VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Creme de la Creme
16351 Navigation Drive
Woodbridge, VA 22191
(703) 580-8887

Current Inspector: Angela Dudek (804) 629-8167

Inspection Date: May 2, 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:

Provided consultation on the following: 8VAC20-780-280 Hazardous substances should be locked at all times. 8VAC20-780-450 Sheets need to be clean and washed daily. 8VAC20-780-560 All food from home including water bottles if filled at home will need to be labeled with name and date.

Comments:

An unannounced monitoring inspection was conducted on 5/2/23 with the director from 9:05 a.m. - 1:05 p.m. On Hundred and three children were present with eighteen staff providing supervision. The ages of the children ranged from 2 months to 5 years. For morning snack, the children were provided waffles and juice. The children were observed eating morning snack, participating in art work and transitioning to S.T.E.M. and using the smart board. Diapering and handwashing were 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. Five medications, allergy care plans and medication documentations were reviewed. Five staff files and five child files were reviewed today. 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 5/9/23. Please email me at angela.dudek@doe.virginia.gov with any questions

Violations:

Standard #:	22.1-289.035-A
Description:	Based on a review of five staff records, the center did not obtain the results of the central registry search every five years from the date of the last check. Evidence: The record for Staff #3 (Date of Hire 1/8/18) did not contain documentation of a central registry background search every five years, the last central registry check was completed on 2/5/18.
Plan of Correction:	Complete a new Central Registry check for staff.
Standard #:	22.1-289.035-B-4
Description:	Based on a review of five staff records and interview, the center did not obtain the results of a criminal history record check or central registry check from all states in which staff members have resided within the past five years prior to employment. Evidence: 1. The record for Staff #4 (Date of Hire 2/14/23) and Staff #5 (Date of Hire 3/14/22) did not contain a criminal history check from all states in which they resided outside Virginia in the past five years. 2. The record for Staff #5 (Date of Hire 3/14/22) did not contain a central registry check from all states in which they resided outside Virginia in the past five years.
Plan of Correction:	Complete all background checks for Staff #4 and Staff #5.
Standard #:	8VAC20-770-60-C-2
Description:	Based on review of five staff records and staff interview, the center did not obtain documentation of the results of a central registry search completed by the end of the 30th day of employment for a staff member. Evidence: The record for Staff #2 (Date of Hire 4/11/22) and Staff #4 (Date of Hire 2/14/23) did not contain documentation that a central registry search was completed within 30 days of employment. There were no central registry results in the file and no documentation of follow up in the file.
Plan of Correction:	Complete and follow up with Central Registry to obtain results of missing requests.
Standard #:	8VAC20-780-160-A
Description:	Based on review of five staff records, the center did not obtain documentation of a negative tuberculosis (TB) test or screening for staff at time of employment and prior to contact with children. Evidence: The file for staff #2 (Date of Hire 4/11/22) & staff #4 (Date of Hire 2/14/23) did not contain documentation of a negative tuberculosis test or screening.
Plan of Correction:	Ensure all staff members have a current negative TB test.
Standard #:	8VAC20-780-180-A
Description:	Based on review of the written attendance record, the center did not ensure they maintained a written record of daily attendance for each group of children documenting arrival and departure of each child in care as it occurs. Evidence: 1. In the Infant A classroom there were five children present and the written record reflected there were seven children present. 2.In the prep AB and EF class there were seventeen children present and the written record reflected there were twelve children present. 3.In the Prep CD class there were ten children present and the written record reflected there were thirteen children present.
Plan of Correction:	Ensure all teachers understand and utilize the name to face sheet at every rotation throughout the day.
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. Evidence: In the toddler classroom the trash can that was used to dispose of soiled diapers was not able to be operated by foot causing staff to touch the exterior surface of the trash can with their hand or a soiled diaper to open the trash can.
Plan of Correction:	Place a trash can with a step lid in the Toddler classroom.
Standard #:	8VAC20-780-570-A
Description:	Based on observation the center did not ensure that children placed in an infant seat or high chair were securely fastened with a protective belt. Evidence: In the Infant A class three children were observed sitting in high chairs without the protective belt fastened.
Plan of Correction:	Ensure all children are securely fastened in chairs before adding the tray.
Standard #:	8VAC20-780-570-E
Description:	Based on observation the center did not always ensure that infant formula was dated and labeled with the child?s name. Evidence: 1.In the Infant A classroom there was a bottle in the refrigerator that was not labeled with the child?s name. 2.In the Infant A classroom there was a bottle in the refrigerator that was not dated.
Plan of Correction:	Ensure all bottles are labeled with child's name and date at drop off.