VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Rush All Aboard
550 North Main Street
Emporia, VA 23847
(434) 634-0302

Current Inspector: Rene Old (757) 404-1784

Inspection Date: June 6, 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. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Changes to the CDC standards effective 10/13/2021 discussed. The recording outlining these changes can be viewed at the Child Care VA website. Discussed individual space for children's belongings for infants. Discussed safe sleep / pillows are not allowed for children under the age of two years.

Comments:

An unannounced monitoring inspection was conducted on 06/06/2022 from12:20 pm - 2:45 pm. At the time of entrance 24 children were in care with 3 staff during a nap time inspection. Records were reviewed for 3 children and 2 staff. Violations were found in the areas of staff background checks, administration, physical plant, staffing and supervision, programs, and special services. These violations were reviewed with administrative staff during the inspection and are listed on the violation notice.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on record review and interview, the center failed to ensure that staff shall submit to fingerprinting prior to employment. Evidence: 1. Staff 1, hire date 05/25/2022, lacked the results of a fingerprint background check. a. Staff 1 was working with children on the day of the inspection. 2. Administrative staff confirmed that a fingerprint background check had not been obtained for staff 1.
Plan of Correction:	Staff 1 made an appointment with field print on 06/06/2022. The results were received on 06/08/2022. In the future, all new staff will have this background check prior to working with children.
Standard #:	8VAC20-770-60-B
Description:	Based on record review and interview, the center failed to ensure that an employee or volunteer of a licensed or registered child day program must not be employed or provide volunteer service until the agency has the person's completed sworn statement or affirmation. Evidence: 1. Staff 1, hire date 05/25/2022, lacked a completed sworn statement or affirmation when her record was reviewed on the date of the inspection. 2. Administrative staff confirmed that staff 1 had not completed a sworn statemen or affirmation.
Plan of Correction:	Staff 1 completed a sworn statement or affirmation during the inspection. All new staff will complete a SDS prior to employment going forward.
Standard #:	8VAC20-780-130-E
Description:	Based on record review and interview, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The most recent immunization documentation on file for child 1 were administered 11/12/2021. a. Child 1 is under the age of two years. 2. Administrative staff confirmed that an updated immunization record had not been obtained for child 1.
Plan of Correction:	The director stated the parent would be asked to provide an updated immunization record.
Standard #:	8VAC20-780-70
Description:	Based on record review and interview, the center failed to ensure that documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: 1. Staff 1, hire date 05/25/2022, lacked documentation of two reference checks. a. Staff 1 was observed caring for children during the inspection. 2. Administrative staff confirmed that reference checks were not on file for staff 1.
Plan of Correction:	The director stated that reference checks had been done via a telephone call but had not been documented in the employment file. Both reference checks will be added into the employment record.
Standard #:	8VAC20-780-240-B
Description:	Based on record review and interview, the center failed to ensure that staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. There was not documentation on file that staff 1, hire date 05/25/2022, had completed orientation training. a. Staff 1 indicated she had worked alone with a group of children on the morning of the inspection. 2. Administrative staff confirmed that while staff 1 had began orientation training she had not completed all of the required elements.
Plan of Correction:	The director stated that orientation training had been initiated for staff 1. Training will be completed within the week.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The two-year old classroom cabinet, containing bleach and water solution and sanitizing wipes, was unlocked when viewed by the inspector at 12:45 pm. 2. A container of sanitizing wipes was observed stored on top of this cabinet.
Plan of Correction:	The cabinet was locked during the inspection. The sanitizing wipes will be stored in a locked place. Staff will be remined to keep this cabinet locked.
Standard #:	8VAC20-780-330-B
Description:	Based on observation, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99 as shown in Figures 2 (Compressed Loose Fill Synthetic Materials Depth Chart) and 3 (Use Zones for Equipment) on pages 6-7 of the National Program for Playground Safety's "Selecting Playground Surface Materials: Selecting the Best Surface Material for Your Playground," February 2004, and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child's trajectory in the event of a fall while the equipment is in use. Falls zones shall not include barriers for resilient surfacing. Evidence: 1. The rubber mulch under the outdoor play structure measured approximately 3 inches in depth. 6 inches is required. a. The rubber mulch has been placed over a hard black top surface which is not allowed for resilient surfacing. 2. The fall zone for the outdoor play structure lacked the required 6 feet in all directions: a. The slide chute fall zone measured 3 feet; b. One side of this structure was placed 5 feet from the building wall. 3. A plastic swing/slide play structure has been placed directly beside a fence without the required 6 foot fall zone in all directions. 4. A small plastic slide lacks the required 6 foot fall zone.
Plan of Correction:	The director stated that equipment will be removed and/or fall zone expanded to include 6 feet in all directions. Resilient surfacing will be replenished and installed according the CPSC guidelines if equipment is kept.
Standard #:	8VAC20-780-350-B-2
Description:	Based on interview and record review, the center failed to maintain the required staff-to-children ratio of 1:5 for children 16 months up to 24 months. Evidence: 1. Staff 1 reported she was alone with 8 children, ages 16 months - 24 months, on the morning of 06/06/2022. a. A staff-to-child ratio waiver was granted on 12/23/2021 to allow for 6 children, ages 16 months up to 24 months, with one staff however, the number of children in care on this morning exceeded the required staff-to-child ratio by 2 children. 2. Written attendance documentation confirmed that staff 1 had been caring for 8 children, ages 16 months up to 24 months, without a second staff present as required.
Plan of Correction:	The director stated a staff person called in unexpectedly this morning. This resulted in a lack of staff in two classrooms. The director will look at the schedule and implement systems to ensure coverage going forward when staff are unavailable. Sufficient staff were available in the afternoon.
Standard #:	8VAC20-780-350-C
Description:	Based on interview and record review, the center failed to ensure that when children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group. * 2 year olds : 1:8; *3 year olds up to school age eligible: 1:10. Evidence: 1. Staff 2 reported she was alone with 11 children, ages 2 years - 4 years, on the morning of 06/06/2022. a. A staff-to-child ratio waiver was granted on 12/23/2021 to allow for 9 children, with one staff for 2 year old children however, the number of children in care on this morning exceeded the required staff-to-child ratio for this age group by 1 child. 2. Written attendance documentation confirmed that staff 2 had been caring for 11 children, ages 2 years - 4 years, without a second staff present as required.
Plan of Correction:	The director stated that a staff person was unexpectedly absent this morning resulting in a lack of staff for two classrooms. The schedule will be reviewed to ensure sufficient coverage, going forward, when staff are not available. All classrooms were staffed appropriately in the afternoon.
Standard #:	8VAC20-780-440-L
Description:	Based on observation, the center failed to ensure that pillows shall not be used by children under two years of age. Evidence: 1. Child 1, age 11 months was observed napping in a crib with a boppy nursing pillow. a. Child 1 was asleep and her face was partially on top of this pillow. 2. Child 2, age 11 months, was observed napping in a crib with a boppy nursing pillow. a. This pillow was placed directly below child 2's face. 3. Child 3, age 11 months, was observed napping in a crib with a boppy nursing pillow. a. This pillow was placed directly below child 3's face. 4. The manufacture label for these pillows state, "...made to support your baby during supervised awake time...." 5. Staff 3 confirmed she had placed these infants in the cribs with the pillows.
Plan of Correction:	The director stated that all pillows will be removed from cribs and no longer used in sleeping spaces.
Standard #:	8VAC20-780-570-E
Description:	Based on observation, the center failed to ensure that prepared infant formula shall be refrigerated, dated and labeled with the child's name. Evidence: 1. One bottle of prepared infant formula was not labeled with a name or date. 2. One bottle of prepared infant formula was not dated.
Plan of Correction:	Bottles will be checked upon arrival and properly labeled and dated if the parent has failed to do so.
Standard #:	8VAC20-780-570-H
Description:	Based on record review, the center failed to ensure that formula or breast milk shall not remain unrefrigerated for more than two hours and may not be reheated. Evidence: 1. The inspector observed 2 bottles of prepared infant formula, for child 1, in the side pocket of an infant bag at approximately 1:00 pm. a. These bottles had not been refrigerated according to staff 3. 2. Staff 3, stated these bottles had been in the infant bag since child 1 had arrived at 8:36 am.
Plan of Correction:	Infant bags will be checked upon arrival and all bottles placed in refrigerator.