VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Precious Time Child Development Centers LLC
13711 Village Mill Road
Midlothian, VA 23114
(804) 272-1062

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: Sept. 9, 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 renewal inspection was conducted on 9/9/2022 from approximately 10:30 p.m. ? 3:50 p.m. There were 22 children present ranging in ages from 10 month to 8 years old with 6 staff supervising. The inspector reviewed compliance in the areas of administration, qualifications and training, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition, and transportation. A total of 5 child records, 1 medication record, and 7 staff records were reviewed. The information gathered during the inspection determined violations with applicable standards. A violation notice was issued. If you have any questions related to this inspection, please contact Inspector Susan Ellington-Sconiers, at 804-588-2368 or susan.ellington-sconiers@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on staff record review, the provider failed to ensure that one of six staff records contained a criminal record check prior to the first day of employment. Evidence: The record for S5, employed 07/05/2022 did not contain the results of a criminal history background check.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.035-B-4
Description:	Based on staff record review, the provider failed to ensure that two staff records contained an out-of-state central registry finding within 30 days of employment. Evidence: The record for staff, S1 employed 02/28/2022 and S2, employed 03/22/2022) documented that the staff person resided in another state in the past 5 years. The staff records did not contain documentation that the center had required the out-of-state central registry.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-C-2
Description:	Based on staff record review, the provider failed to ensure that two of six staff records contained central registry findings within 30 days of employment. Evidence: 1. The record for staff S1, employed 02/28/2022 contained results of a central registry finding dated 04/06/2022, exceeding 30 days from the date of employment. 2. The record for S2, employed 03/22/2022 did not contain documentation of a central registry finding. S2 has been employed more than 30 days. The center did not have any documentation of contact to follow up on the status of the central registry finding. 3. The record for S5, employed 07/05/2022 did not contain documentation of central registry finding. S5 has been employed more than 30 days. The center did not have any documentation of contact to follow up on the status of the central registry finding.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-40-J
Description:	Based on interview and review of injury reports, the provider failed to ensure that the center?s injury prevention procedures were updated annually based on documentation of injuries and a review of the activities and services. Evidence: The record for child, C4 contained multiple injury reports for injuries to the child. Licensing Inspector requested the annual review of the injury prevention procedures. Provider was unable to provide the annual review of the injury prevention procedures.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Based on child record review, the provider failed to ensure that three of six records contained the required information for each child enrolled. Evidence: 1. The record for child, C2 enrolled 03/28/2022 failed to contain documentation of health information required by 8VAC20-780-140.A (physical exam). 2. The records for C4, enrolled 10/19/20 and C5, enrolled 08/11/2021 failed to contain confirmation up-to-date information as required by 8VAC20-780-420.E.3.b. 3. The record for C6, enrolled February 2021, did not contain a written care plan for a diagnosed food allergy, to include 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.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	Based on staff record review, the provider failed to ensure that six of six staff records contained required information. Evidence: 1. Record for S1, 02/28/22 did not contain: documentation demonstrating the individual possessing the educational degree to serve in the role of program leader; completion of the 10 hour Pre-Service training; First Aid and CPR training; information about health problems that may interfere with filling the job responsibilities; and the health information required by 8VAC20-80-160. 2. Record for S2, employed 03/22/2022 did not contain: documentation demonstrating the individual possessing the educational degree to serve in the role of aide; First Aid and CPR training orientation; and information about any health problems that may interfere with filling the job responsibilities. 3. Record for S3, employed March 2020 did not contain documentation of the annual 3 hour refresher training after completion of the 10 hour pre-service training. 4. Record for S4, employed 11/10/2020 did not contain documentation of the annual 3 hour refresher training after completion of the 10 hour pre-service training and 5 hours of 16 of annual trainings. 5. Record for S5, employed 07/05/2022 did not contain: documentation demonstrating the individual possesses the education to serve in the role of aide; First Aid and CPR orientation; and information about health problems that may interfere with filling the job responsibilities. 6. Record for S6, employed 06/01/2021 did not contain: documentation of completion of the 10 hour Pre-Service training; First Aid and CPR training; and 8 hours of 16 of annual trainings.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-245-L
Description:	Based on record review and interview, the provider failed to ensure that there shall always be a least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: Based on interview and staff record review, S3 conducts the daily health observations. Staff record for S3 did not contain documentation of the required instruction in performing the daily health observation of children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-260-A
Description:	Based on interview, the provider failed to ensure a copy of the annual approval from the fire official was available for review. Evidence: The last fire inspection available for review was dated 07/30/2021.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the provider failed to maintain the outside play areas in a safe and operable condition. Evidence: 1. On 09/09/2022, the inspector observed outdoor easel that had a broken and jagged hard plastic tray that could entangle clothing or snag skin. Another easel was observed to have peeling paint. 2. The chain link gate into the play area was missing a clamp creating a gap between the chain link fence and gate frame that could cause a head entrapment.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-350-B-1
Description:	Based on observation and interview, the facility failed to maintain a 1:4 staff-to-children ratio in the Infant Room. Evidence: At approximately 10:45 a.m. on September 9, 2022 the licensing inspector observed staff, S6 in the Infant Classroom by herself with 5 infants. Program Director acknowledged that the classroom at that time was out of ratio but thought the COVID-19 leniency which allowed a ratio of one (1) staff to (5) infants was still in effect.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-550-G
Description:	Based on review of documentation for emergency evacuation, shelter-in-place, and lockdown drills, the provider failed to ensure the documentation contained all the required information. Evidence: The emergency drill documentation dated January 2022 ? August 2022 did not document: the identity of the person conducting the drill; the method used for notification of the drill; the number of staff participating; the number of children participating; any special conditions simulated; the time it took to complete the drill; problems encountered, if any; and weather conditions for emergency evacuation drills.
Plan of Correction:	Not available online. Contact Inspector for more information.