VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Reggio's Treehouse
19455 Deerfield Avenue, Suite 101
Leesburg, VA 20176
(703) 344-2551

Current Inspector: Whitney Mcgrath (571) 835-4717

Inspection Date: Feb. 10, 2023

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) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

The next anticipated inspection will be the providers renewal inspection. Provider was reminded to have all renewal application documents completed and sent into licensing office 45 days prior to expiration for processing. The renewal application is available on the VDOE website.

Comments:

Today an unannounced Monitoring Inspection took place between the hours of 9:00am and 11:30pm. There were 8 classrooms observed with a total of 51 children with 11 staff within the supervision guidelines. The children were observed being dropped off by their parents, receiving bottles, making bird feeders and playing freely. A complete inspection of the physical plant, children and staff records, fire drill log, medication and emergency procedures were observed during this inspection. Violations were found during today?s inspection and can be viewed on the Violation Notice. Thank you for your cooperation during the inspection. If you have any questions, please e-mail me at whitney.mcgrath@doe.virginia.gov.

Violations:

Standard #:	8VAC20-780-160-A
Description:	Based on record review, each staff member did not submit documentation of a tuberculosis (TB) screening that was completed within 30 days prior to the first date of employment. Evidence: 1. Staff #1 (date of hire: 12/12/2022) TB screening is dated 4/30/2022. 2. Staff #4 (date of hire: 11/7/2022) TB screening is dated 3/4/2021.
Plan of Correction:	Staff were sent to complete updated TB tests.
Standard #:	8VAC20-780-60-A
Description:	Based on record review, children's records did not contain all required information. Evidence: Child #2 and Child #3's records did not contain an allergy action plan that was signed by the children's physician.
Plan of Correction:	Plan was sent to parents to review and complete.
Standard #:	8VAC20-780-70
Description:	Based on record review, staff records did not contain all required information. Evidence: Staff #4's record did not contain documentation of two reference checks.
Plan of Correction:	Reference checks were completed and added to files.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: The padded mat underneath the slide in the indoor playroom has long tears along the edges, exposing the inner foam material.
Plan of Correction:	Mat in the indoor gym needs to be replaced.
Standard #:	8VAC20-780-280-G
Description:	Based on observation and interviews, hazardous substances are not kept in original containers, the substitute containers were not clearly indicate their contents. Evidence: There were 3 unidentified spray bottles in the toddler classroom, 1 unidentified spray bottle in the young twos classroom and 1 unidentified spray bottle in the older twos classroom. Staff in each classroom confirmed that the contents of the spray bottles was a bleach/water solution used for sanitizing surfaces.
Plan of Correction:	Bottles were relabeled to say "bleach water solution" and appropriate usage.
Standard #:	8VAC20-780-400-A
Description:	Based on observation, staff did not interact with children to promote intellectual, emotional and social well being and growth. Evidence: In the toddler classroom, a child was disciplined for taking their shoes off in the classroom. The child became upset and began crying for "mommy". Staff #4 began mocking the child, saying "You want your mommy? Should I cry for my mommy? Mommy!"
Plan of Correction:	Staff reviewed appropriate behavior management and strategies when comforting.
Standard #:	8VAC20-780-510-G
Description:	Based on observation and interview, medication was not labeled with the child's name. Evidence: A box of Benadryl was observed without a child's name. Center management confirmed that the medication belonged to Child #4.
Plan of Correction:	Medication was labeled on site.
Standard #:	8VAC20-780-510-P
Description:	Based on record review and observation, medication was not returned or disposed of within 14 days of an authorization to administer the medication had expired. Evidence: Child #2's medication authorization for emergency medication was signed by the parents on 10/12/2022 and expired on 10/22/2022. The medication was observed on site during the medication.
Plan of Correction:	Medication was returned.
Standard #:	8VAC20-780-550-D
Description:	Based on record review and interview, the center did not implement an evacuation drill each month. Evidence: There was no drilled documented for December 2022. Center management confirmed that the drill must have been forgotten.
Plan of Correction:	Make up drill completed within the next 30 days.
Standard #:	8VAC20-780-560-M
Description:	Based on observation, children were allowed to eat while walking around. Evidence: Several children were observed licking sunbutter off of plastic knives while walking around the 4 year old classroom after making bird feeders with sunbutter and bird seed.
Plan of Correction:	Staff renewed appropriate safety with food in the classroom.
Standard #:	8VAC20-780-560-N
Description:	Based on observation, food was not maintained in a clean and sanitary manner. Evidence: Several children were observed making bird feeders with sunbutter and bird seed. The children were observed sticking plastic knives inside of one jar, licking the sunbutter off the knives and sticking it back into the jar to get more sunbutter and then licking the knives again. All the children were eating sunbutter from the same jar.
Plan of Correction:	Staff reviewed safety when using food materials during activities. Lesson planning was added to our 2/20/2023 training.