VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Children of America - Doc Stone, LLC
75 Dunn Drive
Stafford, VA 22556
(540) 657-4567

Current Inspector: Angela Dudek (804) 629-8167

Inspection Date: Oct. 19, 2022

Complaint Related: Yes

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs.

Comments:

An unannounced complaint inspection was initiated on 10/19/2022 from 9:30am to 10:45am in response to a complaint received in the licensing office regarding behavioral guidance and forbidden actions with 2 staff members. Interviews were conducted with staff, policies and procedures were reviewed, classrooms were observed, and documentation was viewed. Children were observed participating in math activities, legos, dramatic play, and sensory exploration. Staff to child ratios were in compliance during the inspection. Based on the preponderance of evidence collected throughout the investigation, the complaint regarding behavioral guidance was determined to be valid. Three citations were issued as a result of the findings of the investigation. The remaining citations were discovered during the inspection. The exit interview was conducted on 12/7/2022 with a manager. If you have any questions regarding this inspection, please contact the Licensing Inspector, Angela Dudek at angela.dudek@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-B-4
Complaint related:	No
Description:	Based on review of two staff records, the center did not obtain the results of a criminal history record check from all states in which staff members have resided within the last five years prior to employment. Evidence: The record for Staff #2 (date of hire 10/25/21) did not contain documentation of a completed criminal history record check from all states (Texas) where they resided within the last five years.
Plan of Correction:	Obtain the results of a criminal history check from all states in which staff members have resided within the last five years prior to employment.
Standard #:	8VAC20-780-70
Complaint related:	Yes
Description:	Based on review of 2 staff records, the center did not obtain all of the required documentation for staff records. Evidence: There was no documentation that the center had obtained at least two references as to character, reputation, and competency for Staff #1 before employment.
Plan of Correction:	Ensure that at least two references are documented and present in staff members file.
Standard #:	8VAC20-780-210-A
Complaint related:	Yes
Description:	Based on interview and record review, the center failed to ensure that program leaders meet one of the program leader qualification options. Evidence: The file for Staff #1 (Date of hire 1/3/2022), who is a lead teacher, did not contain documentation of the required education or experience for the position.
Plan of Correction:	Ensure that staff file contains documentation that confirms required education and experience for position.
Standard #:	8VAC20-780-240-A
Complaint related:	No
Description:	Based on review of 2 staff records, the center did not ensure that the Virginia Department of Education-sponsored orientation course was completed within 90 calendar days of employment. Evidence: The record for Staff #2 (Date of hire 10/25/2021) did not contain documentation that the Virginia Department of Education-sponsored orientation course was completed within 90 calendar days of employment
Plan of Correction:	Ensure that the VA Dept of Education sponsored training was completed within 90 days of employment.
Standard #:	8VAC20-780-400-B
Complaint related:	Yes
Description:	Based on staff interviews a staff member did not use behavioral guidance that was constructive in nature, age and stage appropriate, or intended to redirect a child to appropriate behavior and resolve conflicts. Evidence: 1)Staff #1 admitted that when Child #1 does not listen to them, they have yelled at the child as a method of correcting the problem behavior. The staff member stated, ?I will admit I went a little too far and yelled at Child #1?. Staff #1 admitted he doesn?t remember requesting help from the management staff about his concerns with Child #1?s behavior. 2) The Director recalled a situation where the children were transitioning and the group became a little chaotic. The Director heard Staff #1 use a tone that they felt was ?scary? to the children. The Director stated, ?Staff #1 used their `scary parent voice? with the children on one occasion that I can remember.? In this instance the Director intervened and assisted Staff #1 with the group of children.
Plan of Correction:	Ensure that staff members use behavioral guidance that was constructive in nature, age and stage appropriate. Provide staff member with positive guidance training.
Standard #:	8VAC20-780-530-A
Complaint related:	No
Description:	Based on documentation review, the center did not have at least one staff member in each classroom or area where children are present that had obtained first aid and cardiopulmonary resuscitation (CPR) certification and that included an in-person competency demonstration. Evidence: The file for Staff #2 did not contain documentation for completion of first aid and cardiopulmonary resuscitation (CPR) certification that included an in-person competency demonstration. The CPR certification documentation on file is from a training company that states, ?We are not affiliated with the American Heart Association (AHA), Red Cross or OSHA?.Our courses do not require a live hands on skills check.? Staff #2 stated that they have been the only staff member in a classroom on many occasions.
Plan of Correction:	Ensure that at least one staff member in each classroom where children are present have obtained in-person CPR/First Aid.