VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Childcare Network
4300 John Tyler Highway
Williamsburg, VA 23185
(757) 253-2562

Current Inspector: Tiffany Jones (757) 403-3045

Inspection Date: Dec. 5, 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

Comments:

A renewal inspection was initiated Monday, December 5, 2022 and concluded on Tuesday, December 6, 2022. There were 28 children present, ranging in ages from infancy to four year old, with 10 staff supervising and 1 administrative staff on site. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, special care and emergencies and nutrition. A total of 4 child records and 4 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. If you have any questions regarding this inspection, please contact licensing inspector, Tiffany Harris at 757-403-3045.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on review of staff records and interview, the center did not ensure to obtain a copy of a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years. Evidence: In Staff#3's record (date of hire 10/07/2022) there was no documentation of an out of state search for child abuse and neglect found. In Agent#1 record, there was no documentation for an out of state criminal and central registry found Interview with staff confirmed documentation for the out of state criminal and central registry searches are not available during the inspection. Interview with staff confirmed no documentation for registry search was available during the inspection.
Plan of Correction:	The center will follow instructions for out of state background check request and send request for results.
Standard #:	8VAC20-770-60-C-2
Description:	Based on staff records and interview, the center did not ensure to obtain central registry findings within 30 days of employment or volunteer service. Evidence: In Staff #1's (date of hire: 07/28/22), Staff#3's (date of hire: 10/07/22) and Staff#4's (date of hire: 09/06/22) records, there were no central registry findings found. Interview with staff confirmed the central registry findings were not available for review during the inspection.
Plan of Correction:	The center will contact OBI to follow up on status of all staff central registry findings and ensure results are included in records once received.
Standard #:	8VAC20-780-130-A
Description:	Based on review of children's record and interview, in 1 of 4 children's records the center did not ensure to obtain documentation that each child has received the immunization required. Evidence: In Child#4's record (start date: 11/15/22), there was no documentation of immunizations found. Interview with staff confirmed there was no documentation available for review during this inspection.
Plan of Correction:	The center will contact the parent and request a copy to include in the child's record.
Standard #:	8VAC20-780-160-A
Description:	Based on review of staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis screening for each staff member. Evidence: In Staff#2's (date of hire: 8/29/22), Staff#3's (date of hire: 10/07/22), Staff#4's (date of hire 09/06/22) records there were no documentation of tuberculosis screening found. Interview with staff confirmed the documentation for each staff's screenings was not available for review during this inspection.
Plan of Correction:	The center will contact all staff today to have appointments set for TB screenings and completed by Friday.
Standard #:	8VAC20-780-40-M
Description:	Based on review of documentation and interview, the center did not ensure to maintain a current written list of all children's allergies, sensitivities, and dietary restrictions. Evidence: In Threes/Fours, Turtles, and Twos classrooms, the written list of children's allergies, sensitivities, and dietary restrictions provided for review were dated 10/17/22. Interview with staff confirmed a current copy written list was not available for review during this inspection.
Plan of Correction:	The center will ensure all staff receive current allergy list.
Standard #:	8VAC20-780-60-A-8
Description:	Based on review of children's records, and interview, the center did not ensure to obtain a written care plan for each child with diagnosed food allergy. Evidence: In Child#2 and Child#3's records (start date: 10/18/22) there was no written care plan found. Interview with staff confirmed a written care plan for each child was not available for review during this inspection.
Plan of Correction:	The center will contact parent today to request written care plans from the physician and include documentation in each of the children's records.
Standard #:	8VAC20-780-70
Description:	Based on staff records and interview, in 4 of 4 staff records the center did not ensure to obtain all information for each of the staff records. Evidence: 1. In Staff#1's (date of hire: 07/28/22), Staff#2's (date of hire: 08/29/22), Staff#3's (date of hire: 10/07/22), Staff#4's (date of hire: 09/06/22) records, there were no documentation of two or more references available for review. 2. Interview with staff confirmed all documentation for each staff was not available for review during the inspection.
Plan of Correction:	The center will talk with staff tomorrow and request submission of all references.
Standard #:	8VAC20-780-245-L
Description:	Based on interview and review of documentation, the center did not ensure at least one staff on duty obtained within the last three years instruction in daily health observation of children. Evidence: A review of the daily health observation training certificate completed on 9/24/18. Interview with staff confirmed daily health instruction was last provided on 9/24/18.
Plan of Correction:	The center Director will begin and complete training today.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the center did not ensure to maintain all areas and equipment of the center in a clean, safe, and operable condition. Evidence: In the Threes/Fours and School Age bathroom areas, the center's toilets were observed with uncovered protruding screws with visible rusting, and yellowish urination scattered throughout on the seat.
Plan of Correction:	The center will make maintenance request today. The center will review with staff about cleanliness of bathrooms
Standard #:	8VAC20-780-280-B
Description:	Based on observations and interview, the center did not ensure all hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Threes & Fours group and Turtles classroom, there was disinfectant spray and cleaners with the labels "keep out of reach of children" "danger", and "warnings" observed in an unlocked cabinet and on the top of a cabinet. Interview with staff confirmed the cabinet in the Turtles classroom was unable to be locked at this time.
Plan of Correction:	The center will review with staff to ensure all hazardous substances are kept locked at the center.
Standard #:	8VAC20-780-320-B
Description:	Based on observation, the center did not ensure each restroom areas are maintained as required. Evidence: In the hallway restroom area, there was one toilet filled with water and not flushable.
Plan of Correction:	The center will submit maintenance request today.
Standard #:	8VAC20-780-340-D
Description:	Based on observation, review of staff record, and interview, the center did not ensure in each grouping of children at least one staff member meets the qualifications of a program leader. Evidence: During the inspection on December 5, 2022, there was observation in the Infant room in which 2 staff were present with 5 children in care. Staff#1 was identified as the lead staff. Staff#1's record was reviewed and there was no documentation available to verify lead qualifications. Interview with staff confirmed there was not a lead qualified staff in this group during this inspection.
Plan of Correction:	The center will ensure to review all staff records to ensure a qualified lead staff in each group.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, the center did not ensure the diapering surface is used only for diapering. Evidence: In the Turtles' classroom, there were clear storage containers observed on the diapering surface during the inspection.
Plan of Correction:	The center staff removed items immediately, The center director will remain staff to ensure the diapering space is used for diapering only.
Standard #:	8VAC20-780-570-A
Description:	Based on observation, the center did not ensure when a child is placed in an infant seat or high chair, the protective belt shall be fastened securely. Evidence: During the inspection on December 5, 2022, Child#5 was observed in a high chair without protective belt fastened.
Plan of Correction:	The center staff will ensure to staff use protective belt when children are in a infant seat or high chair.