VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Cynthia's Child Care Center LLC
100 North Carter Street
Suite 8 & 10
La crosse, VA 23950
(434) 253-3052

Current Inspector: Cindy Horne (804) 297-4469

Inspection Date: Feb. 24, 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)

Comments:

This inspection was conducted both on-site and using an alternate remote protocol, including documents review. A renewal inspection was initiated on-site on February 24, 2022 and concluded virtually February 25, 2022. There were 18 children present, ranging in ages from 11 months to 5 years, with 7 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 2 child records, 1 staff record, and 1 owner record 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. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	8VAC20-770-60-C-2
Description:	Based on a review of staff records and interview, on February 25, 2022, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: The record of staff #1, hired on 11/15/21, did not contain documentation of results of a central registry check. Administration acknowledged the application was returned to the center due to an error and needs to be mailed again.
Plan of Correction:	Mailed again on 2/25/22.
Standard #:	8VAC20-780-130-E
Description:	Based on record review, the center did not ensure to obtain documentation of immunizations once every six months for children under the age of two years. Evidence: The record of child #2 (DOB 2/26/21) contained documentation of immunizations dated 7/13/21.
Plan of Correction:	The parent explained the child could not get his required shots because he had RSV and covid.
Standard #:	8VAC20-780-150-B
Description:	Based on a review of records on February 25, 2022, the center did not ensure that physical examinations and dates immunizations received shall be signed by a physician, his designee, or an official of the local health department. Evidence: The record of child #2 contained documentation of a physical and immunizations that were not signed by a physician, his designee, or an official of a local health department.
Plan of Correction:	The child has a Dr. appointment for March 2022.
Standard #:	8VAC20-780-160-A
Description:	Based on a review of staff records, the center did not ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record of staff #1, hired on 11/15/21, contained documentation of a tuberculosis screening dated 2/23/22.
Plan of Correction:	To ensure that all new hires have the TB screening prior to coming in contact with children.
Standard #:	8VAC20-780-260-B
Description:	Based on a review of records and interview, the center did not ensure annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for water supply, sewage disposal system, and food service, if applicable. Evidence: The most recent health inspection report is dated 10/16/20. Administration acknowledged the inspection is overdue.
Plan of Correction:	Will continue to call until I can get an inspection.
Standard #:	8VAC20-780-500-A
Description:	Based on observation and interview on February 25, 2022, the center did not ensure that staff and children's hands shall be washed with soap and running water after a diaper change. Evidence: After diapering, Staff #1 was observed to not wash their hands and a child's hands with soap and running water. Staff #1 acknowledged hand washing was not completed after diapering.
Plan of Correction:	All staff was reminded of diapering procedures.
Standard #:	8VAC20-780-500-B
Description:	Based on observation and interview on February 25, 2022, the center did not ensure a nonabsorbent surface for diapering or changing is used. Evidence: In the diaper changing area there were three changing pads observed to have several tears and holes which exposed the inner foam of the pad, which no longer makes the surface nonporous.
Plan of Correction:	The pad has been replaced.
Standard #:	8VAC20-780-550-D
Description:	Based on a review of records and interview on February 24, 2022, the center did not ensure to implement a monthly practice evacuation drill. Evidence: There was no documentation of a fire drill being practiced in January 2022. Administration confirmed the drill was not conducted.
Plan of Correction:	To continue the monthly drills.
Standard #:	8VAC20-780-560-J
Description:	Based on observation and interview on February 25, 2022, the center did not ensure tables and high chairs are sanitized using a spray disinfectant solution before and after each use for feeding. Evidence: After lunch, a volunteer was observed using disinfectant wipes to sanitize high chair trays. Administration acknowledged the wipes were being used.
Plan of Correction:	All staff was instructed to use only soap water and bleach to clean and disinfect