VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Living Hope Child Development Center
325 Courthouse Road
Stafford, VA 22554
(540) 657-2700

Current Inspector: Beth Velke (804) 629-8302

Inspection Date: April 11, 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 (8VAC20-770) 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:

Post only the most recent version of the allergy list/dietary restriction/sensitivity list (allergy list) in all classrooms. Remove all old allergy lists. Please make sure that you do not use the cribs as a storage place for thick blankets used for floor play. Reviewed proper procedure for storing medication; please make sure that medications are not stored in unlocked cabinets or cabinets with broken latches Make sure to remove portable playground equipment from the playground if it is not operable, clean or safe. Reviewed out of state background check requirements to include those non-NFF states/territories that require a criminal record check (prior to employment). All staff that have lived outside of Virginia in the last five years must obtain child abuse and neglect background checks from those states. Make sure you are covering all components for orientation Reviewed the requirements for resilient surfacing around the composite play structure. When mulch has degraded and turns to soil, it is no longer an acceptable surface. Pay close attention to repeat violations and bring into compliance immediately

Comments:

An unannounced monitoring inspection was conducted with the director and administrative staff from 9:30 a.m. - 1:00 p.m. Ninety-five children were present with eighteen staff providing supervision. The ages of the children ranged from 3 months to 5 years. For morning snack, the children were provided cereal and milk. The children were observed listening to stories at circle time and several classrooms were engaged in a dinosaur dig during outdoor play. Medications for six children and allergy care plans for four were reviewed. Five staff files and fourteen children?s files were reviewed today. The most recent Fire Dept. and Health Dept. inspection was on 03/08/23

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on a review of five staff files and an interview with Administrative staff, it was determined that one staff did not have an out of state criminal record check prior to the first day of employment. Evidence: There was no California criminal record check on file for staff A at the time of employment, which was 3/3/23
Plan of Correction:	Mailed request on 4/12/23 for background check, will submit background check to licensing when received
Standard #:	8VAC20-780-40-M
Description:	Based on observation and interview the center did not 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. Evidence: 1. In the Younger Infant class, staff reported that Child A has a milk sensitivity. The sensitivity was not listed on the allergy list. 2. In the Younger Infant class staff reported that Child B has a peanut and egg allergy. A different staff member reported that Child B had an egg allergy. Child B was not listed on the allergy list.
Plan of Correction:	We will add the names to the current allergy list.
Standard #:	8VAC20-780-270-A
Description:	Based on observation the center did not ensure that equipment was maintained in a clean, safe and operable condition. Evidence: LI?s observed three tricycles on the three/four year old playground missing the foot petals exposing a hard metal rod.
Plan of Correction:	We will remove tricycles from the playground until the pedals can be replaced
Standard #:	8VAC20-780-280-B
Description:	Based on observation not all hazardous substances were kept in a locked place. Evidence: 1. In the toddler classroom the Licensing Inspector's (LI's) observed a sanitizing agent in the window sill near the diaper area unlocked. 2. In the two's classroom the LI's observed a sanitizing agent on the window sill near the diaper area unlocked.
Plan of Correction:	We will lock the hazardous substances immediately and will review with all staff the need to keep hazardous substances locked
Standard #:	8VAC20-780-330-B
Description:	Based on observation it was determined that there was inadequate resilient surfacing surrounding the composite play structure. Evidence: 1. On the three/four year old playground the mulch surrounding the composite play structure measures between 1/4 inch to 4 inches. The standard requires 6 inches of mulch. 2. On the toddler/two playground there was 1/4 inch of mulch on the sides of the tan slide. The standard requires at least 6 inches of mulch
Plan of Correction:	We will place composite play structure and the tan slide off limits with signage until we can add the additional mulch.
Standard #:	8VAC20-780-500-A
Description:	Based on observation the children did not always wash their hands after eating meals. Evidence: The LI's observed the children in the Pre-K classroom finish snack and transitioning to Circle time. The children failed to wash their hands after eating, nor did the teachers direct them to do so.
Plan of Correction:	We will remind staff the need to have children wash hands after snack
Standard #:	8VAC20-780-510-L
Description:	Based on observation medication was not kept in a locked place Evidence: The LI?s observed two Epinephrine medications in a cabinet above the counter. The cabinet lock was broken, therefore the medication was not locked.
Plan of Correction:	The medication was locked immediately and we will make sure the latches are operable in those cabinets with medications
Standard #:	8VAC20-780-520-C
Description:	Based on observation it was determined that diaper cream was accessible to the children. Evidence: 1. In the toddler class the diaper creams were stored in the bottom section of the changing table accessible to children. 2. In the two year class the diaper creams were stored in the bottom section of the changing table accessible to children.
Plan of Correction:	We will make sure the diaper creams are kept inaccessible to the children