VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Eukarya King's Cubs (Cameron)
915 South Cameron Street
Winchester, VA 22601
(540) 535-2031

Current Inspector: Michelle Argenbright (540) 848-4123

Inspection Date: Oct. 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. 8VAC20-820 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

Technical Assistance:

A 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center shall be posted in a visible place at each telephone.(8VAC20-780-550-I)

Comments:

A renewal inspection was initiated on 10/17/22 and concluded on10/17/22. There were 20 children present, ranging in ages from infant to five years, with eight staff supervising and two administrators present. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of three child records and four staff records were reviewed. Information gathered during the inspection determined noncompliance with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations:

Standard #:	8VAC20-770-60-C-2
Description:	Based on record review and interview, the center failed to ensure new staff has a central registry finding within 30 days of employment. Evidence: 1. The record for staff 4 has the employment date as 10/12/20. There is no finding for central registry in the record. A note in the file shows the central registry request was mailed 7/31/20. 2. The director verified a finding of central registry could not be found.
Plan of Correction:	The director will follow up with the central registry unit to see if they have a copy. If not a new one will be requested. In the future the director will ensure central registry background checks are mailed within seven days and followed up within 30 if the results have not been received.
Standard #:	8VAC20-780-160-A
Description:	Based on record review and interview, the center failed to ensure staff submitted documentation of a negative tuberculosis (TB) screening at the time of employment that was completed within the last 30 calendar days of the date of employment. Evidence: 1. The record for staff 3 shows the employment date as 4/18/22. The documentation of the TB results is dated 5/26/21. 2. The director verified the 5/26/21 TB is the only TB documentation for staff 3 the center has.
Plan of Correction:	The director will require staff 3 to obtain an updated TB screening. In the future the director will ensure the TB results provided by new staff are completed with 30 days prior to working with children.
Standard #:	8VAC20-780-245-A
Description:	Based on record review and interview, the center failed to ensure staff completed a minimum of 16 hours of annual training appropriate to the age of children in care. Evidence: 1. The record for staff 1 contained documentation of 11 1/2 hours of annual training for the timeframe of 10/12/21-10/11/22. 2. The record for staff 4 contained documentation of 14 hours of annual training for the timeframe 10/12/21-10/11/22.
Plan of Correction:	The director will keep a spreadsheet that will be reviewed monthly of all the annual training staff has completed to ensure each staff completes the required 16 hours each year.
Standard #:	8VAC20-780-340-D
Description:	Based on observation, record review and interview, the center failed to ensure each group of children had at least one staff member who meets the qualifications of a program leader. Evidence: 1. In the Kind Koalas classroom staff 2 and staff 6 were the teachers present. 2. The record for staff 2 was reviewed and there was no documentation showing qualifications for a program lead. 3. The director stated due to a staff member out there is no staff with lead teacher qualifications in the Kind Koalas classroom.
Plan of Correction:	In the future the director will ensure each classroom contains a teacher that qualified per the standards.
Standard #:	8VAC20-780-510-L
Description:	Based on observation, the center failed to ensure prescription diaper ointment was kept in a locked place. Evidence: In the Kind Koalas classroom a prescription diaper ointment was stored on the open shelf above the changing table.
Plan of Correction:	The director will move the diaper ointment to a locked location. Staff will be advised that all prescriptions, including diaper ointment, are required to be kept in a locked location.
Standard #:	8VAC20-780-530-A
Description:	Based on record review, observation and interview, the center failed to ensure at least one staff in each classroom has a current certification in CPR and first aid. Evidence: 1. In the Friendly Frog classroom staff 4 was the only teacher present. 2. In the Eager Elephants classroom staff 3 and staff 5 were present. 3. The director stated staff 3, 4 and 5 do not have current CPR and first aid certification.
Plan of Correction:	All staff without a current CPR and first aid certification are scheduled to complete the training on 10/21/22. The director has created a spread sheet that will be reviewed the first of each month to see if staff have CPR and first aid that is expired and schedule for an update. All new staff will be required to obtain CPR and first aid within the first 90 days of employment.
Standard #:	8VAC20-780-550-D
Description:	Based on record review and interview, the center failed to monthly practice evacuation drills. Evidence: 1. The evacuation drill log did not contain documentation of an evacuation drill being completed for the months of March, May and July in 2022. 2. The director verified evacuation drills were not completed those months.
Plan of Correction:	The director will ensure evacuation drills are conducted monthly and documented.