VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Elizabeth's Daycare, LLC
4577 Davis Highway
Louisa, VA 23093
(540) 967-9834

Current Inspector: Kelly Adriazola (804) 840-8245

Inspection Date: Feb. 9, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Programs. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced non-mandated monitoring inspection, in response to a self-reported incident regarding programming, was conducted February 9, 2023 and concluded March 21, 2023. The director was available during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and training, and programming. A total of one child record and one staff record were reviewed. Interviews were conducted, video evidence was observed, and documents were collected. The evidence gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	8VAC20-780-410-1
Description:	Based on interview and review of documentation and video, the center failed to ensure that roughly handling a child was forbidden. Evidence: 1. In an interview with staff #2 on 02/09/2023, it was reported that on 02/08/2023 infant #1 began crying while sitting in a rocking chair and staff #2 unstrapped the infant and put the infant on the staff's chest, facing outward, and then staff #2 "whips" infant #1 around and rocked the infant roughly. Staff #1 stated the incident can be observed via camera footage taken on the center's cameras. 2. The written statement by staff #1, dated 02/08/2023, states that staff #2 "appeared frustrated/agitated" as infant #1 began to cry. Staff #2 "preceded [sic] to roughly rock the chair" infant #1 was in. Infant #1 continued crying and staff #2 "roughly pulled" the infant out of the chair "with no regard to his neck." Staff #2 held the infant to the staff's chest and then "swung him around very roughly" into an infant cradling position and then rocked infant #1 "roughly" while patting the infant's bottom. 3. A review of video evidence showed infant #1 sitting in a rocking chair and crying while flailing his arms and legs. Staff #2 was sitting near infant #1 and rocking the chair roughly with the staff's hand. As infant #1 continues to cry more aggressively, arching his back, staff #2 roughly pulls infant #1 (age 5 months) by the left arm out of the rocker chair, aggressively turns the infant around onto the staff's lap facing outward, and roughly turns the infant around again to face the staff without stabilizing the infant's head and neck. When this occurs, the infant's head bounces around from left to right approximately six times. Staff #2 then begins to roughly pat infant #1 on the bottom while rocking the infant in an infant cradle position. 4. In an interview with staff #2 on 02/21/2023, staff #2 said all the babies were crying, she needed to calm them down, and she "can't please them." Staff #2 admitted she picked up infant #1 by one arm stating, "I know I picked him up by one arm. That was my mistake. You can break an arm that way. I should've picked him up with two hands. I was trying to shake him to calm him."
Plan of Correction:	Not available online. Contact Inspector for more information.