VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Smiles & Giggles Learning Center Incorporated
132 Fox Hill Road
Hampton, VA 23669
(757) 851-3030

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: March 7, 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. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Early Childhood Care and Education 63.2 Child Abuse & Neglect

Technical Assistance:

Discussed in detail the requirement for carbon monoxide detector.

Comments:

A monitoring inspection was initiated on 3-7-2023 and concluded on 3-8-2023. There were 45 children present with 5 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 5 child records and 5 staff records were reviewed. 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

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on record review and staff interview the licensee did not ensure to obtain 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 from any state in which the individual has resided in the preceding five years. Evidence: Director confirmed that they had not obtained an out of state criminal history check or an out of state child abuse and neglect record check for South Carolina where staff #4 (hire date 4-6-2022) had lived within the last five years.
Plan of Correction:	Mail in paperwork to obtain the criminal history & central registry & abuse record check from South Carolina.
Standard #:	8VAC20-780-160-A
Description:	Based on record review and staff interview the licensee did not ensure documentation of the Tuberculosis screening shall be submitted at the time of employment and prior to coming into contact with children. Evidence: Staff confirmed that Staff #1 did not have documentation of a TB screening and the first date of employment was 12-16-2019.
Plan of Correction:	Require TB screening be brought in to complete orientation. Staff #1 is no longer with the company.
Standard #:	8VAC20-780-40-J
Description:	Based on document review and staff interview the licensee did not ensure injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: Director confirmed they did not have an updated injury prevention plan.
Plan of Correction:	Review injuries, activities, & services for the last 6 months & update the injury prevention plan.
Standard #:	8VAC20-780-40-K
Description:	Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: Director confirmed that the center's written procedures did not include abusive head trauma.
Plan of Correction:	Ensure that the director has an updated policies & procedures handbook for employees available to reference.
Standard #:	8VAC20-780-40-M
Description:	Based on observation and staff interview, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: Staff #3, in the infant room, confirmed that the allergy list was hanging in sight and that parents enter the room to drop off and pick up their children.
Plan of Correction:	Turn over list and write only allergies/dietary restrictions on the side that be seen by the public.
Standard #:	8VAC20-780-60-A
Description:	Based on record review and staff interview the center did not maintain a record for each child enrolled which contained all of the required information. Evidence: Director confirmed that the following items were missing from children?s records: 1. The record for child #1 did not contain proof of identity. 2. The record for child #3 did not contain work phone numbers for both parents listed. 3. The record for child #5 did not include a second emergency contact.
Plan of Correction:	Require that all missing records be submitted to continue enrollment.
Standard #:	8VAC20-780-210-A-4-b
Description:	Based on record review and staff interview the licensee did not ensure that program leaders within six months before being promoted or beginning work or one month after being promoted or beginning work, a minimum of 24 hours of training shall be received related to the care of children. Evidence: Director confirmed that Staff #3 only had 12 of the required 24 hours of training needed for program leader qualification. Staff #3 confirmed they were the designated lead teacher.
Plan of Correction:	Require the remaining 12 hours be completed within 30 days.
Standard #:	8VAC20-780-245-A
Description:	Based on record review and staff interview the licensee did not ensure staff shall complete annually a minimum of 16 hours of training appropriate to the age of the children in care. Evidence: Director confirmed their training calendar was January to December and the following did not complete the required 16 hours of training: ? staff #1 (hire date 12-16-2019) completed 7 hours of training for 2022. ? staff #2 (hire date 3-12-2021) completed 3 hours of training for 2022. ? staff #3 (hire date 12-15-2020) completed 3 hours of training for 2022. ? staff #4 (hire date 4-6-2022) completed 4 hours of training for 2022.
Plan of Correction:	Send letter to current staff & update employee handbook to include that they must complete 16 hours of training as directed annually to keep their position.
Standard #:	8VAC20-780-330-B
Description:	Based on measurements, observation and staff interviews, the licensee did not ensure where playground equipment is provided, there shall be under equipment with moving parts or climbing apparatus enough resilient surfacing to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child's trajectory in the event of a fall while the equipment is in use. Falls zones shall not include barriers for resilient surfacing. Evidence: The following inadequate fall zones and resilient surfacing were observed on the pay ground. 1. On the preschool playground the resilient surfacing (mulch) was measured and it was between 1/2 inch and 2 inches deep at the base of both blue slide chutes and around the fall zone area. A minimum of 6 inches of resilient surfacing is required 2. On the toddler playground there was a plastic playhouse directly next to the right side of the blue slide and therefore the required 6 feet of fall zone was not met. There was only approximately 1 inch of fall zone on the right side of the slide.
Plan of Correction:	1. Put Smiles and Giggles on the list of centers who need playground mulch & closed the area until it is delivered. Distributors do not currently have any in stock. 2. Moved the playhouse out of the fall zone area.
Standard #:	8VAC20-780-450-A
Description:	Based on observation and Staff interview the center did not ensure Cribs, cots, mats and beds used by children other than infants during the designated rest period or during evening and overnight care shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Cribs when being used by infants shall have a bottom cover. Evidence: The following was observed and confirmed by staff: ? In the Toddler room there were 2 out of 5 children that did not have a bottom cover. ? In the Two?s room 6 out of 16 children that did not have a bottom cover ? In the Three?s and Four?s room 8 out of 18 children that did not have a bottom cover
Plan of Correction:	Parents notified to bring in the bottom covers & reminded that both covers are required.
Standard #:	8VAC20-780-540-E
Description:	Based on equipment review and staff interview the licensee did not ensure the nonmedical emergency supplies were required. Evidence: Director confirmed they did not have a working battery-operated flashlight or a battery-operated radio.
Plan of Correction:	Purchase a flashlight battery-operated radio & put in the non-medical emergency supplies.