VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Cynthia's Child Care Center LLC
100 North Carter Street
Suite 8 & 10
La crosse, VA 23950
(434) 253-3052

Current Inspector: Cindy Horne (804) 297-4469

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. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Comments:

An unannounced monitoring inspection was conducted on March 7, 2023 from approximately 11:30 am to 1:00 pm. There were 28 children and 5 staff present. 5 staff records and 4 children?s records were reviewed. The children were observed taking a nap while the licensing inspector was on site. Violations were cited as a result of this inspection. 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, 03/22/2023. 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 measure(s).

Violations:

Standard #:	8VAC20-770-60-B
Description:	Based on records review, the center failed to obtain a repeat Sworn Statement 5 years from the original Sworn Statement. Evidence: The record for staff #2, date of employment 09/29/17, had a Sworn Statement dated 08/03/17, and the record for staff #4, date of employment 06/15/17, had a Sworn Statement dated 08/03/17.
Plan of Correction:	Per the center "completed."
Standard #:	8VAC20-770-60-C-2
Description:	Based on a review of records, and interview, the center did not ensure that all employees have a CPS background check that is repeated every 5 years. Evidence: The record for staff #2, date of employment 09/29/17, and the record for staff #4, date of employment 06/15/17, had original CPS background checks that expired in May 2022. There was no evidence that a new CPS background check had been mailed. When asked, the Director stated that the background checks had not been repeated.
Plan of Correction:	Per the center "requested on 3/28/23."
Standard #:	8VAC20-780-140-A
Description:	Based on records review, the center failed to ensure that each child has a physical examination within 30 days after the first day of attendance. Evidence: The record for child #1, date of enrollment 06/14/21, the record for child #2, date of enrollment 12/1/20, and the record for child #3, date of enrollment, 11/30/20, did not contain documentation of a physical examination.
Plan of Correction:	Per the center "all the children updated documents has been received."
Standard #:	8VAC20-780-160-A
Description:	Based on records review, and observation, the center failed to ensure that staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record for staff #5, date of employment 05/26/20, did not contain documentation of a negative tuberculosis screening. Staff #5 was observed working in the classroom with children.
Plan of Correction:	Per the center "staff #5 has made an appointment for TB screening."
Standard #:	8VAC20-780-70
Description:	Based on records review, and observation, the center failed to document that two or more references as to character and reputation as well as competency were checked before employment. Evidence: The record for staff #1, date of employment 03/06/23, and the record for staff #5, date of employment 05/26/20, did not contain documentation of references. Staff #1 and staff #5 were observed working in the classroom with children.
Plan of Correction:	Per the center "references were received on 3/10/23."
Standard #:	8VAC20-780-240-A
Description:	Based on records review, the center failed to ensure that staff complete the Virginia Department of Education (VDOE) sponsored orientation course within 90 calendar days of employment. Evidence: The record for staff #5, date of employment, 05/26/20, did not contain documentation of the VDOE orientation course being completed.
Plan of Correction:	Per the center "orientation has been completed."
Standard #:	8VAC20-780-550-D
Description:	Based on interview, the center failed to ensure that they implement a monthly practice evacuation drill with all of the children in the center. Evidence: When interviewed, the Director stated that they do not take the infants out with them when they have practice evacuation drills.
Plan of Correction:	Per the center "we will begin/resume drills with all children."
Standard #:	8VAC20-780-550-G
Description:	Based on documentation review, and interview, the center failed to maintain documentation of emergency evacuation drills. Evidence: There were no drills documented for January or February of 2023. The Director acknowledged that the drills were not documented.
Plan of Correction:	Per the center "to resume all drills."