12-years-old, supervised by four staff. The children were observed getting ready for nap, napping, arriving from public school for an early dismissal, and having free play. Three children?s records and two staff records were reviewed. The Center has all staff but one new hire with current certification in CPR and First Aid, and all staff trained in Daily Health Observation Training. The director reported no medications on site today but three staff have current certification in Medication Administration Training (MAT). The attendance and emergency drill log were reviewed. The first aid kit, flashlight, and battery operated radio were observed. The most recent Fire Inspection on file was dated 7/26/21 and the most recent Health Inspection on file was dated 1/15/21. If you have questions regarding this inspection, please contact the Licensing Inspector, Laura Brindle, at laura.brindle@doe.virginia.gov or 540-905-2062.

Please complete the "Plan of Correction" and "Date to be Corrected" areas on the Violation Notice for each violation cited and return to me by close of business on 9/21/21. Plans of correction should include steps to correct the noncompliance with the standard, and measures to prevent the noncompliance from occurring again.

Violations:
Standard #: 22VAC40-185-270-A
Description: Based on observation, equipment of the center was not maintained in a safe condition. Evidence: 1. On the 3rd playground there were two large plastic play structures for the children that had cracks in the plastic making them scratching or pinching hazards. 2. On the 4th playground there was a plastic rocking toy that had large cracks on either side that posed a scratching hazard.

Plan of Correction: The rocking toy was removed from the playground during the inspection. The two larger structures will be removed from the playground tomorrow.

Standard #: 22VAC40-185-320-B
Description: Based on observation and interviews, each restroom provided for children was not equipped with soap and disposable towels or an air dryer within reach of children. Evidence: 1. In the Preschool and School Age classrooms the restrooms for the children did not have soap or disposable towels or air dryers available to children. 2. In the Preschool classroom a child was observed using the restroom and coming back into the classroom to wash their hands, thus contaminating the door knob of the restroom.

Plan of Correction: Soap and water are available outside of the bathroom for small children to avoid playing with water and flooding the bathroom. Clorox wipes are being used to wipe down bathroom door handles. In addition, soap and disposable towels have been place inside the restrooms.

Standard #: 22VAC40-185-370-5
Description: Based on review of documentation and interview, infants who cannot turn themselves over did not have 30 minutes of tummy time each day to facilitate upper body strength and to address misshapen head concerns. Evidence: 1. Infant A, who is two-months-old, did not have documentation of tummy time on their daily sheet when the Licensing Inspector entered the classroom on 9/15/21. 2. When asked about tummy time for Infant A, the staff stated that the child is recovering from bronchitis so they have not been doing much tummy time.

Plan of Correction: The staff member documented tummy time during the inspection. We will ensure that infants are receiving the full amount of tummy time and documenting it moving forward.

Standard #: 22VAC40-185-500-B
Description: Based on observation, disposable diapers were not disposed of in a leak-proof or plastic-lined storage system. Evidence: The trashcan located by the changing table in the Preschool classroom had multiple dirty diapers but there was no plastic liner in the trashcan.

Plan of Correction: We will make sure that all trashcans have plastic liners moving forward.

Standard #: 22VAC40-185-560-F
Description: Based on review of documentation and interview with the provider, the center did not ensure that a menu listing foods to be served for meals and snacks during the current one-week period was posted or given to parents. Evidence: A menu posted for three weeks of September documented only the main component of the meal for breakfast and lunch and did not list the vegetables, fruit, or snack served each day.

Plan of Correction: We will be sure to post a full menu moving forward.

Standard #: 63.2(17)-1720.1-B-4
Description: Based on review of staff records, the center did not obtain the results of a sex offender registry check or central registry check from all states in which current staff members have resided within the past five years by December 31, 2020, as required. Evidence: The driver's license on record for Staff A documented a Maryland home address and the sworn statement signed by Staff A on 12/14/18 indicated that Staff A had lived in Maryland within the past five years. There were no out-of-state background checks for Maryland on record for Staff A.

Plan of Correction: Staff has a current Virginia central registry and sex offender check. A Maryland background form has been mailed out.

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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