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La Petite Academy, INC- 7144
3190 Lake Powell Road
Williamsburg, VA 23185
(757) 253-1938

Current Inspector: Michele Patchett (757) 439-6816

Inspection Date: May 5, 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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:
Discussed information a person left in charge needs to know when their is a licensing visit.

Comments:
An unannounced monitoring inspection was conducted on May 5, 2023 from approximately 1:27pm-4:45pm. Children were observed transitioning form lunch to nap. Four staff records and four children records were reviewed during the inspection. Licensing Inspector reviewed indoor areas, supervision, activities, equipment, emergency evacuation and shelter-in-place drill documentation, emergency procedures and required posting.

Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the program.

Amended violation report 05/18/2023.

Violations:
Standard #: 22.1-289.011-F
Description: Based on record review, the licensee did not ensure the most recent licens was posted.

Evidence:
The license was posted dated May 22, 2017- May 23, 2019.

Plan of Correction: Current license has been posted. Management will ensure that all required licenses are current, posted and available for view.

Standard #: 22.1-289.035-B-4
Description: Based on review of staff records and staff interview, the licensee did not ensure to obtain an out-of-state background check for one staff member.

Evidence:
1. The record for Staff #1 did not contain results of completed search of the child abuse and neglect registry for the state of Florida in which the staff member resided before moving to Virginia within the last five years.

Plan of Correction: Florida background check has been initiated. The Director will ensure that all required background checks will be completed on or before the employee's first day of employment. The Area Manager will audit staff files for compliance.

Standard #: 8VAC20-780-160-A
Description: Based on record review, the licensee did not enure all staff had TB test results prior to hire.

Evidence:
The center was unable to provide documentation of Staff #4 (hire date 05/10/2022)TB test results.

Plan of Correction: Staff member will provided TB test results. Going forward, new employees will provide TB test documentation on or before their first day of employment.

Standard #: 8VAC20-780-70
Description: Based on record review and staff interview, the licensee did not ensure all required information for each staff record was obtained.

Evidence:
Staff #2 did not have hire date documented and two references were missing.
Staff #3 did not have documentation of orientation.

Plan of Correction: Required documentation has been obtained for staff files. The Director will ensure all file documentation, including references and background checks, is completed on or before the employee's first day of employment.

Standard #: 8VAC20-780-260-B
Description: Based on record review and staff interview, the licensee did not ensure their a health inspection completed annually.

Evidence:
The previous inspection the center did not have documentation of a recent health inspection. During the inspection May 5, 2023, there was not annual health inspection documentation available. Confirmed with staff that they have not had inspection.

Plan of Correction: Area Manager has contacted the Health Department. She has confirmed that the renewal application has been received and the annual inspection is scheduled for the week of May 22, 2023.

Standard #: 8VAC20-780-270-A
Description: Based on observation, the licensee did not ensure areas of equipment of the center , inside and outside should be maintained in clean , safe and operable condition.

In the bathrooms, the bathroom stall partitions are rusting which is a red residue. The center confirmed they are aware.

In the bathroom, there was brown matter on the toilet seat . Confirmed by the center.

Plan of Correction: A Facilities Work order was placed on 5/5/23 for the stall partition to be repaired. The bathroom was cleaned on the day of inspection. Going forward staff will follow proper cleaning and sanitation procedures to ensure that bathrooms remain clean throughout the day.

Standard #: 8VAC20-780-280-B
Description: Based on observation, the licensee did not ensure hazordous substances were be kept in a locked place using a safe lock method.

Evidence: In the infant two classroom, there was bleach and water spray bottles on both sides of counters sitting on the counters.

Plan of Correction: All staff have been retrained on proper storage of chemicals as of 5/12/23. The management team will monitor classrooms for compliance.

Standard #: 8VAC20-780-350-B-1
Description: Based on observation and staff interview, the licensee did not ensure the staff to child ratio from birth up to 16 months ratio is 1:4 (staff:children).

Evidence:
In the toddler classroom, at approximatley 1:30pm there was 9 children with 2 staff. Child #1 (12 months old) was youngest in the classroom the ratio for birth to 16 months is 1:4.

Plan of Correction: Staff have been retrained on ratios per age group, mixed age group ratios, and appropriate transitions. Going forward proper ratios will be followed and a member of management will oversee transitions to ensure appropriate age groups and ratios.

Standard #: 8VAC20-780-350-B-2
Description: Based on observation, staff interview and record review, the licensee did not ensure 16 months up to 24 months- ration 1 staff to 5 children.

Evidence: In the 2 year old classroom, there was 2 staff to 16 children. The youngest child in the classroom was child #3,18 months old. Confirmed by staff toddlers and 2's were combined transitioning to nap time.

Plan of Correction: Staff have been retrained on ratios per age group, mixed age group ratios, and appropriate transitions. Going forward proper ratios will be followed and a member of management will oversee transitions to ensure appropriate age groups and ratios.

Standard #: 8VAC20-780-550-D
Description: Based on record review, the licensee did not ensure their was a evacuation drill completed monthly.

Evidnece: There was not documentation of a evacuation drill completed in the month of April 2023.

Plan of Correction: The Management team will ensure drills are completed monthly and documented appropriately.

Standard #: 8VAC20-780-560-F
Description: Based on observation, the licensee did not ensure the weekly menu was dated.

Evidence:
The menus was posted without a date.

Plan of Correction: Menu is dated and kitchen staff have been retrained on requirements. Management will monitor for compliance.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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