VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Angel's Place Daycare Center II
9573 Shore Drive
Suite A
Norfolk, VA 23518
(757) 227-3332

Current Inspector: Rene Old (757) 404-1784

Inspection Date: Aug. 17, 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 Checks Code, Carbon Monoxide.1 Background

Comments:

An unannounced renewal inspection was conducted on 08/17/2022 from 10:00 am - 12;40 pm. At the time of entrance there were 86 children, ages infant - school age, in care with 11 teaching staff. Children were observed during morning program time and lunch. Records were reviewed for five staff and six children. Violations were found in the areas of administrative, physical plant, staffing and supervision, special care provisions and terms of the license. These violations are listed on the violation notice and were reviewed with administrative staff at the conclusion of the inspection.

Violations:

Standard #:	8VAC20-780-160-A
Description:	Based on record review, the center failed to ensure that documentation of the required tuberculosis screening shall have been completed within the last 30 calendar days of the date of employment. Evidence: 1. The TB screening for staff 1 was completed on 02/24/2022 which is more than 30 days before her hire date of 05/09/2022. 2. The TB screening for staff 2 was completed on 04/01/2022 which is more than 30 days before her hire date of 05/16/2022. The TB screening for staff 3 was completed on 04/01/2022 which is more than 30 days before her hire date of 05/10/2022.
Plan of Correction:	Administrative staff stated that new staff will obtain a TB screening within 30 days prior to employment.
Standard #:	8VAC20-780-160-C
Description:	Based on record review, the center failed to ensure that at least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1. The most recent TB screening for staff 4 was conducted on 07/31/2020. 2. The most recent TB screening for staff 5 was conducted on 07/31/2020. 3. Administrative staff confirmed that staff 4 and staff 5 had not obtained a current TB screening.
Plan of Correction:	Administrative staff stated that both staff will update their TB screening as soon as possible.
Standard #:	8VAC20-780-60-A
Description:	Based on record review and interview, the center failed to ensure that children's records contain all of the required elements. Evidence: 1. The enrollment record for child 1 lacked documentation of viewing proof of the child's age and identity. 2. Administrative staff confirmed that proof of age and identity had not been obtained for child 1.
Plan of Correction:	Administrative staff stated that it was thought the birth certificate had been obtained however the documentation could not be located. The parent will be asked to bring the birth certificate back for review.
Standard #:	8VAC20-780-70
Description:	Based on record review and interview, the center failed to ensure that staff records contain documentation to demonstrate that the individual possess the education required by the job position. Evidence: 1. Staff 2 is listed as a program leader for the infant class however, there is no written documentation to demonstrate that staff 2 has fulfilled a high school program or equivalent. 2. Administrative staff confirmed that verification had not been obtained that staff 2 had completed high school or an equivalent program.
Plan of Correction:	Administrative staff stated that staff 2 did have a high school diploma. Verification will be obtained and placed in her file.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean and safe condition. Evidence: The water play/sensory table, on the playground, contained approximately 4 inches of standing water, leaves and assorted debris.
Plan of Correction:	The water play table was emptied during the inspection.
Standard #:	8VAC20-780-330-B
Description:	Based on observation, the center failed to ensure that where playground equipment is provided fall zones 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. *A six foot fall zone is required around stationary equipment and equipment with moving parts. Evidence: The blue spring rocker airplane has been placed approximately two feet from the wooden landscaping border.
Plan of Correction:	Administrative staff stated that the landscaping company would be contacted to either remove the airplane spring rocker or expand the fall zone to 6 feet.
Standard #:	8VAC20-780-330-C
Description:	Based on observation, the center failed to ensure that ground supports shall be covered with materials that protect children from injury. Evidence: The ground supports for the blue airplane spring rocker were not covered.
Plan of Correction:	Administrative staff stated that the landscaping company will be contacted to place additional mulch over the ground supports for the airplane spring rocker.
Standard #:	8VAC20-780-340-A
Description:	Based on observation, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection. Evidence: 1. An infant , child 2 - age 5 months, was observed napping in a swing with a folder blanket covering her entire face. a. This is a suffocation hazard.
Plan of Correction:	The blanket was removed from the face of child 2 during the inspection. Administrative staff stated that staff would be reminded not to place any blanket or covering over a child's face.
Standard #:	8VAC20-780-350-A
Description:	Based on observation the center failed to adhere to the required group size for each age group. *When children are in ongoing mixed age groups, the group size applicable to the youngest child in the group shall apply to the entire group. Evidence: 1. There were 13 infants present in the infant classroom which exceeded the maximum group size of 12 for this age group. 2. There were 16 toddler/two year old children present in the bay 2 classroom which exceeded the maximum group size of 15 for this age group.
Plan of Correction:	Administrative staff stated that 3 staff had unexpectedly failed to show up for work today. Going forward steps will be taken to ensure there are sufficient staff to maintain required staff-to-child ratios and group size for each age group.
Standard #:	8VAC20-780-350-B-1
Description:	Based on observation, the center failed to ensure the staff-to-child ratio are required whenever children are in care: *Birth up to 16 months : 1:4 (staff : children) Evidence: 1. There were 13 infants in care with 3 staff when the infant room was reviewed at 10:00 am. a. Four staff were needed.
Plan of Correction:	Administrative staff stated that 3 staff had unexpectedly failed to show up for work today. Going forward steps will be taken to ensure there are sufficient staff to maintain required staff-to-child ratios and group size for each age group.
Standard #:	8VAC20-780-350-B-2
Description:	Based on observation, the center failed to ensure that the required staff-to-child ratio was maintained whenever children are in care: * 16 months up to 24 months : 1:5 (staff : children) *When children are in ongoing mixed age groups, the staff-to-child ratio to the youngest child in the group shall apply to the entire group. Evidence: 1. There were 16 children ranging in age from 17 months - 2 years in the bay 3 classroom with 2 staff at approximately 10:10am. 6 of the children in the group were under the age of two years. a. Four staff were needed. 2. 16 toddler/two year old children remained with 2 staff when the inspection last viewed the classroom at approximately 12:00 pm.
Plan of Correction:	Administrative staff stated that 3 staff had unexpectedly failed to show up for work today. Going forward steps will be taken to ensure there are sufficient staff to maintain required staff-to-child ratios and group size for each age group.
Standard #:	8VAC20-780-350-B-3
Description:	Based on observation, the center failed to ensure the following staff-to-child ratio was maintained whenever children are in care: *2 year olds : 1:8 (staff : children) Evidence: 1. There were 10 two- year old children in care with 1 staff when the two-year old classroom was reviewed at approximately 10:10 am. a. Two staff were needed. 2. The two- year old class were reviewed again at approximately 12:00 pm and there were 10 children with one staff.
Plan of Correction:	Administrative staff stated that 3 staff had unexpectedly failed to show up for work today. Going forward steps will be taken to ensure there are sufficient staff to maintain required staff-to-child ratios and group size for each age group.
Standard #:	8VAC20-780-520-C
Description:	Based on review, the center failed to ensure that if diaper ointment is used the product shall be labeled with the child's name. Evidence: 1. One diaper ointment, in the infant classroom, was not labeled with the child's name.
Plan of Correction:	The diaper ointment was labeled with the child's name during the inspection.
Standard #:	8VAC20-820-120-E-2
Description:	Based on observation, the center failed to ensure the findings of the most recent inspection of the facility were posted on the premises. Evidence: 1. The findings from the most recent complaint inspection on 06/24/2022 were not posted. a. The findings from the monitoring inspection conducted on 09/23/2021 were posted.
Plan of Correction:	The most recent inspection reports will be posted going forward.