VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Children Are Special Christian Day Care Center, Inc.
28365 Hillman Highway
Meadowview, VA 24361
(276) 944-3175

Current Inspector: Angela Farmer (276) 608-2283

Inspection Date: Nov. 8, 2021

Complaint Related: No

Areas Reviewed:

8VAC20-780 ADMINISTRATION. 8VAC20-780 Physical plant. 8VAC20-780 Special care provisions and emergencies. 8VAC20-780 SPECIAL SERVICES.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews. A monitoring inspection was initiated on 11/8/2021 and concluded on 11/10/2021. The director was contacted by telephone and a virtual inspection was conducted. There were seven children present, ranging in ages from three years to five years, with two staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of three child records and one staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. New requirements became effective on 10/13/21. The facility has not fully complied with the following requirements: 8VAC20-780-40-K - written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. 8VAC20-780-40-L - inform all staff who work with children of children's allergies, sensitivities, and dietary restrictions. 8VAC20-780-240-C,D: These new items, in addition to previous orientation requirements, need to be included in orientation prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities: Prevention of sudden infant death syndrome and use of safe sleep practices; Prevention of shaken baby syndrome and abusive head trauma, including procedure to cope with crying babies or distraught children, Prevention of and response to emergencies due to food and other allergic reactions including: Recognizing the symptoms of an allergic reaction; Responding to allergic reaction; Preventing exposure to the specific food and other substances to which the child is allergic and Preventing cross contamination; Precautions in transporting children 8VAC20-780-240-E - Within 30 days of the first day of employment, staff must complete orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. 8VAC20-780-350- F - The center shall develop and implement a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff or team of staff members. 8VAC20-780-530 - At least one staff in each classroom or area where children are present shall have current first aid and CPR certification AND two staff with first aid and CPR certification must be on the premises during the center's hours of operation 8VAC20-780-580 Transportation and field trips The facility is to review the new requirements and work with their assigned inspector to ensure future compliance.

Violations:

Standard #:	8VAC20-780-140-A
Description:	Based on review of children's records the center failed secure a physical for a child within one month after attendance. Evidence: 1. Child #1 entered care 8/11/2021 and does not have a physical on file.
Plan of Correction:	The director has contacted the guardian and requested that a physical be obtained on this child.