VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Learn 'N Play Preschool and Children's Center
4600 Lee Hill School Drive
Fredericksburg, VA 22408
(540) 710-6400

Current Inspector: Beth Velke (804) 629-8302

Inspection Date: May 3, 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. 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced renewal inspection was conducted on 5/3/23 from 1:30pm to 3:10pm with the Assistant Director and Front Desk staff. There were 77 children in care, ranging in age from three-months to five-years-old, supervised by 12 staff. The infants were observed having free play and getting their diapers changed, and older children were observed napping and then waking up and having afternoon snack. Six child records and six staff records were reviewed. The Center has 27 staff with current certification in CPR and First Aid, and five staff trained in Daily Health Observation. Seven medications and authorization forms were reviewed and the center has five staff current in Medication Administration Training (MAT). Required postings were observed. The attendance, menu, and emergency drill log were reviewed. The most recent Fire Inspection on file was dated 4/12/23 and the most recent Health Inspection on file was dated 11/4/22. Snack served was waffles and strawberries. If you have questions regarding this inspection, please contact the Licensing Inspector, Laura Brindle, at laura.brindle@doe.virginia.gov or 540-905-2062. Please complete the "Plan of Correction" and "Date to be Corrected" areas on the Violation Notice for each violation cited and return to me by close of business on 5/12/23. Plans of correction should include steps to correct the noncompliance with the standard, and measures to prevent the noncompliance from occurring again.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on review of six staff records, the center did not obtain the results of a fingerprint-based national criminal history background check for one staff prior to employment. Evidence: The record for Staff #4, with an employment date of 4/17/23, did not contain documentation of fingerprint results.
Plan of Correction:	Fingerprint portability had been requested, but we will be sure to receive fingerprints from previous child care employers prior to orientation.
Standard #:	22.1-289.035-B-4
Description:	Based on review of six staff records, the center did not obtain the results of a sex offender registry check from all states in which a staff member has resided within the last five years prior to employment. Evidence: The record for Staff #4, with an employment date of 4/17/23, contained documentation that the staff member had lived in Maryland and Florida within the past five years. The record did not contain the results of a sex offender registry check from Maryland or Florida.
Plan of Correction:	Clearance was received.
Standard #:	8VAC20-780-140-A
Description:	Based on review of six child records, the center did not obtain documentation of a physical examination by or under the direction of a physician for one child within 30 days after attendance. Evidence: The physical on record for Child C, with a start date of 3/28/22, was dated 12/22/22.
Plan of Correction:	Reminded staff that children are not allowed to start unless their file is complete.
Standard #:	8VAC20-780-60-A-8
Description:	Based on review of six child records, the center did not 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: The record for Child E contained documentation of a diagnosed allergy to cinnamon. There was no written allergy care plan from a physician on record for Child E.
Plan of Correction:	Received written confirmation from physician that there is no care plan.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the center did not ensure that hazardous substances, such as cleaning materials, were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the shared bathroom for the two-year-old and three-year-old classes, there was a spray bottle labeled ?Bleach and Water? on a high shelf and a second in a high basket.
Plan of Correction:	All cleaning materials that are out of reach will also be locked.
Standard #:	8VAC20-780-420-E-1
Description:	Based on interview, the center did not ensure that the daily record for infants who cannot turn over by themselves contained documentation of the time spent on their stomachs. Evidence: Staff stated that they have not been documenting tummy time for infants.
Plan of Correction:	Staff were taking pictures of tummy time, but to better document duration, we have switched back to a paper log.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, the center did not ensure that the diapering area contained a nonabsorbent surface for diapering or changing. Evidence: In the Infant classroom, the diaper changing pad was observed to have several tears, making it absorbent.
Plan of Correction:	A new diaper changing pad was previously ordered on 4/15/23. Will order from a quicker supplier in the future.
Standard #:	8VAC20-780-570-E
Description:	Based on observation, the center did not ensure that infant bottles were dated and labeled with the child?s name. Evidence: In ?The Pond? class for older infants, there were four bottles observed in the refrigerator that were not labeled with the date or a child?s name.
Plan of Correction:	Reminded parent to please label their child's bottles.