VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Vine Preschool
5614 Old Mill Road
Alexandria, VA 22309
(703) 780-1800

Current Inspector: Sheila F Nelson (804) 629-7489

Inspection Date: Oct. 18, 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 8VAC20-790 Subsidy Regulations.

Technical Assistance:

Provided information for staff to receive Daily Health Training on-line for free.

Comments:

A monitoring inspection was conducted on October 18, 2022 between the hours of 9:45 am and 12:50 pm. There were 20 children present, with 7 staff supervising within the supervision guidelines. Children were observed participating in gross motor activities, story time, diapering, hand washing, resting, and other activities. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, required posted documents, staff and child files, evacuation drills, special care and emergencies and nutrition. 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. Contact sheila.nelson@doe.virginia.gov or call 804-629-7489 if you have any questions regarding this inspection. . Sheila Nelson License Inspector

Violations:

Standard #:	8VAC20-780-140-A
Description:	Based on record review, the center failed to obtain a physical examination for each child by or under the direction of a physician within 30 days after the first day of attendance. Evidence: At the time of inspection (10/18/22) Child #4 (date of enrollment 8/1/22) does not have a physical examination on file.
Plan of Correction:	I will speak to the parents today.
Standard #:	8VAC20-780-160-A
Description:	Based on record review, the center failed to obtain documentation of tuberculosis screening of each staff at the time of employment and prior to coming into contact with children. Evidence: TB documentation of test or screening is dated 10/1/22 for Staff #4 (DOH 9/27/22)
Plan of Correction:	Will get documentation on first day going forward.
Standard #:	8VAC20-780-160-C
Description:	Based on record review, staff did not submit the results of a follow-up tuberculosis (TB) screening every 2 years from the date of the initial screening or testing. Evidence: Staff #2 (DOH 9/20/20) most recent TB screening is dated 10/6/20 (expired 10/6/22).
Plan of Correction:	Informed staff to get the follow-up screening.
Standard #:	8VAC20-780-40-M
Description:	Based on observation and interview, the center did not maintain a written list of all children?s allergies and the list was not kept in each room or area where children are present. Evidence: 1. All classrooms (3/3) did not have a posted allergy list. 2. Child #2 has documented allergy. 3. Child #4 has a documented allergy. 4. The director confirmed they did not have an allergy list for their classrooms.
Plan of Correction:	I will get this posted. Violation was corrected during the inspection.
Standard #:	8VAC20-780-60-A
Description:	Based on record review, the center failed to obtain a written care plan for each child with 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. Evidence: Child #4 has a documented allergy and did not have a written allergy/medication plan.
Plan of Correction:	I informed parent (staff) this is needed.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: The Infant class (age birth ? 16 months) had bottles of bleach water solution on changing table and counter when not being used for diapering or cleaning.
Plan of Correction:	I will tell teachers to lock them up in the cabinet after diapering or cleaning.
Standard #:	8VAC20-780-440-B
Description:	Based on observation, cots were not identified for use by a specific child. Evidence: The cots in the Panda?s class (3 year olds) were not labeled for a specific child.
Plan of Correction:	I will put labels on them now and tell the teacher to be sure all cots are labeled in the future. Violation was corrected during the inspection.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, the staff did not wash their hands with soap and running water after any contact with body fluids. Evidence: Staff #5 did not wash their hands after cleaning a child?s nose.
Plan of Correction:	I will re-train staff today on proper hand washing procedures.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, the staff did not clean the diapering surface with soap and water after each use. Evidence: 1. Staff #4 did not use soap and water to clean the diapering area (located in hallway) after each use. 2. Staff #4 only wiped the diaper area with a bleach solution. 3. Infant class (age birth-16 months) did not use soap and water to clean the diapering area.
Plan of Correction:	We will re-train our staff today on properly cleaning and sanitizing the diapering area.
Standard #:	8VAC20-780-510-B
Description:	Based on observation and record review, the facility did not obtain written parent authorization as required for prescription and nonprescription medication. Evidence: There was no written authorization for topical cream ointment for child #7. .
Plan of Correction:	I will give the form to the parents for them to complete and return to school.
Standard #:	8VAC20-780-520-C
Description:	Based on record review and observation, the facility did not follow requirements for using diaper ointment or cream. Evidence: 1. Facility did not obtain written authorization for diaper cream ointment for child #2, #3, #5, #6, and #7 2. Five diaper ointments were not in the original container and were not labeled with a child?s name.
Plan of Correction:	Forms will be given to parents today and I will have them to sign the authorization. We will ensure all ointments are labeled.
Standard #:	8VAC20-780-520-D
Description:	Based on observation, insect repellent was accessible to children. Evidence: Insect repellent was in an open hallway cubby accessible to children.
Plan of Correction:	Director removed the insect repellant from the cubby and gave it to the teacher to lock up. Violation corrected during the inspection.
Standard #:	8VAC20-780-570-E
Description:	Based on observation, prepared infant formula was not dated. Evidence: Ten (10) prepared infant bottles in the refrigerator were not dated.
Plan of Correction:	I will tell our parents they must label and date each bottle.
Standard #:	8VAC20-820-120-E-1
Description:	Based on observation and interview it was determined the center did not ensure that the findings of the most recent inspection of the facility was posted Evidence: 1. The results for the most recent inspection (7/7/2022) were not posted in the center. 2. The director confirmed that the most recent inspection results were not posted but were in a binder.
Plan of Correction:	I will post the inspection now. Violation was corrected during the inspection.