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Creme de la Creme
44799 Saranac Street
Ashburn, VA 20147
(571) 510-7700

Current Inspector: Stacy Doyle (571) 835-0386

Inspection Date: Feb. 15, 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.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks (22VAC40-191)
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect

Comments:
An unannounced renewal inspection was conducted on 2/15/2022. At the time of entrance, 66 children were in care with 25 staff members present. Children were observed during circle time, painting, learning other languages, coloring, washing hands and playing. The site was clean, organized and contained a supply of developmentally appropriate materials. Interactions between the children and staff were positive. A selection of staff and children records, the physical space, emergency supplies, evacuation drills, attendance records, injury prevention plan, medications and the Emergency Preparedness Plan were reviewed. Areas of non- compliance are identified in the violation notice. Please contact me if you have any questions at Stacy.Doyle@doe.virginia.gov or 571-835-0386.

Violations:
Standard #: 8VAC20-780-140-A
Description: Based on review of five children's records, the center did not have documentation of a physical in each child's file prior to or within 30 days of first attendance.
Evidence:
1. Child #3 (start date 8/26/2019) did not have a physical on file.

Plan of Correction: During the inspection the parent was contacted. Parent is working with Doctor to get the school. Parents has since returned a physical to the school on 2/17/2022.

Standard #: 8VAC20-780-50-A
Description: Based on observation, Staff and children's records were not kept confidential.
Evidence:
1. The Supplemental page dated 8/26/2021 was posted on the parent bulletin board and is considered confidential.

Plan of Correction: During the inspection the Supplemental page was moved from the posting site by the Director. The Director did talk with the representative about the importance of not posting confidential information.

Standard #: 8VAC20-780-270-A
Description: Based on observation, Areas inside and outside of the center were not maintained in a safe and operable condition.
Evidence:
1. The playground surface has a large area missing approximately 8 inches by 8 inches that was creating a tripping hazard.
2. In the Preschool 2 classroom, the paint was chipping near the home living center and under a board in the classroom.

Plan of Correction: Maintenance reports were created for these two items. The order for the playground was created on 2/7/2022y. The order for the chipped paint was created on 2/15/2022. Both of these work orders will be completed by 4/1/2022.

Standard #: 8VAC20-780-280-B
Description: Based on observation, potentially hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1. In the Toddler 2A classroom, a sanitize solution was kept in an unlocked cabinet above the changing table,
2. In the Transitional Toddler classroom, a disinfectant spray was on top of the counter. There was also a disinfectant spray in an unlocked cabinet above the changing table.
3. In the Infant Classroom, 4 cleaning supplies were in an unlocked cabinet above the changing table.

Plan of Correction: During the inspection the sanitizer left on the sink was put away and locked under sink during inspection. The hazardous substance that was in the cabinet out of children's reach above the diaper changing table has been locked away. During the inspection locks were ordered and placed on the cabinets on 2/16/2022. Teachers were retrained on how to properly store hazardous materials.

Standard #: 8VAC20-780-280-H
Description: Based on observation, a purse was accessible to children.
Evidence:
1. In the Toddler 3C classroom, a purse was hanging on a hook that the children could reach.

Plan of Correction: During the inspection the purse was locked away in the teacher cabinet. The Director has retrained all staff how and where to store personal items in the classroom so they are always out of reach of the children.

Standard #: 8VAC20-780-500-B
Description: Based on observation, the center was not using a foot operated disposal storage system or using one that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal.
Evidence:
1. In the Transitional Toddler classroom, the trash can near the changing table was not foot operated and had a swinging lid top to put the diapers in.

Plan of Correction: During the inspection the teacher opened a cabinet under the sink and removed the foot operated trash can that should be used for proper disposal of diapers in the classroom. The Director has made sure that all diaper changing rooms have a foot operated trash can and teachers know that they should be used at all times.

Standard #: 8VAC20-780-510-P
Description: Based on review of medication, the center did not dispose of medication when an authorization for medication expired and the parent did not renew the authorization or pick it up within 14 days.
Evidence:
1. Child #2 had a medication at the center with an authorization dated 12/16/2021.

Plan of Correction: Due to the medication being an Epi-pen we did keep the medication onsite. On 2/15/2022 the parents were notified that we need a doctor's signature for the authorization form in order to keep the Epi-pen on site for up to one year.

Standard #: 8VAC20-780-520-C
Description: Based on observation, the center did not meet all the requirements if diaper ointment is used.
Evidence:
1. In the Toddler 3C classroom, 5 diaper ointments were located in a lower cabinet under the changing table within reach of children. The cabinet was not locked during the inspection.

Plan of Correction: During the inspection the diaper cream was moved to a locked cabinet above the diaper changing station out of reach of children. Teachers were retrained on how to properly store diaper ointments in the classroom.

Standard #: 8VAC20-780-550-D
Description: Based on record review, the center did not implement a monthly practice evacuation drill.
Evidence:
1. The centers drill record was missing drills the month of March 2021 through August 2021. Staff A confirmed there was no record of drills for those months.

Plan of Correction: During the inspection staff A produce a drill log with monthly drills from September 2021 onward to show that the center is aware of the importance of monthly drills. Monthly drills will continue to be done and logged in the drill book.

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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