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: May 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. ? 8VAC20-770 Background Checks (8VAC20-770) ? 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced on-site monitoring inspection was conducted on 5/24/2022. There were 26 children, ages 8 months-4 years, and 5 staff members and the director present during the inspection. The inspector observed the following: morning, snack, free choice activities, diaper changing, and story time. A total of 4 children?s records and 4 staff records, were reviewed. The inspector discussed the following with staff: attendance requirements, director qualifications and having the transcripts sent to the LI. The inspectors arrived at 10 AM and departed at 12:12 PM. Kelly Campbell Licensing Inspector Office of Child Care Health and Safety Division of Early Childhood Care and Education Phone# 540-309-2494 Kelly.campbell @doe.virginia.gov

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on review of four 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 # 1 had a documented hire date of 05/10/2022 and on the day of the inspection did not have a fingerprint letter of eligibility.
Plan of Correction:	The director stated that she had a background check completed from the local college the staff person was attending. The staff person will be sent to do the finger print that is required per the Code of Virginia.
Standard #:	8VAC20-780-140-A
Description:	Based on review of four 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 # 2 started the program on 11/22/2021 and on the day of the inspection there was no documentation of the physical examination report.
Plan of Correction:	Records will be reviewed and all missing items will be completed or obtained by the parent.
Standard #:	8VAC20-780-160-A
Description:	Based on of four staff?s records, the center failed to ensure that all staff had a TB screening or test within the last 30 calendar days of the date of employment and signed by physician or designee. Evidence: 1. Staff # 4 did started on 3/18/2022 and was working on the day of the inspection without a TB screening or test.
Plan of Correction:	The staff person will be sent for a TB ASAP. All new staff will have the TB prior to starting work and coming into contact with children.
Standard #:	8VAC20-780-40-K
Description:	Based on interviews with the director, the center failed to ensure that they developed a written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Based on review of four children?s records the center failed to ensure that all records were complete per the standard. Evidence: 1. Child # 1 did not have allergies, chronic physical problems and previous child care completed on the enrollment form by the parent or the guardian. 2. Child # 2 was missing physician?s phone number and address for the two required emergency contacts. 3. Child # 3 did not have chronic physical problems and allergies, one of the two required emergency contacts and physician?s name and contact phone number completed on the enrollment form. 4. Child # 4 was missing the address for one of the two emergency contacts, previous child care, physician?s phone number and chronic physical problems and allergies from the enrollment form.
Plan of Correction:	Records will be reviewed and all missing items will be completed or obtained by the parent.
Standard #:	8VAC20-780-70
Description:	Based on review of four staff?s records, the center failed to ensure that all required item per the standard. Evidence: 1. Staff # 1 did not have a documented job title, and the two required references. 2. Staff # 4 did not have the two required references.
Plan of Correction:	All records will be reviewed and completed.
Standard #:	8VAC20-780-80-A
Description:	Based on review of the attendance and interviews with staff, the center failed to ensure that for each grouping of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. Upon arrival into the center at 10 AM. The toddler class did not have the daily attendance completed for the 12 children present in that classroom. 2. Verified with staff # 1 that attendance has not been completed as of 10 am on the day of the inspection.
Plan of Correction:	The director will look at the model form on the DOE website and will remind staff to take attendance as it occurs.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the center failed to ensure that all chemicals were locked in a way that prevents entry. Evidence: 1. In the infant room the locking method did prevent entry into the cabinet where all of the chemicals are stored. The LI could pull the door open when the lock was in place. 2. A spray can of disinfectant was stored on the diaper changing table. At the time diaper was not occurring.
Plan of Correction:	The center will have a new lock add to the cabinet to ensure that all chemicals are locked when not in use.
Standard #:	8VAC20-780-340-D
Description:	Based on review of staff records and observation, the center failed to ensure that each grouping of children had a program lead present. Evidence: 1. Staff # 4 was working in the infant room as the program leader. She was the only staff present in that classroom. She did not meet the educational and experience requirements for the position of program leader per the standard requirements.
Plan of Correction:	The program director will work on having staff to obtain the training necessary for the position.
Standard #:	8VAC20-780-350-C
Description:	Based on observation of the main floor, the center failed to ensure that when all children are in ongoing mixed age grouping, the staff to children ratio is applicable to the youngest child in the group shall apply to the entire group. Evidence: 1. Upon arrival at 10 A.M. Into the center the Inspectors observed 12 children in a mixed ongoing grouping of children. There were 12 children ages 19 months -3 years with 2 staff. The required ratio is one staff per five children. This grouping of children required four staff.
Plan of Correction:	Director will look at schedule and hire as needed to meet the required ratio.
Standard #:	8VAC20-780-420-E-1
Description:	Based on review, and interviews with staff, the center failed to ensure that each infant in care had a daily infant log. Evidence: 1. Verified with staff # 4 that infant logs for the four infants in care have not been completed since May 2, 2022.
Plan of Correction:	More logs will be printed and used daily for each infant.
Standard #:	8VAC20-780-500-A
Description:	Based on observation of a diaper change, the center failed to ensure that all handwashing procedures were followed according to the standard. Evidence: 1. Observed staff # 4 changing an infant. The staff person finished changing the child, place the child on the ground. She then removed her gloves and started to clean the high chair trays and placed used bottles back in the diaper bag. The staff person did not wash her hands after changing a diaper.
Plan of Correction:	The director will review all standards that apply to infants and will ensure they are met.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, center failed to ensure that all diapering procedure were followed according to the standard. Evidence: 1. The second changing pad that is being used had tears in the pad. The diaper changing pad is to be non-absorbent surface.
Plan of Correction:	A new changing pad will be purchased and will be monitored.
Standard #:	8VAC20-780-540-C
Description:	Based on review of the first aid kit for both floors, the center failed to ensure that all required items were in the kit. Evidence: 1. The first aid kit upstairs was missing the following: tweezers, thermometer, cold packs, tape, triangular bandages, scissors, and antiseptic. 2. The downstairs first aid kit was missing the following: tweezer, thermometer, band aids, scissors, triangular bandages and tape.
Plan of Correction:	Supplies will be purchased to ensure all kits are complete.
Standard #:	8VAC20-780-550-G
Description:	Based on review and interviews, the center failed to ensure that all emergency drills were documented. 1. The center could not produce the emergency drill log. No drills were reviewed on the day of the inspection.
Plan of Correction:	The director stated that the logs might be at her house. She has been working getting organized and took items home. She will make sure that it is returned and all drills are documented as they occur.
Standard #:	8VAC20-780-570-B
Description:	Based on observation, the center failed to ensure that bottles are not in the designated sleeping location. 1. Observed child # 5 sleeping in a crib with a bottle next to his mouth.
Plan of Correction:	The director will review all standards that apply to infants and will ensure they are met.
Standard #:	8VAC20-780-570-B
Description:	Based on observation, the center failed to ensure that bottles are not in the designated sleeping location. 1. Observed child # 5 sleeping in a crib with a bottle next to his mouth.
Plan of Correction:	The infant room staff will ensure that all prepared bottles are labeled and dated.