VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Children of America - Doc Stone, LLC
75 Dunn Drive
Stafford, VA 22556
(540) 657-4567

Current Inspector: Angela Dudek (804) 629-8167

Inspection Date: March 8, 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 Background Checks Code, Carbon Monoxide 32.1 Report by person other than physician 63.2 Child Abuse & Neglect

Technical Assistance:

8VAC20-780-140A A physical for each child must be obtained within 30 days after enrollment. 8VAC20-780-340 F Staff should be able to see all children they are supervising during naptime in all classrooms with children under age 10. 8VAC20-780-560G All food from home, including water bottles if filled at home, will need to be labeled with name and date.

Comments:

An unannounced renewal inspection was conducted on 03/08/2023 from 10:30am to 2:50pm. There were 95 children ages 3 months to age 6 years old supervised by 18 staff. The physical plant, outdoor playground area, programming, attendance, menus, 5 staff records, 5 children?s records, 5 medications with corresponding authorization records, emergency drills, injury reports, emergency supplies, and policies were reviewed. Children were observed participating in building activities, eating, reading, sensory activities and napping. Diapering and handwashing procedures were also observed. There was an adequate number of staff present with current certification in Medication Administration Training (MAT), CPR and First Aid, and Daily Health Observation (DHO) training. Areas of non-compliance are identified in the Violation Notice. Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the Violation Notice, and then return a signed and dated copy to the licensing office by 5pm on 3/17/23. Please email me at angela.dudek@doe.virginia.gov with any questions.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on review of 5 staff records, the provider did not obtain documentation of the results of a national fingerprint background check prior to date of hire. Evidence: The record for Staff #1 (Date of Hire 1/9/23), did not contain documentation of a fingerprint background check completed prior to their date of hire. The fingerprint for Staff #1 was completed on 1/10/23.
Plan of Correction:	Ensure that fingerprints are completed prior to the date of hire.
Standard #:	22.1-289.035-B-4
Description:	Based on review of 5 staff records, the center did not obtain the results of a criminal history record check and a central registry check from all states in which staff members have resided within the last five years prior to employment. Evidence: The record for Staff #1 (date of hire 1/9/23) and Staff #4 (date of hire 1/10/23) did not contain documentation of a completed central registry record check from all states where they resided within the last five years prior to employment.
Plan of Correction:	Ensure that results of a criminal history check and central registry check is obtained for every state where staff has resided in the last five years.
Standard #:	22.1-289.058
Description:	Based on observation and staff interview, the center did not ensure that the building was equipped with at least one working carbon monoxide detector. Evidence: There was no carbon monoxide detector in the building.
Plan of Correction:	Place a carbon monoxide detector in the building.
Standard #:	8VAC20-780-40-M
Description:	Based on review of documentation and interview with the staff, the center did not maintain a current and dated written list of children?s allergies, sensitivities, and dietary restrictions that was accessible to all staff in each group or area. Evidence: During the inspection, it was determined that Child #6 had a physician diagnosed food allergy but the child was not listed on the allergy list in any of the classrooms.
Plan of Correction:	Ensure that allergy list has listed all allergies on allergy list posted in classes.
Standard #:	8VAC20-780-80-A
Description:	Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. Evidence: During inspection in the PSIIA classroom, there were 17 children present, but the written record reflected there were 16 children present.
Plan of Correction:	Ensure that all child attendance is correctly recorded on the child supervision record.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the center did not ensure that all areas and equipment of the center, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: On the Toddler playground, there were 3 small platforms on springs that are 10 inches from the ground that are splitting in the middle causing a gap that could pinch a child?s fingers.
Plan of Correction:	Remove platform springs as soon as possible. Children will not play on equipment in this area until this is completed.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the center did not ensure that hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Twos A classroom there were bleach wipes stored in an unlocked cabinet.
Plan of Correction:	Removed bleach wipes that were stored in unlocked cabinet.
Standard #:	8VAC20-780-340-D
Description:	Based on interviews, the center failed to ensure that each grouping of children had at least one staff member that met the qualifications of program leader or program director regularly present. Evidence: 1)The Director stated that there is no program lead in the Toddler classroom at this time. 2)In the Infant A classroom, the Program lead was out of the classroom for a lunch break at 10:19 to 11:03 and there was no one else present in the room who met the qualifications of program lead during that time. 3)In the Infant B classroom, there was no program lead present for the day.
Plan of Correction:	Ensure that there is a program lead present and working in the classroom at all times.
Standard #:	8VAC20-780-420-E-3
Description:	Based on review of 5 child records, the center did not ensure annually that parent confirmation of the required information in the child record is up to date. Evidence: The files for Child #1, Child #2, Child #4 and Child #5 did not have documentation that the parent had confirmed the updated record annually.
Plan of Correction:	Ensure that parents confirm the annual updated information in child's file.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, the center did not ensure that disposable diapers were disposed in a storage system that is either foot-operated or used in such a way that neither the staff member?s hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Based on observation the center did not ensure that the diapering surface was cleaned and sanitized after each use. Evidence: 1)In the Toddler classroom, the storage system for disposal of diapers was not able to be operated by foot causing the staff member to touch the exterior surface of the trash can with their hand or a soiled diaper to open the trash can. 2)In the Infant C classroom, the diaper pad had debris on the surface and was not cleaned after use.
Plan of Correction:	Ensure that correct trashcan is being used for diapering. Ensure that surface of diaper changing table is cleaned after each use.
Standard #:	8VAC20-780-510-E
Description:	Based on review of 5 medications and medication authorizations, the center did not ensure they follow the policy for administration of medication. Evidence: For one of the medications for Child #5, there was no written medication authorization given from the child?s parent for a long term medication.
Plan of Correction:	Ensure that parent signs the long term medication forms.
Standard #:	8VAC20-780-560-G
Description:	Based on observation, the center did not ensure that food brought from home was clearly dated and labeled in a way that identifies the owner. Evidence: In the Infant A classroom, there was food from home that was stored in the refrigerator and was not dated.
Plan of Correction:	Ensure that all food that is stored in classroom is dated.