VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Little Blessings Child Care, Inc.
1133 Locust Drive
Cascade, VA 24069
(434) 685-2458

Current Inspector: Monique Anderson (540) 309-2397

Inspection Date: Nov. 16, 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 22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE 63.2 CHILD ABUSE AND NEGLECT

Comments:

An unannounced monitoring inspection was conducted on 11/16/2022. There were 22 children, ages 3 months- 4 years, and 5 staff members present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, staffing and supervision, physical plant, programs, emergencies and nutrition. The children were observed during free choice activities and lunch. A total of 5 children?s records, 5 staff records, and 1 medication were reviewed. The inspector discussed the following with the staff: program leads, safe sleep and medication. The inspector arrived for the inspection at 9:00 am and departed at 11:25 am. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:

Standard #:	8VAC20-780-40-K
Description:	Based on document review, the center failed to develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices and sudden infant death syndrome awareness. Evidence: The written procedure for prevention of shaken baby syndrome or abusive head trauma did not include safe sleeping practices.
Plan of Correction:	Will correct it today.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, the center failed to ensure that children?s hands shall be washed with soap and running water after toileting; that staff shall wash their hands with soap and running water before and after a diaper change; and after any contact with body fluids. Evidence: 1. Child 5 was observed during a diaper change. Child 5?s hands were not washed after the diaper change. 2. Staff 1 was observed during a diaper change. Staff 1 did not wash their hands after a diaper change. 3. Staff 1 was observed wiping a child?s nose. Staff 1 did not wash their hands after contact with body fluids. 4. Staff 5 was observed wiping a child?s nose. Staff 5 did not wash their hands after contact with body fluids.
Plan of Correction:	Will retrain the staff.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, the center failed to ensure that the diapering surface shall be cleaned with soap and water and sanitized after each use. Evidence: Staff 1 was observed during a diaper change. The diapering surface was not cleaned with soap and water and was not sanitized after the diaper change.
Plan of Correction:	Will retrain the staff.
Standard #:	8VAC20-780-540-C
Description:	Based on observation, the center failed to ensure that the first aid kits contain the minimum components as required by the standards. Evidence: The first aid kit in the 15 Passenger Van did not contain gauze pads, scissors or tweezers.
Plan of Correction:	Will restock the kits.
Standard #:	8VAC20-780-570-C
Description:	Based on document review, the center failed to ensure that the record for each child on formula shall contain the brand of formula; and the child?s feeding schedule. Evidence: There were three children on formula in the infant room. The record for each child on formula did not include the child?s feeding schedule.
Plan of Correction:	Will get from the parents today.