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Children of America - Lee's Hill, LLC
4555 Empire Court
Fredericksburg, VA 22408
(540) 898-8858

Current Inspector: Morgan Bryson (540) 270-0057

Inspection Date: April 29, 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.
8VAC20-820 THE LICENSE.
22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:
"Boppy" Pillow Loungers were recalled in September 23, 2021 and shall not be used. The item should be removed from the center immediately.

You can sign up for recall alerts at www.cpsc.gov

Discussed with the director: spacing between cots/cribs, medication requirements, immunizations, physical requirements

Comments:
An unannounced monitoring inspection was conducted beginning at 11:30 a.m. with the director. There were 96 children in care ranging in age 4 months through 11 years old under the care and supervision of 14 staff. Infants were observed napping and being fed. Toddlers, two year olds, three year olds and preschoolers were observed during rest time. School agers had early release from school and were observed during an arts and crafts activity, painting. Classrooms, supplies and materials were observed. Documentation was reviewed including seven children's records and six staff records. Three medications and authorizations were reviewed.
Information gathered during the inspection determined non-compliances with applicable standards or laws and violations were documented on the violation notice issued to the program.
If you have questions regarding this inspection, contact Stephanie Reed at Stephanie.Reed@doe.virginia.gov

Violations:
Standard #: 8VAC20-780-130-E
Description: Based on review of documentation, the center did not obtain documentation of additional immunizations as required. Evidence: Child #6, date of birth 7/16/2013, first day of attendance 10/13/2021, most recent immunization was dated 12/4/2013.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-140-B
Description: Based on review of documentation, the center failed to obtain documentation of a physical within the required time period. Evidence: A physical on file for a child age enrolled on 10/13/2021 physical was dated 12/4/2014 and was not within the 12 months prior to attendance.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-440-E
Description: Based on observation, not all occupied cots were at least 12 inches apart as required. Evidence: In the Preschool I class, cots were positioned closely and children's blankets were observed touching.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-440-J
Description: Based on observation, there was not at least 12 inches of space between occupied cribs. Evidence: In the infant b room, two infant cribs were occupied and touching, side by side.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-450-A
Description: Based on observation, not all cots used by children during the designated rest period had linens that consisted of a top cover and bottom cover. Evidence: In the Preschool II B classroom, two children were observed during nap without bottom covers. In the Preschool I classroom, one child was observed without a bottom cover.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-500-B
Description: Based on observation, not all diapering areas were equipped with a leak proof receptacle for soiled linens. Evidence: In the infant room, there was a mesh bag used for soiled linens that is not leak proof. In the Toddler A classroom, the diapering area had no leak proof receptacle for soiled linens.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-510-E
Description: Based on staff interview and review of documentation, it was determined that the center did not following it's procedure for medication. Evidence: Prescription Nystatin was observed in the center and did not have parental authorization.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-510-G
Description: Based on observation, not all prescription medication was labeled with the child's name and medication label. Evidence: A tube of prescription Nystatin was located in the drawer with diaper ointments.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-570-A
Description: Based on observation, not all protective belts on infant seats were fastened securely. Evidence: In the infant classroom, a 5 month old was observed in an infant seat without the protective belt secured. The drop in feeding table had one seat that was equipped with straps and the other seats were missing the straps.

Plan of Correction: Not available online. Contact Inspector for more information.

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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