VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Bree's Playhouse Daycare and Learning Center, LLC
1156 Wilkinson Road
Richmond, VA 23227
(804) 262-4607

Current Inspector: Sharon Curlee (804) 840-8312

Inspection Date: July 26, 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. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Comments:

A monitoring inspection was initiated on Tuesday, July 26, 2022. Two licensing inspectors arrived at the center at approximately 1:05pm and were prohibited to enter the center until the owner arrived at approximately 2:00pm. In the center, there were 27 children present, ranging in ages from three months to six years with two staff members. See violation notice for additional details. The two licensing inspectors returned to the center on Wednesday, July 27, 2022 and were on site from approximately 1:15pm until 3:15pm. On Wednesday, July 27, 2022 there were 33 children present, ranging in ages from three months to 10 years, with six staff present. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, and medication. A total of 34 children?s records and eight staff records 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. If you have any questions about this inspection, please contact the licensing inspector at (804) 840-8312. The violation page contained a scribe error in the form of duplicate wording. The scribe error was removed on November 14, 2022 and an updated copy has been provided to the licensee. Sharon Curlee Office of Child Care Health and Safety Division of Early Childhood Care and Education Phone# 804-840-8312 sharon.curlee@doe.virginia.gov

Violations:

Standard #:	22.1-289.018-A
Description:	Based on observation and interview, the licensee did not afford the Superintendent reasonable opportunity to inspect all of their facilities, books and records, and to interview their agents and employees and any person living or participating in such facilities, or under their custody, control, direction, or supervision. Evidence: During the July 26, 2022 inspection, the following was documented: Two licensing inspectors arrived at the center at approximately 1:05pm. Inspectors rang the front doorbell, knocked on all exterior doors of the facility, called the center?s phone number and cell phone number for Staff #8. At approximately, 2:05pm, Staff #8 arrived and unlocked the center?s front door. Licensing inspectors observed 27 children (three months to six years of age) present with Staff #3 and Staff #4. Staff #3 and Staff #4 stated they did not hear individuals ringing the doorbell or knocking on exterior doors. Staff #3 and Staff #4 stated they were the only adults present with the 27 children in care.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-C-2
Description:	Based on review of eight staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 30 days of employment. Evidence: The record for Staff #4 (DOE: May 30, 2022) did not contain the results of a central registry finding. There was no documentation of a follow up to check the status of the requested central registry search. Staff #4 was observed supervising classrooms on July 26 and July 27, 2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-A
Description:	Based on review of eight staff records and interview, the center did not to obtain documentation of a negative tuberculosis screening that was completed within the last 30 calendar days prior to beginning employment for two staff members. Evidence: 1. The record for Staff #6 (Date of Employment (DOE): July 18, 2022) did not contain documentation of a tuberculosis screening. Staff #6 was observed working with children during the July 27, 2022. 2. The record for Staff #4 (DOE: May 30, 2022) contained documentation of a negative tuberculosis screening dated April 13, 2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-C
Description:	Based on review of eight staff records and interview, the center did not ensure one staff obtained and submitted the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening. Evidence: The record for Staff #7 contained documentation of a tuberculosis screening dated July 4, 2019. During the July 27, 2022 inspection, Staff #8 stated ?If it?s not in the record, she didn?t get one?.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	Based on review of eight staff records, observations and interview, the center failed to keep the required documentation for three staff records. Evidence: 1. Staff #8 identified Staff #1 and Staff #5 as program leaders during the June 27, 2022 inspection. 2. The records for Staff #1 and Staff #5 did not contain documentation to demonstrate that the individuals possessed the education, training, and certification required by the job position. 3. Staff #1 and Staff #5 were observed working alone, supervising different groups of children during the July 27, 2022 inspection. 4. Staff #8 stated she did not have required documentation needed to qualify Staff #1 and Staff #5 as program leaders. 5. The record for staff #9 could not be located during the July 26 and July 27, 2022 inspections. 6. Staff #9 was observed working alone with children on July 27, 2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-80-A
Description:	Based on observation and interviews, the center did not ensure for each group of children, a written record of daily attendance documenting the arrival and departure of each child was maintained. Evidence: 1. On July 26, 2022 one attendance sheet was located by the front door for parents to sign their children in and out. The licensing inspector asked Staff #3 and Staff #4 if they had a written record of daily attendance with their group of children. Both Staff #3 and Staff #4 stated they did not have a written record for the children they were supervising. 2. The one attendance sheet for July 26, 2022 indicated 14 children were present. A total of 27 children were observed present at the center on July 26, 2022. 3. On July 27, 2022 the licensing inspector asked Staff #8 how children?s daily attendance is documented. Staff #8 stated ?Parents and Staff #3 are responsible for making sure the children are signed in. I don?t know why everyone was not signed in?.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-245-A
Description:	Based on review of eight staff records, the center did not ensure one staff completed 16 hours of annual training appropriate to the age of children in care. Evidence: The record for staff #7 (DOE: February 23, 2016) did not contain documentation of annual training for the 2021 calendar year.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a safe and operable condition. Evidence: The gate on the chain link fence located on the playground was broken and not secure on all sides, creating head entrapment hazards.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-330-B
Description:	Based on observation and interview, the center did not ensure that all fall zones were free of hazardous obstacles. Evidence: 1. The center?s playground contained a swing set (approximately 6 feet 9 inches in height) sitting directly beside the playground fence. 2. Large toys were located approximately 10 feet directly in front of and behind the swing?s trajectory and on all sides of the slide/climbing wall/platform. 3. There was approximately 6 inches between Side A of the swing set and the fence. 4. There was approximately 7 feet 4 inches between Side B of the swing set and the fence. 5. There was approximately 11 feet 6 inches between the back of the swing set and the fence. 6. There was approximately 9 feet from the front of the swing set and wooden ground piece. 7. On July 27, 2022, Staff #8 stated all children with the exception of school agers use the playground and were last outside on the playground on Monday, July 25, 2022. 8. Swings are required to have a minimum fall zone of six feet on the sides of the structure, and twice the height of the swings in front of and behind the swings.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-A
Description:	Based on observation and interview, the center did not ensure when staff were supervising children, staff always ensured the care, protection and guidance of the children in care. Evidence: During the July 26, 2022 inspection, the following was documented: 1. At approximately, 2:05pm, two licensing inspectors observed 27 children (three months to six years of age) present with Staff #3 and Staff #4. Staff #3 and Staff #4 stated they did not hear individuals ringing the doorbell or knocking on exterior doors. Staff #3 and Staff #4 stated they were the only adults present with the 27 children in care. 2. The Preschool and School Age children were observed alone and without staff in the two classrooms. 3. Infant #4 (seven months in age) was observed sleeping on a baby play mat/activity gym located in the crib. The baby play mat/ activity gym contained a label that stated ?CAUTION: Do NOT allow babies to sleep on this product. Do NOT leave child unattended while in use. Use this product ONLY on the floor. Do NOT use in crib, play yard, or other contained area.? 4. During the July 27, 2022 inspection, the following was documented: At approximately 1:20pm, the licensing inspector asked Staff #9 how many children she was supervising in the Toddler classroom. Staff #9 did not respond. Staff #8 was walking with the licensing inspector and spoke to Staff #9 and stated ?[Staff #9] you can?t doze off, you are dozing off?. Staff #9 was observed getting up from the chair where she was sitting under a blanket with her feet propped up.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-D
Description:	Based on interview and review of eight staff records, the center did not ensure each grouping of children had regularly present at least one staff member who met the qualifications of a program leader or program director. Evidence: During the July 27, 2022 inspection, Staff #8 was asked to identify the program leaders for each grouping of children. Staff #8 stated the Toddler classroom has not had a program leader for a couple of months.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-F
Description:	Based on observation and interview, the center did not ensure the staff-to-child ratios were maintained whenever children were in care. Evidence: 1. On July 26, 2022, the licensing inspector observed eight children (three months to 15 months of age) in the infant room with one staff member from approximately 2:00pm to 4:00pm. 2. Staff #4 stated two staff members left earlier in the day leaving her alone with eight infants to supervise. 3. The required staff-to-child ratio for children birth to 16 months of age is one staff person for every four children in care.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-350-B-1
Description:	Based on observation and interview, the center did not ensure the staff-to-child ratios were maintained whenever children were in care. Evidence: 1. On July 26, 2022, the licensing inspector observed eight children (three months to 15 months of age) in the infant room with one staff member from approximately 2:00pm to 4:00pm. 2. Staff #4 stated two staff members left earlier in the day leaving her alone with eight infants to supervise. 3. The required staff-to-child ratio for children birth to 16 months of age is one staff person for every four children in care.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-350-M
Description:	Based on observation and interview, the center did not ensure one staff member did not supervise more than one room or area during rest time. Evidence: On July 26, 2022, the licensing inspectors observed the following: Staff #3 stated two staff members left early and Staff #3 was walking the hallways during naptime, trying to keep an eye on the children in the Toddler classroom, Two?s classroom and Three?s classroom.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-440-B
Description:	Based on interview and observations, the center did not ensure cribs were identified for use by a specific child. Evidence: On July 26, 2022, the licensing inspectors observed the following: 1. Child #1 was observed sleeping in a crib that was identified as belonging to Child #2. 2. Child #3 was observed sleeping in a crib that was identified as belonging to Child #1.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-530-A-1
Description:	Based on observation and review of eight staff records, the center did not ensure at least one staff in each classroom or area where children were present had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care. Evidence: 1. On July 26, 2022, the licensing inspectors observed Staff #4 alone with eight infants in the classroom. 2. The record for Staff #4 did not contain documentation of current CPR. 3. Staff #8 stated on July 27, 2022 ?if it is not in the record then we don?t have it?.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-530-A-2
Description:	Based on observation and review of eight staff records, the center did not ensure at least one staff in each classroom or area where children were present had current certification in first aid. Evidence: 1. On July 26, 2022, the licensing inspectors observed Staff #4 alone with eight infants in the classroom. 2. The record for Staff #4 did not contain documentation of current certification in first aid. 3. Staff #8 stated on July 27, 2022 ?if it is not in the record then we don?t have it?.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-570-A
Description:	Based on observation, the center did not ensure when a child was placed in an infant seat, the protective belt was fastened securely. Evidence: On July 26, 2022 the licensing inspectors observed three infants placed in the infant feeding table seats. The seats contained protective belts but the belts were not fastened.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-580-I
Description:	Based on observation and interview, the center did not ensure before leaving on a field trip, a schedule of the trip's events and locations was posted and visible at the center site. Evidence: On July 26, 2022 the licensing inspectors were informed six school age children were on a field trip with three staff members. Information regarding the scheduled field trip?s event and location was not posted and visible at the center site.
Plan of Correction:	Not available online. Contact Inspector for more information.