VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Rush All Aboard
550 North Main Street
Emporia, VA 23847
(434) 634-0302

Current Inspector: Rene Old (757) 404-1784

Inspection Date: Dec. 9, 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. 8VAC20-770 Background Checks (8VAC20-770) 22 Checks Code, Carbon Monoxide.

Technical Assistance:

Discussed program leader qualifications and orientation training for staff.

Comments:

An unannounced monitoring inspection was conducted on 12/09/2022 from 10:58 am - 1:20 pm. At the time of entrance there were 18 children in care with 4 teaching staff. Children were observed during late morning activities, lunch and nap . Infants were observed engaged in floor play with staff. Records were reviewed for two staff and four children in care. Violations were observed in the areas of administration, physical plant, staffing and supervision, special care provisions and emergencies, special services and general procedures and information for licensure. These violations are listed on the violation notice issued to the facility.

Violations:

Standard #:	8VAC20-780-70
Description:	Based on record review and interview, the center failed to ensure that staff records contain all of the required elements. Evidence: 1. The employment record for staff 1, hire date 05/25/2022, lacked documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. Administrative staff confirmed that documentation of two reference checks were not on file for staff 1.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-240-B
Description:	Based on record review and interview, the center failed to ensure that staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. There was not documentation on file that staff 1, hire date 05/25/2022, had completed orientation training. a. Staff 1 was observed caring for a group of preschool children during the inspection. 2. Administrative staff confirmed that written documentation was not on file to demonstrate that staff 1 had completed this training.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the center failed to ensure that equipment of the center shall be maintained in a safe condition. Evidence: 1. Child 5, age 11 weeks, was observed sitting in an infant seat which had been placed in a crib. a. CPSC recommends these products be used on the floor only as placement of an occupied infant seat inside of a crib is a tip over hazard. 2. Loose crib sheets were observed in the cribs of child 6 and child 7. a. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the center failed to 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. Unlocked cleaning agents & hazardous substances were observed in unlocked and accessible areas of the facility: a. Disinfecting wipes were observed placed inside of a high chair in the lunch room. b. Four containers of disinfecting wipes were observed on top of a storage cabinet in one preschool classroom. c. Disinfecting wipes were observed stored on the floor beside the toilet in the girls bathroom. d. A bottle of bleach was stored inside of the wall mounted cabinet, above the sink, in the boys bathroom.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-D
Description:	Based on record review and interview, the center failed to ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Evidence: 1. There was not written documentation to indicate that staff 2 met qualifications for program leader as outlined in 8VAC20-780-210 -A . 1 - 4. a. Staff 2 was observed caring for four infants, who were awake, at approximately 11:10 am. b. Staff 2 was alone with the children and verified there were no additional staff present in the infant room. 2. Administrative staff confirmed that staff 2 had not completed the required training for the program leader position.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-B
Description:	Based on observation and interview, the center failed to ensure that the diapering area shall contain disposable towels. Evidence: 1. There were no paper towels at the hand washing sink for the infant room diaper changing area. 2. Staff 2 stated that, "We ran out of paper towels yesterday."
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-550-C
Description:	Based on observation, the center failed to ensure that shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building. Evidence: 1. Shelter-in-place procedures were not included on the posted fire evacuation map. 2. Administrative staff verified that shelter-in-place procedures had not been included on the posted emergency procedures map.
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 a high chair , the protective belt shall be fastened securely. Evidence: 1. Three children were observed placed in high chairs without the protective belt secured. a. These children were eating lunch in the lunch room at approximately 11:30 am. b. These children, child 2, 3 and 4, ranged in age from 16 months - 2 years.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-570-E
Description:	Based on observation, the center failed to ensure that prepared infant formula shall be refrigerated and dated. Evidence: 1. Five bottles of infant formula were not dated and were stored in an insulated carrier when viewed at approximately 11:15 am. a. The bottles belonged to child 1 who had arrived at 8:14 am according to the facility attendance record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-570-H
Description:	Based on observation, the center failed to ensure that formula or breast milk shall not remain unrefrigerated for more than two hours. Evidence: 1. The inspector observed five bottles of prepared infant formula for child 1 stored in an insulated carrier at approximately 11:15 am. a. These bottles had not been refrigerated according to staff 2. 2. A review of the attendance record indicated that child 1 had arrived at 8:14 am.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-820-120-E-2
Description:	Based on observation, the center failed to ensure that the findings of the most recent inspection of the facility shall be posted on the premises of the facility. Evidence: 1. The findings from the most recent monitoring inspection conducted on 06/06/2022 were not posted. a. The findings from the 12/30/2021 inspection was posted on the facility lobby wall.
Plan of Correction:	Not available online. Contact Inspector for more information.