VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Cuddlebugs Child Development Center, LLC
503 Hamilton Boulevard
Warsaw, VA 22572
(804) 333-4443

Current Inspector: Sharon Curlee (804) 840-8312

Inspection Date: Aug. 25, 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 Early Childhood Care and Education ? 63.2 Child Abuse & Neglect

Comments:

An unannounced monitoring inspection was conducted today, August 25, 2022 to determine the centers compliance with licensing standards. Most but not all standards were reviewed during today's inspection. On August 25, 2022, the licensing inspector was on site from approximately 12:20 pm to 2:30 pm. The Director assisted with the inspection. There were 25 children present, ranging in ages from nine months to four years, with six staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. Children were observed having lunch and preparing for nap. Staff interacted with children in a positive manner. A total of five child records and four staff records were reviewed. The inspector interacted with staff and children in care. 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. The provider must send documentation to the licensing inspector that the background checks have been requested no later than 10 days following this notification dated 09/06/2022. If you have questions regarding this inspection, please contact the licensing inspector. Sharon Curlee, Licensing Inspector Office of Child Care Health and Safety Division of Early Childhood Care and Education 804-840-8312 Sharon.curlee@doe.virginia.gov

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on a review of four staff records and interview, the center did not ensure that one staff obtained a fingerprint based background check determination from the Office of Background Investigation prior to employment. Evidence: 1. The record of staff #1, hired 06/27/2022, did not contain results of the fingerprint-based national criminal background check. 2. During interview, a member of management stated the staff member was currently working with the children in the child care center during the 08/25/2022 onsite inspection.
Plan of Correction:	Per the administrator: I am waiting on the packet to be able to send the staff member to the local police station to have them redone. If it is not here by tomorrow, I will reach out to the agency.
Standard #:	8VAC20-780-160-A
Description:	Based on review of four staff records, the center did not obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children for two staff record. Evidence: 1. The record of staff #1, hired 06/27/2022, did not contain documentation of a tuberculosis screening exceeding the first day of employment. 2. The record of staff #2, hired 06/24/2022, did not contain documentation of a tuberculosis screening exceeding the first day of employment. 3. Administration stated staff #1 and staff #2 had not submitted a tuberculosis screening.
Plan of Correction:	Per the administration: One staff has scheduled an appointment for this weekend to complete their TB. I will have the other staff schedule appointments today to obtain their TB screening results.
Standard #:	8VAC20-780-60-A-8
Description:	Based on review of children?s records and interview, the center did not obtain all required documentation for each child?s record. Evidence: 1. The record of child #4, child #5 and child #6, all with a diagnosed food allergy, did not contain a written care plan that included instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. 2. The administrator stated that a written allergy care plan had not been obtained for child #4 and child #5. The record of child #6 contained a letter from the physician regarding the allergy however it did not includes the steps to be taken in the event of a suspected or confirmed allergic reaction.
Plan of Correction:	Per the administrator: I will send allergy care plan forms home with the families tonight to have them completed by their doctor.
Standard #:	8VAC20-780-240-E
Description:	Based on review of four staff records, the center did not ensure one staff completed orientation training in first aid and cardiopulmonary resuscitation (CPR), within 30 days of the first day of employment. Evidence: The record of staff #1, hired 06/27/2022, did not have documentation of training in first aid and CPR, exceeding 30 days from employment.
Plan of Correction:	Per the administration: I will start using the updated orientation form immediately. Staff will complete the CPR & First aid training.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the center did not maintain all areas and equipment of the center, inside and outside, in a clean, safe and operable condition. Evidence: 1. The cabinet under the sink in the toddler room had a broken front panel. 2. The wooden fence around the air conditioner unit located on the playground has several pickets that have separated from the frame exposing nails.
Plan of Correction:	Per the administrator: I will schedule someone to come in to do the repairs.
Standard #:	8VAC20-780-510-P
Description:	Based on review of medications and authorizations, the center did not ensure when an authorization for medication expires, the parent shall be was notified to pick up the medication within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days must be disposed of by the center. Evidence: The medication authorization for child #6 expired on 05/22/2022. The medication was still on site exceeding 14 days from the date the authorization expired.
Plan of Correction:	Per the administrator: I will provide the family with a medication authorization form tonight at pick up so that they may renew the medication.