VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Dawning Point Learning Center
15 Kingsland Drive
Stafford, VA 22556
(540) 659-9227

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: Sept. 7, 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. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Provided consultation on standard: 1) 40M: The center shall maintain in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. 2) 50: staff and children?s records shall be treated confidentially. Supplemental forms with confidential information are not to be posted in the facility. 3) 240: The Virginia Department of Education sponsored orientation course shall be completed within 90 calendar days of employment. 4) 270A: discussed the gap from the sidewalk on the playground to the play area as a potential hazard and discussed potential solutions. 5) 330B: ensure that the required resilient surfacing is in place in the fall zone of all playground equipment 6) 510: medication shall be labeled with the child's first and last name; nonprescription medication shall be in the original container with the direction label attached. 7) 570E; bottles shall be dated and labeled with the child's name.

Comments:

An unannounced monitoring inspection was conducted from 11:00 am - 2:00 pm with center director. There were 42 children, ranging from three months to four years of age, present with eight staff supervising. Children were observed napping, having diapers changed, eating lunch, and playing with age-appropriate toys. Lunch served today: chicken nuggets, green beans, pineapple, whole wheat bread- and milk. Four child records, four staff records, seven medications and authorizations, along with the emergency drill log, daily attendance, written allergy list, fire and health inspections were reviewed. Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the violation notice, and then return a signed and dated copy to the licensing office by 4:00pm on Thursday, 9/29/2022. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on review of four staff records, it was determined that not all staff had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check prior to their first day of employment. Evidence: the record for staff #1 (date of hire: 8/26/2022), did not have an OBI determination letter.
Plan of Correction:	All were requested and received by the required timeframes. Will ensure, going forward, that the documentation is properly filed in each employees record.
Standard #:	22.1-289.035-B-4
Description:	Based on review of four staff records, it was determined that not all Out of State Sex Offender Registry Search requests and Criminal History Name Checks were completed, as required, prior to employment for staff who indicated they have lived outside of Virginia in the past five years. Evidence: the record for staff #1, (Date of hire: 8/26/2022), who indicated that they have lived out of the state of Virginia in the past five years, had no documentation of an out of state sex offender search or criminal history name check search prior to employment. Staff #1 did not have an OBI fingerprint determination letter in their record.
Plan of Correction:	Going forward, will obtain all background checks in required timeframes and ensure documentation is filed properly in staff records.
Standard #:	8VAC20-770-60-B
Description:	Based on review of four staff records, it was determined that not all staff had a sworn statement completed prior to their first day of employment. Evidence: the record for staff #1 (date of hire: 8/26/22) had a sworn statement that was not dated indicating it was completed prior to employment. The record for staff #3 (date of hire: 5/5/2022) did not contain a sworn statement.
Plan of Correction:	Going forward, will ensure all required documentation is obtained within required timeframes.
Standard #:	8VAC20-770-60-C-2
Description:	Based on review of four staff records, it was determined that not all staff had Central Registry Search results within thirty days of employment or follow up conducted on time. Evidence: The record for staff #2 (Date of hire: 11/17/2021), staff #3 (Date of hire: 5/5/2022), and staff #4 (Date of hire: 5/27/2022), did not have documentation of a Central Registry search report and/or follow up request.
Plan of Correction:	Have received the missing background checks and/or requested them. Going forward, will ensure all required documentation is obtained within required timeframes and/or follow up is conducted as required.
Standard #:	8VAC20-780-130-A
Description:	Based on a review of four child records, the facility did not obtain documentation that each child has received immunizations prior to the child's first attendance. Evidence: the record for child #2 (date of first attendance: 8/22/2022) did not have documentation of immunizations.
Plan of Correction:	Going forward, will obtain all required documentation in required timeframe.
Standard #:	8VAC20-780-40-G
Description:	Based on review of four child records, the facility failed to have documentation of proof of the child's identity and age within 7 days of enrollment. Evidence: the record for child #2 (date of first attendance: 8/22/2022) and child #3 (date of first attendance: 1/3/2022) did not have documentation of proof of identity and age (proof of birth.)
Plan of Correction:	Going forward, proof of birth will be checked within the required timeframe.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, it was determined that not all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the infant classroom, a canister of disinfecting wipes was sitting on a counter. In the two's classroom, bottle of sanitizing solution was observed hanging on the window.
Plan of Correction:	Purchased and made sure all cabinets now have safety locks. Hazardous substances will be stored inside the locked cabinets going forward.
Standard #:	8VAC20-780-320-B
Description:	Based on observation, the facility failed to ensure that all restrooms were equipped as required. Evidence: there was no toilet paper in the two?s bathroom and paper towels were not accessible to children in the two's bathroom/sink area
Plan of Correction:	Installed paper towel holders by sinks in each classroom so that paper towels are always accessible to students and keep an overflow stock in the classroom. Retrained teachers to ensure that supplies are stocked before leaving at the end of each day.
Standard #:	8VAC20-780-340-A
Description:	Based on observation, the facility did not ensure the care, protection and guidance of children in care. Evidence: 1) An infant was observed sleeping in a crib with their head on top of a thick blanket and two additional blankets sitting in the crib. 2) Two blankets were observed hanging on the side of a crib with a sleeping infant. 3) A third infant was observed sleeping with a heavy blanket covering them. Soft bedding under and around infants is a suffocation hazard and increases the risk of sudden unexplained infant death.
Plan of Correction:	Asked parents not to send in heavy blankets. Now only allow single layer blankets (receiving style) in cribs. Informed parents and trained teachers about new requirement.
Standard #:	8VAC20-780-370-1
Description:	Based on observation, not all infants were placed in their crib on their back. Evidence: The LI observed staff place an infant to sleep on their stomach. Staff stated that is how they always lay the infant down in their crib.
Plan of Correction:	Retrained staff (all infant/toddler teachers) on safe sleep and are requiring them to take a safe sleep class by 10/15/2022.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, the facility failed to ensure that all handwashing procedures were followed as required. Evidence: Staff didn?t wash their hands before feeding an infant or wash the infant?s hands.
Plan of Correction:	Retrain staff on handwashing procedures. Will add quality assurance management audits to ensure compliance.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, and staff interviews, the facility failed to ensure that when a child's clothing becomes wet or soiled, the child shall be cleaned and changed immediately. Evidence: a child in the two's classroom was observed with wet pants at approximately 12:00 noon. Staff stated that the child's pants became wet when using a slide outside on the playground. Staff stated that the two's class came inside from using the playground at approximately 11:00 am. At approximately 12:15pm, the LI told the staff to change the child's clothes before putting them down for naptime.
Plan of Correction:	Retrain staff on diapering procedures. Will add quality assurance management audits to ensure compliance.
Standard #:	8VAC20-780-510-E
Description:	Based on review of ten medications and authorizations, it was determined that the facility failed to follow their medication procedures as required. Long term prescription drug use and over-the-counter medication may be allowed with written authorization from the child's physician and parent. Evidence: the record for child #5, child #6, and child #7 did not contain written authorization from the physician or parent for long term medication observed on site.
Plan of Correction:	Will use a calendar to review medication monthly and a checklist to ensure that all documentation is received as required.
Standard #:	8VAC20-780-550-E
Description:	Based on review of documentation, not all shelter-in-place drills were practiced a minimum of twice per year as required. Evidence: the last documented shelter-in-place drill was conducted on: 6/24/2021.
Plan of Correction:	Going forward, all drills will be practiced and documented as required.
Standard #:	8VAC20-780-550-F
Description:	Based on review of documentation, not all lockdown drills were practiced at least annually as required. Evidence: The last documented lockdown drill was conducted on: 3/4/2021.
Plan of Correction:	Going forward, all drills will be practiced and documented as required.