VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Two By Two Learning Center, Inc.
2499 W. Beverley Street
Staunton, VA 24401
(540) 213-2292

Current Inspector: Stephanie Reed (540) 272-6558

Inspection Date: Feb. 4, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-780 ADMINISTRATION. 8VAC20-780 STAFF QUALIFICATIONS AND TRAINING. 8VAC20-780 Physical plant. 8VAC20-780 STAFFING AND SUPERVISION. 8VAC20-780 PROGRAMS. 8VAC20-780 Special care provisions and emergencies. 8VAC20-780 SPECIAL SERVICES. 8VAC20-770 Background Checks (22VAC40-191) 22.1 Early Childhood Care and Education

Comments:

This inspection was conducted by licensing staff using a hybrid model protocol, including telephone contacts, documents review, interviews and an on-site inspection of the program. A renewal inspection was initiated on February 4, 2022 and concluded on February 7, 2022. The director was contacted by telephone and sent requested documentation for review. An onsite inspection was conducted February 7, 2022 from 10:00 a.m.-1:00 p.m. There were 61 children present, ranging in ages from three months to five years of age, with 10 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 five child records and eight 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. If you have any questions or concerns please contact the Licensing Inspector at 540-430-9257.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on review of staff records, the center failed to obtain all out-of-state background checks in the required time frame. Evidence: 1. Staff #4's sworn disclosure statement dated 08/16/2021 stated they had lived in one other state outside of Virginia within the last five years. 2.An out-of-state child abuse and neglect check was required to be sent out within 30 days of employment. There was not an out-of-state child abuse and neglect check completed for Staff #4. Date of hire for Staff #4 was 09/07/2021. An out-of-state child abuse and neglect check was required to be sent out by 10/07/2021. 3. Staff verified the date of employment for Staff #4 and that there was not an out-of-state child abuse and neglect check completed.
Plan of Correction:	Administration will immediately send off the additional out-of-state form required for Staff #4, and will ensure in the future all out-of-state forms are completed within the allotted timeframe. **Administration DID complete the FBI Fingerprints and the Central Registry Check for Virginia and Interstate Criminal background and Interstate sex offender check for #4's previous state in appropriate time frame.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the center failed to ensure that all hazardous materials were in a locked location. Evidence: 1. In the Infant/Toddler building in Classroom #2 the cabinet under the sink was not locked with the child lock mechanism. There was Clorox Disinfect wipes, Lysol Disinfectant Spray, and spray bottles with bleach water located in the cabinet. 2. Staff verified that the cabinet was not locked and contained cleaning supplies.
Plan of Correction:	Administration immediately locked the cabinet. Administration has reviewed regulations regarding the storage of hazardous materials with Classroom #2's teacher that day. **There were no students present in the classroom during the time that the cabinet was unlocked.
Standard #:	8VAC20-780-510-G
Description:	Based on review of medications, the center failed to ensure that medication was labeled with the dosage amount. Evidence: 1. Child 1M had an emergency medication that was not labeled with the dosage amount. 2. Staff verified that the medication was not labeled with the dosage amount.
Plan of Correction:	Administration immediately labeled the bottle with the recommended dosage stated on the doctor authorization form. Administration talked with the MAT trained staff responsible and went over regulations concerning the appropriate labeling of medications.