VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Heavenly Hands Early Learning Center
2800 Hill Street
Lynchburg, VA 24501
(434) 386-8082

Current Inspector: Kelly Campbell (540) 309-2494

Inspection Date: Dec. 16, 2021

Complaint Related: No

Areas Reviewed:

8VAC20-780 ADMINISTRATION. 8VAC20-780 STAFFING AND SUPERVISION. 22.1 Early Childhood Care and Education

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program. A monitoring inspection was initiated on 12/01/2021 and concluded on 12/16/2021. The director was contacted by email to initiate the inspection. There were 20 children present and 4 staff. The inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed 3 children?s records and 2 staff records, along with any requested program records submitted by the facility to determine if required documentation was complete. New requirements became effective on October 13, 2021. The facility has not yet complied with the following requirements: written procedures for prevention of shaken baby, abusive head trauma, coping with crying babies, safe sleeping practices and SIDS awareness. The facility is to review the new requirements and work with their assigned inspector to ensure future compliance. Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	22.1-289.036-A
Description:	Based on review of two staff's records, the center failed to ensure that no person shall be hired for compensated employment prior to the enter obtaining an employment eligibility letter upon completion of a fingerprint background check as required by the Code of Virginia. Evidence: 1. Staff # 2 had a documented hire date of 12/7/2021 and on the day of the inspection did not have a fingerprint letter of eligibility.
Plan of Correction:	The director will obtain the missing background check and will make sure that all staff's records are kept in a folder together.
Standard #:	22.1-289.036-B-1
Description:	Based on review of two staff's records, the center failed to ensure that all the required questions were answered on the sworn statement. Evidence: 1. Staff # 1 completed the sworn statement on 4/26/2021 and questions 1-4 were not answered on the sworn statement.
Plan of Correction:	The director will have the staff person to complete the form and resign the form. All forms will be looked over when completed.
Standard #:	8VAC20-780-130-A
Description:	Based on review of three children's records, the center failed to ensure that the required immunization was obtained prior to starting the program. Evidence: 1. Child # 3 started the program on 5/19/2021 and on the day of the inspection there were no documentation of the immunization record.
Plan of Correction:	The director will obtain the missing immunizations ASAP. The program director will make sure all records are complete.
Standard #:	8VAC20-780-140-A
Description:	Based on review of three children's records, the center failed to ensure that the required physical examination was obtained within 30 days of starting the program. Evidence: 1. Child # 3 started the program on 5/19/2021 and on the day of the inspection there was no documentation of the physical examination report. 2. Child # 1 started the program on 8/19/2021 and on the day of the inspection there was no documentation of a physical examination report.
Plan of Correction:	The physical examinations will be obtained and will be monitored.
Standard #:	8VAC20-780-60-A
Description:	Based on record review and discussion with staff, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards. Evidence: The record for Child 3 did not contain the following information: phone number of child?s physician and physician's; fathers' information; health information as required by 8VAC20-780-130; previous child care and schools attended by the child; name of any additional programs or schools that the child is concurrently attending. 2. The record for Child 1 did not contain the following information: name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses were incomplete and there were not phone numbers provided for the designated people); allergies and intolerance to food, medication, or any substances and actions to take in an emergency situation.
Plan of Correction:	The director will obtain the missing information for the children's records. All records will be reviewed.
Standard #:	8VAC20-780-70
Description:	Based on record review, observation and discussion with staff, the center failed to ensure that the record for each staff member shall contain all of the elements as required by the standards. Evidence: 1. The record for Staff 1 did not contain the following information: verification of age requirement; name, address and telephone number of a person to be notified in an emergency; and documentation that two or more references as to character and reputation as well as competency were checked before employment (there was only one reference available for review). The record also did not contain the start date, and job title. 2. 2. The record for Staff 2 did not contain the following information: verification of age requirement; name, address and telephone number of a person to be notified in an emergency; start date, and job title.
Plan of Correction:	The staff's records will be completed ASAP. All information is obtained and will be kept in a staff's folder.
Standard #:	8VAC20-780-350-C
Description:	Based on observation during a virtual inspection and through discussion with the program director, the center failed to ensure that ratio was met for a mixed age grouping of children. Evidence: 1. Observed in the infant room there were five infants/toddlers in care with staff member # 1. The ages of the children were four toddlers at one year and one infant at 7 months. The program director confirmed that the other staff person was out that day.
Plan of Correction:	The director will make sure that all groupings of children meet the required ratio.