VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Callahan Learning Center LLC
4354 Germanna Highway
Locust grove, VA 22508
(540) 786-9888

Current Inspector: Kelly Adriazola (804) 840-8245

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) 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced renewal inspection was conducted on-site April 25, 2023 and concluded remotely May 8, 2023. The director was available during the inspection. There were 63 children present, ranging in ages from 16 months to 5 years, with 13 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 5 child records, staff records, and 2 agent 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. 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 #:	22.1-289.036-A
Description:	Based on a review of records and interview, the center failed to ensure that every applicant for licensure as a child day center shall undergo a background check in accordance with the Code of Virginia prior to issuance of a license and every five years thereafter. Evidence: 1. The most recent search of the central registry on record for Agent 2 was dated 11/26/2017. There was not a repeat search of the central registry obtained in 2022. 2. Staff #3 confirmed the central registry expired.
Plan of Correction:	Central registries will be completed on the first day of hire and repeated every 5 years without the background check expiring prior to. Immediately Agent 2's central registry was received on 4/29/2023 and will be repeated 4/2028.
Standard #:	8VAC20-780-40-I
Description:	Based on interview, the center did not develop written procedures for injury prevention. Evidence: 1. Staff #3 stated they did not have written procedures for injury prevention.
Plan of Correction:	An injury care plan was updated and implemented.
Standard #:	8VAC20-780-60-A
Description:	Based on a review of children?s records, the provider failed to ensure that each child's record contained the required information. Evidence: The record of child #2 did not contain documentation of the work phone number and place of employment of each parent who has custody and did not contain documentation of the address of the second person to contact in an emergency.
Plan of Correction:	All children records will contain all required information prior to child's first day within the center. Immediately, child 2's information was corrected on child's next day of attendance.
Standard #:	8VAC20-780-60-A-8
Description:	Based on a review of children's records and interview, the center failed to obtain a written care plan for each child with a diagnosed food allergy to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: 1. The record of child #6 contained documentation of a diagnosed food allergy and did not have an allergy care plan signed by a physician on file. 2. Staff #3 confirmed there was no allergy care plan on file for child #6.
Plan of Correction:	For any allergy specified by a pediatrician, there will be an allergy care plan signed by the pediatrician in the child's file to reflect the allergy and what to do in case of a reaction. Parent was notified immediately and notified pediatrician to fax over allergy care plan. Allergy care plan to be received by close of business 5/15/2023 or child no longer attending center until received.
Standard #:	8VAC20-780-210-A
Description:	Based on observation, interview, a review of staff records, the center failed to ensure program leaders meet the requirements. Evidence: 1. Staff #4 was observed working in the 3/4 year old classroom and identified as the program lead. 2. Staff #3 confirmed that staff #4 is the program lead in the 3/4 year old classroom. 3. The record of staff #4 does not contain documentation of 24 hours of lead training. 4. Staff #3 confirmed staff #4 doesn't have 24 hours of lead training.
Plan of Correction:	All staff that are to be considered lead teachers will have the documentation of 24 hours of lead training within their records to indicate their status. Staff will go through the trainings/tasks to get lead teacher qualifications prior to being left along in the classroom. Immediately, staff 4 has been reviewed and assigned trainings from VDOE.
Standard #:	8VAC20-780-550-P
Description:	Based on a review of records, the center failed to ensure that written records of children's serious and minor injuries contained all the required information. Evidence: The incident report for child #7 did not contain documentation of any future action to prevent recurrence of the injury.
Plan of Correction:	A member of the admin team will always double check accident reports to ensure it is complete with documentation of required information. Immediately, staff have been reminded of the correct way to ensure proper documentation has been entered.