VIRGINIA DEPARTMENT OF SOCIAL SERVICES

La Petite Academy #7143
1569 Mill Dam Road
Virginia beach, VA 23454
(757) 481-6078

Current Inspector: D'Nae Goodwin (757) 404-3063

Inspection Date: Dec. 6, 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 (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Comments:

A renewal inspection was conducted on 12/6/22 from 10:35am until 3:05pm. At the time of the inspection, there were 48 children in care with 10 staff present. A sample of 5 children's records and 5 staff records were reviewed. Children were observed participating in learning activities and free play, eating lunch and resting quietly during nap time. Lunch service, infant feeding, diapering, handwashing and restroom procedures were also observed. First aid and emergency supplies, the emergency preparedness plan, documentation of emergency practice drills, transportation, children's injury reports and required center postings were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law. Violations were documented on the violation notice issued to the program and discussed with the center director during the exit interview.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on record review and interview, the center did not ensure that a copy of the results of a criminal history record information check and a search of the child abuse and neglect registry or equivalent registry is obtained from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff 1 has a hire date of 3/31/22. Staff 1 indicated on her sworn statement or affirmation that she has resided in the state of New York within the past five years. The results of a central registry search from the state of New York was not available for staff 1. 2. Staff 2 has a hire date of 4/26/22. Staff 2 indicated on her sworn statement or affirmation that she has resided in the state of Nevada within the past five years. The results of a criminal history record information check and central registry search from the state of Nevada were not available for staff 2. 3. The center director confirmed that the out-of-state background checks for staff 1 and staff 2 have not been completed.
Plan of Correction:	The center responded with the following: New requests were submitted on 12/14/2022. Going forward all staff will not start unless all required background checks are complete. All staff files will be audited by 12/16/2022 to ensure compliance. Management and the DM will periodically inspect staff files to ensure compliance on all updates is maintained.
Standard #:	8VAC20-780-130-A
Description:	Based on record review and interview, the center did not ensure that documentation is obtained that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record for child 1 (date of enrollment: 12/5/22) does not contain documentation of immunizations. 2. The center director confirmed that the record for child 1 is lacking documentation of immunizations.
Plan of Correction:	The center responded with the following: This will be corrected by 12/19/2022. The family will be required to submit missing documents within 72 hours to continue care. Going forward all files will be completed with a paperwork appointment before start date of care with 2 managers signing off. Management will do a full child file audit by 1/30/2023. After Management and the DM will periodically inspect to ensure updated compliance.
Standard #:	8VAC20-780-140-A
Description:	Based on record review and interview, the center did not ensure that each child shall have 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: 1. The record for child 2 (date of enrollment: 4/18/22) does not contain documentation of a physical examination. 2. The center director confirmed that the record for child 2 is lacking documentation of a physical examination.
Plan of Correction:	The center responded with the following: This will be corrected by 12/19/2022. The family will be required to submit missing documents within 72 hours to continue care. Going forward all files will be completed with a paperwork appointment before start date of care with 2 managers signing off. Management will do a full child file audit by 1/30/2023. After Management and the DM will periodically inspect to ensure updated compliance.
Standard #:	8VAC20-780-160-A
Description:	Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening and shall have been completed within the last 30 calendar days of the date of employment. Evidence: 1. The record for staff 3 (date of employment: 6/15/22) contains documentation of a negative tuberculosis screening dated 11/12/21, which is not within the last 30 calendar days of the date of employment. 2. The center director confirmed that the tuberculosis screening for staff 3 was not completed within the required timeframe.
Plan of Correction:	The center responded with the following: Staff will be required to have all correct backgrounds and documents before starting. Management will be auditing all staff files by 12/16 to ensure they are all up to date and compliant.
Standard #:	8VAC20-780-160-C
Description:	Based on record review and interview, the center did not ensure that staff members shall obtain and submit the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening. Evidence: 1. The most recent documented tuberculosis test or screening for staff 4 (date of hire: 9/15/20) is dated 9/17/20. Staff 4 was due for an updated tuberculosis screening in September 2022. 2. Staff 4 confirmed that her tuberculosis screening is expired.
Plan of Correction:	The center responded with the following: This will be corrected on or before 12/19/2022. Staff files will be audited by 12/16 to ensure all files are fully compliant. Management and the DM will do periodic inspections monthly to ensure compliance.
Standard #:	8VAC20-780-60-A
Description:	Based on record review and interview, the center did not ensure that children's records contain all the required information. Evidence: 1. The record for child 1 (date of enrollment: 12/5/22) does not contain documentation of viewing proof of the child's identity and age. 2. The center director confirmed that the record for child 1 is lacking documentation of viewing proof of the child's identity and age.
Plan of Correction:	The center responded with the following: This will be corrected by 12/19/2022. The family will be required to submit missing documents within 72 hours to continue care. Going forward all files will be completed with a paperwork appointment before start date of care with 2 managers signing off. Management will do a full child file audit by 1/30/2023. After Management and the DM will periodically inspect to ensure updated compliance.
Standard #:	8VAC20-780-260-B
Description:	Based on a review of center records and interview, the center did not ensure that annual approval from the health department shall be provided. Evidence: 1. There was no documentation of an annual health inspection for the center available for review during the inspection. 2. The center director confirmed that the annual health inspection for the center could not be located for review.
Plan of Correction:	The center responded with the following: Expected to be completed by 12/19. Management is waiting on the State Health Department to provide us a record copy on file for the facility inspections. Going forward management will ensure all agencies provide proper paperwork and it is kept in the school and our compliance team will also maintain a copy. Management and DM will periodically inspect to ensure compliance.
Standard #:	8VAC20-780-270-A
Description:	Based on observation and interview, the center did not ensure that areas and equipment, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. On the playground, there is peeling and chipping paint under a window of the building, as well as on the baseboards of the building. There is also a broken screen on the outside of one of the windows. 2. On the center's bus used to transport children, there is a seat that is torn with exposed stuffing and a hole on the back of the seat. 3. The center director confirmed that the items listed above are not currently in a clean, safe and operable condition.
Plan of Correction:	The center responded with the following: This will be completed in 30 days. Staff and the safety captain will conduct through walk-throughs daily to inspect equipment and other areas. They will have 24 hours to report any deficiencies to management. Management do periodic inspections to ensure compliance.
Standard #:	8VAC20-780-280-B
Description:	Based on observation and interview, the center did not ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There was a spray bottle of Sanibet sanitizer on the diaper changing table in the toddler classroom and on the windowsill beside the diaper changing table in the two's classroom. Both bottles were accessible to the children in care. 2. The center director confirmed that the spray bottles of sanitizer in the toddler classroom and the two's classroom were not kept in a locked place.
Plan of Correction:	The center responded with the following: All staff was retrained on hazardous substances being locked up on 12/14/2022. The safety captain and management will do daily walkthroughs to ensure compliance.
Standard #:	8VAC20-780-440-G
Description:	Based on observation and interview, the center did not ensure that cribs shall be used for children under 12 months of age. Evidence: 1. In the infant room, child 3 (age 18 months) was asleep in a crib. When asked why a child over the age of 12 months was sleeping in a crib, the infant room staff stated that child 3 had been moved from the toddler room to the infant room due to the staff to child ratio in the toddler room and they did not have a cot for child 3 to sleep on in the infant room. 2. The center director confirmed that a child over the age of 12 months was sleeping in a crib in the infant room.
Plan of Correction:	The center responded with the following: This was corrected on 12/14/2022. Management retrained staff on the age requirements for the Infant room and ensured cots were available for all children developmentally ready 12 months or older. Management and the DM will do periodic inspections to ensure compliance.
Standard #:	8VAC20-780-550-G
Description:	Based on a review of the emergency drill log and interview, the center did not ensure that documentation of emergency practice drills contain all the required elements. Evidence: 1. The emergency drill log for the center does not include the method used for notification of the drill, any special conditions simulated or the weather conditions. 2. The center director confirmed that the center's emergency drill log does not contain the above required elements.
Plan of Correction:	The center responded with the following: This was corrected 12/14/2022. Management was retrained on 12/13 by the District Manager on the new fire drill log to ensure we meet state and accreditation standards. Safety captain and management will ensure proper drills are completed according to schedule and the DM will inspect monthly to ensure compliance.
Standard #:	8VAC20-780-570-A
Description:	Based on observation and interview, the center did not ensure that when a child is placed in a high chair, the protective belt shall be fastened securely. Evidence: 1. In the infant room, there were 3 infants in high chairs that did not have the protective belt fastened around them. 2. The center director and infant room staff confirmed that the 3 infants did not have the protective belts fastened while in the high chairs.
Plan of Correction:	The center responded with the following: This will be corrected within 30 days on the highchairs without belts. Management re-trained staff on 12/14/2022 on how to properly secure children using the protective belts on the high chairs. Going forward staff will report any deficiencies to management within 24 hours so it can be brought into compliance. The safety captain and management will do periodic inspections to ensure compliance.