VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Pure at Heart Childcare Center, Phase 2
950 Big Bethel Road
Hampton, VA 23666
(757) 262-1277

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: Nov. 14, 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 8VAC20-820 THE LICENSE. 22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and an in person tour of the program A monitoring inspection was initiated on November 14, 2022 and concluded on November 15, 2022. There were 13 children present, ranging in ages from 2 months to age 22 months, with 4 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 5 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 #:	8VAC20-780-130-A
Description:	Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The records for Child #2, (first date of attendance 11-7-2022) did not include documentation of required immunizations.
Plan of Correction:	Immunizations were obtained and docs placed.
Standard #:	8VAC20-780-140-A
Description:	Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received a physical examination by or under the direction of a physician, before the child's attendance; or within 30 days after the first day of attendance. Evidence: The record for Child #5, (first date of attendance 9-20-2021) did not include documentation of a physical.
Plan of Correction:	The Child's physical was obtained and placed in the file.
Standard #:	8VAC20-780-160-A
Description:	Based on review of 5 staff records and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening and the documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: The record for Staff #5 did not include documentation of a TB screenings/ test conducted. Staff #5 was observed working during the inspection.
Plan of Correction:	Will obtain TB on 11-29-2022.
Standard #:	8VAC20-780-40-K
Description:	Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for abusive head trauma. Evidence: Center Director, Staff #5 confirmed there was not a policy available for review related to head trauma.
Plan of Correction:	Training complete. Documentation in all files.
Standard #:	8VAC20-780-70
Description:	Based on a review of 5 staff records and staff interviews, the licensee did not ensure the staff records were kept for each staff person with all required information. Evidence: Staff #2, designated as a lead teacher (program leader) does not have documentation to demonstrate they possesses the education and certification required by the job position. Center Director confirmed there was not documentation available.
Plan of Correction:	Training has been located, printed and filed.
Standard #:	8VAC20-780-240-C
Description:	Based on a review of 5 staff records and staff interviews, the licensee did not ensure each staff member had completed orientation training in all required facility specific topics prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The records for Staff #1 (hire date 10-12-2022), Staff # 4 (hire date 1-28-2022) and Staff #3 (hire date 10-17- 22) do not include information indicating orientation related to prevention of shaken baby syndrome, abusive head trauma and procedures to cope with distraught children was conducted.
Plan of Correction:	Orientation completed. 11-15-2022 New orientation model form obtained and placed in files. 11-16-2022
Standard #:	8VAC20-780-240-E
Description:	Based on a review of 5 staff records and staff interviews, the licensee did not ensure each staff member had obtained within 30 days of the first day of employment, training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: Staff # 4 (hire date 1-28-2022) did not have documentation of CPR / First Aid orientation
Plan of Correction:	CPR group scheduled class.
Standard #:	8VAC20-780-245-A
Description:	Based on a review of 5 staff records and staff interviews, the licensee did not ensure staff completed 16 hours of annual training. Evidence: The record for Staff #2 only included 1 ? hours of annual training (March 2021 to March 2022)
Plan of Correction:	All trainings has been completed and filed
Standard #:	8VAC20-780-270-A
Description:	Based on observation and staff interviews, the licensee did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: On the playground there was a green metal rocker that has a broken rail that measures approximately 1 inch and is sharp and rusty. There is also a black plastic drain tube that is protruding approximately 1 ? inches from the ground and is a tripping hazard. The plastic tube is broken and has sharp edges.
Plan of Correction:	The green metal rocker has been removed. 11-14-2022. The black plastic drain tube has been covered. 11-15-2022
Standard #:	8VAC20-780-280-B
Description:	Based on observation and staff interviews, the licensee did not ensure hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: Hazardous chemicals were observed in the following places and stored in an unlocked manner; 1) In the lobby there was 1 container of hand sanitizer on the window shelf. 2) In the restroom on the diaper pad there was 1 spray container of disinfectant. 3) In toddler room there were 2 containers of hand sanitizer (1 was stored on top of hand soap dispenser and 1 was stored on top of a cabinet), and 1 container of disinfectant wipes was stored on top of a storage cabinet. These items are hazardous chemicals and they were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".
Plan of Correction:	Coached and developed staff to utilize the locked chemicals box designated for all chemicals removed from floor
Standard #:	8VAC20-780-340-D
Description:	Based on a review of 5 staff records and staff interviews, the licensee did not ensure in each grouping of children there is at least one staff member who meets the qualifications of a program leader or program director. Evidence: Staff #4, the designated lead teacher does not have documentation indicating they meet the qualifications of program leader. Staff #4 was the only staff observed supervising 3 toddlers during the inspection. Center Director confirmed there was not documentation available for review during the inspection.
Plan of Correction:	This Staff member is qualified as a program leader. Her training docs are now printed and in her file.
Standard #:	8VAC20-780-440-B
Description:	Based on observation and staff interviews, the licensee did not ensure cribs, cots and mats shall be identified for use by a specific child. Evidence: Child #4 and Child #5 were observed in cribs that were not identified for use by them. Child #4 was in crib that was not labeled for his use and Child #5 was in a crib that was labeled with another child?s name (Child #6).
Plan of Correction:	Cribs were tagged for specific child's use.
Standard #:	8VAC20-780-450-A
Description:	Based on observation and staff interviews, the licensee did not ensure cribs, cots and mats used by children other than infants during the designated rest period or during evening and overnight care shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Cribs when being used by infants shall have a bottom cover. Evidence: Child #5 was observed in a crib without a bottom cover.
Plan of Correction:	Linen placed with children during inspection.
Standard #:	8VAC20-780-530-A
Description:	Based on review of 5 staff records and staff interviews, the licensee did not ensure there was at least one staff in each classroom or area where children are present had obtained a current certification in cardiopulmonary resuscitation (CPR) and First Aid as appropriate to the age of the children in care Evidence: In the toddler classroom Staff #4 was the only staff observed supervising 3 toddlers during the inspection and they have not obtained CPR or First Aid certification.
Plan of Correction:	CPR has been scheduled for 11-30-2022.