VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Dawning Point Learning Center
15 Kingsland Drive
Stafford, VA 22556
(540) 659-9227

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: Feb. 28, 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

Technical Assistance:

The final regulation to amend Standards for Licensed Child Day Centers (22VAC40-185, now 8VAC20-780) to address federal health and safety requirements will become effective on October 13, 2021. The final regulation can be found at https://www.doe.virginia.gov/cc/files/final-8vac20-780.pdf. Provided consultation on: 1) adult volunteers in the classroom 2) updated orientation requirements 3) daily activities for infants including: A. play spaces that offer: a) room for extensive movement b) a diversity of sensory and perceptual experiences c) equipment and toys that support large and small motor development B. stimulation and language development activities including, but not limited to, reading, talking to, showing pictures to, naming objects for, playing with and engaging in positive interactions (such as smiling, cuddling, and making eye contact with infants 4) connecting with an Infant and Toddler Specialist (https://va.gapitc.org/)

Comments:

An unannounced monitoring inspection was conducted from 10:45 am - 12:45 pm with staff. Records were reviewed virtually off site. There were 41 children, ranging from three months to five years of age, present with eight staff supervising. Children were observed playing outside on the playground, having free play, and listening to a story. Three children's records, five staff records, and four medications and authorization forms were reviewed. Areas of the center inside and outside were observed. The last documented evacuation drill was on: 1/31/22; the last documented shelter-in-place drill was on: 6/24/21; and the last documented lock down drill was on: 3/4/21. Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the violation notice, and then return a signed and dated copy to the licensing office by 4:00pm on Monday, 3/21/2022. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on review of five staff records, it was determined that out of state background checks were not completed as required. Evidence: The record for staff #3, (date of hire: 2/9/2022) who indicated they lived out of state in the past five years, did not contain documentation of an Out Of State Sex Offender Registry check prior to employment.
Plan of Correction:	Staff #3 has been employed under 30 days. Her out of state background check is being requested currently.
Standard #:	8VAC20-770-60-C-2
Description:	Based on review of five staff records, it was determined that not all staff had Central Registry Search results within thirty days of employment. Evidence: the record for staff #2 (Date of hire: 11/19/2021) did not have documentation of a Central Registry search report on file.
Plan of Correction:	Staff #2 is no longer employed by Dawning Point.
Standard #:	8VAC20-780-150-B
Description:	Based on review of three child records, it was determined that not all records contained acceptable forms of documentation of physical examinations and dates of immunizations. Evidence: the records for child #1, #2 and #3 did not have documentation of immunizations signed by a physician, his designee, or an official of a local health department. The record for child #3 did not have documentation of a physical exam signed by a physician, his designee, or an official of a local health department.
Plan of Correction:	Management has requested a new immunization record with a signature for these students and have been retrained that a printout from a physician's office will not suffice- it must include a signature.
Standard #:	8VAC20-780-160-A-1
Description:	Based on review of five staff records, the facility did not have documentation of a tuberculosis (TB) test/ screening for all staff prior to employment. Evidence: the record for staff #1 (date of hire: 10/22/22) had a TB test/screening dated: 10/25/22. The record for staff #2 (date of hire: 11/19/22) had a TB test/screening dated: 11/21/22.
Plan of Correction:	Management has been retrained on staff "hire" dates. In these files, the date of hire listed was incorrect- it was the date orientation in the office (without children)- not the date the staff members started working. Both staff members began working with children after their TB test.
Standard #:	8VAC20-780-60-A
Description:	Based on review of three child records, it was determined that not all records contained all required information. Evidence: the record for child #1 did not contain the name or phone number for a physician or the names, addresses and phone numbers for two emergency contacts
Plan of Correction:	Child #1 physician's name and phone number is noted on the first page of his/her physical. Dawning Point has requested emergency contact information from his/her guardian to be remitted no later than March 21.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, and an interview with staff, the facility failed to ensure that all areas of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1) there is a chain link fence surrounding a tree on the playground that is broken and has loose chains with exposed ends that are sharp 2) there were numerous pieces of trash on the playground 3) there was a broken wagon on the playground 4) the wood fence surrounding the playground has cracks, broken pieces of wood, and deteriorating wood in places 5) the gate in the wood fence has exposed nails, has separated from the fence post and is not secure 6) the play vehicle on the playground has chipped and peeling paint and splintered deteriorating wood
Plan of Correction:	We are having the playground fencing replaced by Fredericksburg Fences. The representative stated that there will be a two week turnaround on the quote due to the backup of repairs from the previous storm in our area. The playground is being cleaned and the broken equipment removed this week by subcontractors after hours. That same subcontractor will evaluate if the play vehicle can be repainted or must also be replaced.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, not all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: there was a bottle of bleach water solution in an unlocked cabinet in the school age and four's classrooms.
Plan of Correction:	The lock has been replaced.
Standard #:	8VAC20-780-320-B
Description:	Based on observation, the facility failed to ensure that all restrooms were equipped as required. Evidence: 1) there was no toilet paper in one of the the bathrooms in the 4's classroom 2) the toilet paper was not accessible to the children in the bathroom in the 2's classroom 3) there were no paper towels in the bathroom in the 2's classroom
Plan of Correction:	Staff has been reminded that the toilet paper and paper towels must be accessible to children and can not be handed to them when they need it-to prevent waste. Staff agrees to teach their students how to properly use these materials.
Standard #:	8VAC20-780-340-A
Description:	Based on observation, the facility did not ensure the care, protection and guidance of children in care. Evidence: five cribs being used by infants had sheets that were not tight fitting and allowed material to gather on the surface of the mattress presenting a suffocation or strangulation hazard. One infant, (11 months old) was observed sleeping on their stomach with a blanket over their head. When the LI asked staff to remove the blanket staff stated that the child likes to sleep that way.
Plan of Correction:	The infant room staff were retrained of "SIDS & Sleep Safe" practices via Zoom on March 1st at noon. All staff were given the opportunity to ask questions and receive clarity on any of the current students. Crib sheet clips were ordered from Amazon on March 1st to be used on any of the loose fitting crib sheets.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, it was determined that hand washing procedures weren't followed as required. Evidence: 1) an infants hands were not washed with soap and water after a diaper change. 2) a teacher in the 2's class failed to wash hands after contact with bodily fluids when helping a child use a tissue to blow their nose.
Plan of Correction:	All staff will be retrained on proper diaper changing procedures to include handwashing and proper disposal of diapers as well as cleaning of diapering surfaces on March 21 via Zoom.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, it was determined that not all diapers were disposed of in a leakproof/plastic lined storage system that is used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: staff placed a soiled diaper on top of the diaper disposal system while dressing the child and cleaning the changing pad. Staff then disposed of the diaper outside, pushing the door open with their hand.
Plan of Correction:	All staff will be retrained on proper diaper changing procedures to include handwashing and proper disposal of diapers as well as cleaning of diapering surfaces on March 21 via Zoom.