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Children's Enrichment ProgramLLC
75 Merrimans Lane
Winchester, VA 22601
(540) 664-9238

Current Inspector: Amy Tomblin (804) 629-3923

Inspection Date: Oct. 27, 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
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide

Comments:
An unannounced monitoring inspection was conducted on 10/27/2022 from 9:25 a.m. to 12:00 p.m. There were 34 children present, ranging in ages from 3 to 5 years old, with 7 staff supervising. 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 5 child records and 6 staff records were reviewed.

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.

Violations:
Standard #: 8VAC20-780-280-B
Description: Based on observations and interviews, the center failed to ensure that hazardous substances were kept in a locked place.
Evidence:
1. In Classroom #2, there were Clorox wipes, lysol spray and shaving cream in an unlocked cabinet. Staff #3 confirmed that these items were not in a locked place.
2. In Classroom #4, there were 2 bottles of spray adhesive, Clorox wipes and Borax in an unlocked cabinet. Staff #1 confirmed that these items were not in a locked place.
3. In Classroom #5, there were Clorox wipes, Lysol disinfecting spray (2), Up and Up disinfecting wipes and a box of Mr. Clean magic erasers in an unlocked cabinet. Staff #5 confirmed that these items were not in a locked place.

Plan of Correction: 2 of the 3 classrooms (#2 & #5) that stored these materials up high in wood cabinets have had child safety locks installed to insure they are securely locked at all times.
Classroom #2 also will install cabinet hardware on the outside to ensure
the highest safety measures.
In Classroom #4 the black cabinet has been replaced with a new cabinet that has a lock and key

Standard #: 8VAC20-780-380-A
Description: Based on observation and interviews the center failed to ensure a daily schedule was posted.
Evidence:
1. In Classroom #1 there was no daily schedule posted. Staff #7 confirmed that there was no daily schedule posted in the classroom.
2. In Classroom #3 there was no daily schedule posted. Staff #6 confirmed that there was no daily schedule posted in the classroom.

Plan of Correction: Both Classrooms that did not have a daily schedule posted had sent copies of the schedule home to parents in August 2022, but failed to post it in the rooms. This was resolved the following day and posted in both shared spaces.

Standard #: 8VAC20-780-530-A-1
Description: Based on review of records and interviews, the center failed to ensure that there was at least one staff in each classroom where children are present with current certification cardiopulmonary resuscitation (CPR).
Evidence:
1. In Classroom #1, Staff #4 and #7 were present.
2. Staff #4?s CPR certification expired on 9/24/22.
3. Staff #7 did not have CPR certification on file.
4. Staff #1 confirmed that neither staff had current CPR certification.

Plan of Correction: Please let it be noted that the staff reviewed did have a current CPR & First Aide training but it was NOT through one of the three specified, approved agencies required by the standards.

A new training will be scheduled Monday, Nov. 7th with Lord Fairfax EMS
Counsel to retrain and get the proper credentials.

This will also cover all classrooms where one or more staff have the designated CPR and First Aide Training.

Standard #: 8VAC20-780-530-A-2
Description: Based on review of records and interviews, the center failed to ensure that there was at least one staff member in each classroom where children are present with current certification first aid.
Evidence:
1. In Classroom #1, Staff #4 and #7 were present.
2. Staff #4?s First Aid certification expired on 9/24/22.
3. Staff #7 did not have First Aid certification on file.
4. Staff #1 confirmed that neither staff had current First Aid certification.

Plan of Correction: Please let it be noted that the staff reviewed did have a current CPR & First Aide training but it was NOT through one of the three specified, approved agencies required by the standards.

A new training will be scheduled Monday, Nov. 7th with Lord Fairfax EMS
Counsel to retrain and get the proper credentials.

This will also cover all classrooms where one or more staff have the designated CPR and First Aide Training.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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