Heavenly Hands Early Learning Center
2800 Hill Street
Lynchburg, VA 24501
(434) 386-8082
Current Inspector: Kelly Campbell (540) 309-2494
Inspection Date: Dec. 6, 2022
Complaint Related: No
- Areas Reviewed:
-
? 8VAC20-780 Administration.
? 20 Access to minor?s records
? 8VAC20-780 Staff Qualifications and Training.
? 22.1 Early Childhood Care and Education
? 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
- Comments:
-
An unannounced on-site monitoring inspection was conducted on 12/6/2022. There were 18 children, ages 5 months-5 years, and 7 staff members present during the inspection. The inspector observed the following: arrival, lunch, art activities and free choice activities A total of 5 children?s records and 6 staff records, were reviewed. The inspector discussed the following with staff: attendance requirements, program leader training, CPS portal and record keeping.
The inspection was amended on 01/12/2023 for corrections of standard numbers in the violation notice and supplemental form and the addition of language to repeat and systemic violations.
Kelly Campbell
Licensing Inspector
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
Phone# 540-309-2494
Kelly.campbell@doe.virginia.gov
- Violations:
-
Standard #: 8VAC20-770-60-C-2 Description: Based on review of eight staff records, the center failed to obtain the finding from a search of the central registry within 30 days of hire.
Evidence:
1.Staff # 5 had a hire date of 3/18/2022. A return search of the central registry was not in the record. Staff # 7 did not provide documentation when requested.
2.Staff # 6 had a hire date of 2/15/2022. A return search of the central registry was not in the record. Staff # 7 did not provide documentation when requested.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-140-A Description: Based on record review and interviews, the center failed to 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 # 1 contained documentation that the first date of attendance for Child # 1 was 09/26/2022; the date on the physical exam for Child 1 was 11/15/2022.
2. Staff # 7 verified that the first date of attendance for Child # 3 was 02/21/2022; there was not a record of a physical examination in the record for Child # 3 during the 12/06/2022 inspection.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-150-B Description: SYSTEMIC DEFICIENCY
Based on record review, the center failed to ensure that each report of immunization and physical examination shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department.
Evidence:
1. The immunization report in the record for Child # 1 was not signed by a physician, his designee, or an official of a local health department.
2. The immunization report in the record for Child # 2 was not signed by a physician, his designee, or an official of a local health department.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-160-C Description: SYSTEMIC DEFICIENCY
Based on interview and review of six staff records, the center failed to ensure that all staff had a negative tuberculosis (TB) screening at least every two years from the day of the initial screening or testing.
Evidence:
1.Staff # 1 started employment on 7/14/2018 and the most recent TB screening was dated 7/16/2020. The Staff person was working with children on the day of the inspection without a current TB screening.
2. Staff # 4 started employment on 2/24/2021 and the most recent TB screening was dated 9/22/2020. The Staff person was working with children on the day of the inspection without a current TB screening.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-60-A Description: REPEAT VIOLATION
SYSTEMIC DEFICIENCY
Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all the elements as required by the standards.
Evidence:
1. The record for Child # 1 did not include the following information: work phone number and place of employment of each parent who has custody (there was an employer listed however there was not a work phone number provided); and the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached (there was not an address provided
for the second designated person).
2. The record for Child #2 did not include the following information: the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached (there was not an address or phone number provided for the second designated person).
3. The record for Child # 3 did not include the following information: the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete and there were not phone numbers provided for the designated people); and first date of attendance.
4. The record for Child # 4 did not include the following information: phone number of the child?s physician; and the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete); and documentation of viewing proof of the child?s identity and age.
5. The record for Child # 5 did not include the following information: allergies and intolerances to medication or any other substances, and actions to take in an emergency; and documentation of viewing proof of the child?s identity and age.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-70 Description: REPEAT VIOLATION
SYSTEMIC DEFICIENCY
Based on review of eight staff records, the center failed to ensure that all records were complete per the standard.
Evidence:
1.Staff # 3 did not have a documented start date, did not have the two required reference checks prior to employment and the required emergency contact.
2.Staff # 4 had a hire date of 8/22/2022 and did not have the two required reference checks prior to employment.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-80-A Description: REPEAT VIOLATION
SYSTEMIC DEFICIENCY
Based on review of the attendance and interviews with staff, the center failed to ensure that for each grouping of children, the center maintained a written record of daily attendance that documented the arrival and departure of each child in care as it occurred.
Evidence:
1. On the day of the inspection at approximately 11:04 AM, the toddler class did not have the daily attendance completed for the eight children present in that classroom. Staff # 4 confirmed the attendance was not completed and was not located in the classroom. Staff # 4 had to leave the classroom to locate the attendance record in the office down the hallway. Staff # 1 stated that the center also uses Bright Wheel App for maintaining daily attendance. On the day of the inspection Staff # 1 opened the App and two of the eight children were marked as present.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-270-B Description: SYSTEMIC DEFICIENCY
Based on observation, the center failed to ensure that heat shall be supplied from a heating system approved in accordance with the Uniform Statewide Building Code.
Evidence:
There was a portable heater located under the television beside of the play kitchen set in the infant room that was observed in use during the inspection. The heater was hot to the touch and was accessible to the children. Children were observed playing in the area of the heater.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-280-B Description: REPEAT VIOLATION
SYSTEMIC DEFICIENCY
Based on observation, the center failed to ensure that all chemicals were locked using a safe locking method that prevents access by children.
Evidence:
1.In the preschool room, a closet was unlocked and had a broken doorknob. Inside the closet was a shelf full of unlocked chemicals. The inspector could pull the door to the cabinet open to access the chemicals. The cabinet was not out of reach of the children in care and was accessible to the children.
2. The adult bathroom was accessible through the main hallway to the offices. The door to the bathroom was unlocked. There were containers of chemicals (Fabuloso and bleach) sitting on the floor accessible to children.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-280-D Description: SYSTEMIC DEFICIENCY
Based on observation, the center failed to ensure that cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single-service
articles and shall be stored in areas physically separate from food.
Evidence:
There were 3 spray bottles of Clorox Clean Up on the top shelf of a shelving unit in the downstairs kitchen area that were located above the following items: plastic spoons, plastic forks, styrofoam bowls, infant rice cereal and various food items.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-290-A-3 Description: Based on observation, the center failed to ensure that in areas used by children of preschool age or younger electrical outlets shall have protective covers.
Evidence:
There were 2 uncovered electrical outlets on an extension cord in the infant room. The extension cord was accessible to children.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-340-D Description: REPEAT VIOLATION
Based on observation, staff record review, and interviews, the center failed to ensure that each grouping of children had a qualified program lead.
Evidence:
1.Staff # 4 was observed working in the toddler room as a program leader on the day of the inspection. Staff # 4 stated she was the program lead. After review of Staff # 4 record, there was no documentation of the educational requirements for a program leader position.
2.Staff # 1 was observed working in the preschool room as a program lead on the day of the inspection. Staff # 7 stated Staff # 1 was the program lead for the room. After review of Staff # 1 record, there was no documentation of the educational requirements for the position of program leader.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-430-L Description: Based on observation and interviews, the center failed to ensure that infant walkers shall not be used.
Evidence:
There was an infant walker observed in the infant room. Staff # 2 verified that the walker has been used by the children.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-510-L Description: Based on observation, the center failed to ensure that medication, except for those prescriptions designated otherwise by written physician?s order, including refrigerated medication and staff?s personal medication, shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence:
There were 10 individual packets of aspirin in the first aid kit in the infant room. The first aid kit was not locked. The medication was not kept in a locked place using a safe locking method that prevents access by children.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-550-G Description: REPEAT VIOLATION
Based on record review and interviews, the center failed to ensure that all emergency drills were documented.
Evidence:
The center did not have documentation of a fire evacuation drill for August, September and November of 2022.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-570-A Description: Based on observation, the center failed to ensure that when a child is placed in an infant seat, the protective belt shall be fastened securely.
Evidence:
Child # 1 was observed in an infant bouncer. The protective belt of the infant bouncer was not fastened.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-570-C Description: Based on interviews, the center failed to maintain a record of each child on formula that shall contain the brand of formula and the child?s feeding schedule.
Evidence:
1.Staff # 2 verified that there were six children on formula in the infant room.
2. Staff # 2 verified that there was not a record that contains the brand of formula and the child?s feeding schedule for any of the children.Plan of Correction: Not available online. Contact Inspector for more information.
Disclaimer:
A compliance history is in no way a rating for a facility.
The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.
