VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Braddock Street United Methodist Church Early Learning Center
103 South Braddock Street
Winchester, VA 22601
(540) 667-8915

Current Inspector: Stephanie Reed (540) 272-6558

Inspection Date: April 25, 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. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Comments:

A mandated monitoring inspection was conducted on April 25, 2023 from 10:00 A.M.-1:45 P.M. There were 86 children present, ranging in ages from four months to five years of age, with twenty 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 eight child records and 12 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. If you have any questions or concerns please contact the Licensing Inspector at 540-430-9257.

Violations:

Standard #:	8VAC20-780-130-A
Description:	Based on a review of children records, the center failed to ensure that immunizations were obtained before the first day of attendance. Evidence: 1. Child #4's first day of attendance was 11/21/2022. The immunizations in the record were dated 01/18/2023. 2. Administration verified the date of attendance, and the date on the immunization record.
Plan of Correction:	Administration will create a two person audit on all new future enrollments to ensure all immunizations are obtained before the child's first day of attendance.
Standard #:	8VAC20-780-140-A
Description:	Based on a review of children records, the center failed to obtain a physical examination within 30 days after the first day of attendance. Evidence: 1. Child #4's first date of attendance was 11/21/2022. The physical examination was date 01/18/2023. 2. Administration verified the first date of attendance, and the date on the physical examination.
Plan of Correction:	Administration will create a two person audit on all new future enrollments to ensure all physical examinations are obtained in the required timeframe. A spreadsheet will be created to track those that start at the center without the physical examination and reminders sent to the parents.
Standard #:	8VAC20-780-60-A
Description:	Based on review of children records, the center failed to ensure all required information was in children records. Evidence: 1. Child #2's file was missing the following information if there were any chronic physical problems, pertinent developmental information, and any special accommodations needed, and allergies and intolerance to medication or any other substances, and actions to take in an emergency situation. 2. Child #5 and Child #6's file was missing if there were any chronic physical problems, pertinent developmental information, and any special accommodations needed.
Plan of Correction:	Administration will create a two person audit on all new future enrollments to ensure all information is obtained and recorded.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the center failed to ensure that all areas of the center were maintained in a safe and operable condition. Evidence: 1. In Room 109 the molding is loose and coming of the one wall and completely missing on another wall. 2. In Waddler Room 1 there is broken tile and tile missing near the door that leads to the outdoor play area.
Plan of Correction:	A work order will be placed to obtain the repairs for the tile and molding.
Standard #:	8VAC20-780-550-F
Description:	Based on review of evacuation drills and interview, the center failed to ensure that a lockdown drill was practiced at least annually. Evidence: 1. There was no documentation of a lockdown drill being completed for 2022. 2. Administration verified that a lockdown drill had not been completed for 2022.
Plan of Correction:	A lockdown drill has been completed for 2023. In the future we will continue to track the required number of drills to ensure all are completed in the required timeframe.