VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Teaching Young Hearts Child Development Center
4900 Oakleys Lane
Henrico, VA 23231
(804) 222-1640

Current Inspector: Tara Barton (804) 381-8487

Inspection Date: Dec. 13, 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) 22.1 Background Checks Code, Carbon Monoxide

Comments:

A renewal inspection was conducted on 12/13/2022 with center administration and center staff. There were 65 children present, ranging in ages from 1 year to 12 years, with 9 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 7 child records and 4 staff records were reviewed. The children were waking from rest, arriving from school, having afternoon snack, playing outdoors, and working on seasonal projects. 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. Time of today?s inspection: 2:30 p.m. to 5:00 p.m. Please call me if you have any questions at 804-381-8487 or e-mail tara.barton@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on review of four staff records, the center failed to ensure that out of state background checks were conducted as required. Evidence: 1. Staff 3 (date of employment (10/31/2022) indicated on the sworn disclosure statement dated 10/14/2022 that they had lived outside the state of Virginia within the past five years. There was no documentation to support that the required out of state criminal history record check had been completed prior to employment or that a search of the child abuse and neglect registry was submitted within 30 days as required. (Delaware). The director verified that an out of state criminal history check and search of the child abuse and neglect registry (CPS check) were not completed for Staff 3. 2. Staff 4 (date of employment 5/17/2022) indicated on the sworn disclosure statement dated 5/17/2022 that they had lived outside the state of Virginia within the past five years. There was no documentation to support that the required out of state search of the child abuse and neglect registry (CPS check) had been submitted within 30 days of employment as required. (North Carolina). The director verified that an out of state search of the central registry was not completed for Staff 4.
Plan of Correction:	The out of state background checks will be sent as soon as possible.
Standard #:	22.1-289.036-A
Description:	Based on review of two applicant records, the facility failed to have documentation of a repeat completed search of the central registry (CPS check) within five years of the original check. Evidence: Applicant 1 and Applicant 2 did not have a completed repeat search of the central registry on file.
Plan of Correction:	Applicant 1 and Applicant 2 submitted CPS checks.
Standard #:	8VAC20-780-240-B
Description:	Based on review of four staff records, the facility failed to have documentation of orientation for each staff prior to working alone with children. Evidence: Staff 1 (date of employment 5/09/2022) had documentation of orientation on 6/1/2022, Staff 2 (date of employment 11/16/2022) did not have a signed or dated orientation, and Staff 4 (date of employment 5/17/2022) had orientation documented on 6/1/2022.
Plan of Correction:	Staff will be provided orientation prior to working with children.
Standard #:	8VAC20-780-260-A
Description:	Based on staff interview, the facility failed to have documentation of an annual fire inspection from the appropriate fire official. Evidence: the administrator could not produce the annual fire inspection.
Plan of Correction:	The fire marshal conducted an inspection, but did not leave a report. The administrator will try to get a copy of the report.
Standard #:	8VAC20-780-350-B-2
Description:	Based on observation, the facility failed to maintain the required ratio of 1 staff for every five children age 16 months up to 24 months. Evidence: On 12/13/2022, there were two staff alone with 12 children ages 16 months to age 2 years from approximately 3:00 p.m. to 3:30 p.m.
Plan of Correction:	The owners are hoping to hire additional staff soon.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, the facility failed to wash children?s and staff hands with soap and running water after toileting or diapering. Evidence: Staff changed 3 diapers in the two year old room. Staff did not have the children wash their hands with soap and water after diapering. Staff did not wash hands immediately before or immediately after changing the child?s diaper.
Plan of Correction:	Staff will be retrained on handwashing procedures.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, the facility failed to clean and sanitize the diaper changing table as required after each use. Evidence: Staff sprayed sanitizer on the diaper changing table and wiped with a paper towel. A cleaner was not used. The bleach water solution was not allowed to dry for a period of at least 2 minutes, as required.
Plan of Correction:	Staff will be re-trained on diapering procedures.
Standard #:	8VAC20-780-510-P
Description:	Based on review of four medications and staff interview, the facility failed to return two medications to the parents within 14 days of the expiration of the medication authorizations. Evidence: the medication authorization for Child A's emergency medication expired 11/04/2022. The medication authorization for Child C's emergency medication expired 6/28/2022 The medications had not been returned to the parents and were still in the medicine box.
Plan of Correction:	The medications will be returned to the parents within 14 days or they will be discarded.
Standard #:	8VAC20-780-550-F
Description:	Based on review of the emergency drill log and staff interview, the facility failed to conduct a lockdown drill at lease once annually. There was no lockdown drill documented in the past 12 months.
Plan of Correction:	The facility will conduct a lockdown drill this month.