VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Heavenly Hands Early Learning Center
2800 Hill Street
Lynchburg, VA 24501
(434) 386-8082

Current Inspector: Kelly Campbell (540) 309-2494

Inspection Date: May 17, 2023

Complaint Related: No

Areas Reviewed:

? 8VAC20-780 Administration. ? 20 Access to minor?s records ? 8VAC20-780 Staff Qualifications and Training. ? 22.1 Early Childhood Care and Education ? 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

Comments:

An unannounced on-site renewal inspection was conducted on 05/17/2023. There were 33 children, ages 3 months-5 years, and 5 staff members present during the inspection. The inspector observed the following: free choice activities, painting snack, and TV time. A total of 6 children?s records and 10 staff records, were reviewed. The inspectors discussed the following with staff: attendance requirements, playground safety plan to be center specific, attending phase 2 in the Piedmont office. The inspectors arrived at 9:28 AM and departed at 12:00 PM. . Kelly Campbell Licensing Inspector Office of Child Care Health and Safety Division of Early Childhood Care and Education Phone# 540-309-2494 Kelly.campbell @doe.virginia.gov

Violations:

Standard #:	22.1-289.036-A
Description:	Based on record review of two corporate officers, the center failed to ensure that required background checks are repeated every 5 years per the Code of Virginia. Evidence: 1.Staff # 10 had a sworn statement date of 05/04/2018. The sworn statement was not updated after 5 years. 2.Staff # 10 had a fingerprint eligibility letter dated 05/15/2018. An updated fingerprint eligibility letter was not provided.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-C-2
Description:	2nd REPEAT VIOLATION Based on review of eight staff records, the center failed to obtain the finding from a search of the central registry within 30 days of hire. Evidence: Staff # 2 had a documented employment date of 3/18/2022. A return search of the central registry was not in the record. Staff # 9 did not provide documentation when requested.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-130-A
Description:	REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on review of five children?s records, the center failed to ensure that all children had the immunization record prior to beginning attendance. Evidence: The record for Child # 2, with no documented first day of attendance, did not have the immunization prior to attending. Child # 2 was observed in attendance on the day of the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-140-A
Description:	3rd REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on record review and interviews, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child?s attendance or within 30 days after the first day of attendance. Evidence: 1. The record for Child # 1 contained documentation that the first date of attendance was 04/17/2023. The physical exam did not have the child?s name or date of physical on the form. 2. The record for Child # 6 contained documentation that the first date of attendance for was 10/17/2022. There was no documentation of a physical in the record on the day of the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-A
Description:	REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on interview and review of staff records, the center failed to ensure that all staff had a negative tuberculosis (TB) screening at the time of employment, no more than 30 days prior to hire, and before coming in contact with children. Evidence: Staff # 8 started employment on 12/7/2022 and was working with children on the day of the inspection without a TB screening.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-C
Description:	REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on interview and review of ten staff records, the center failed to ensure that all staff had a negative tuberculosis (TB) screening at least every two years from the day of the initial screening or testing. Evidence: 1. Staff # 3 started employment on 7/14/2018 and the most recent TB screening was dated 7/16/2020. The Staff person was working with children on the day of the inspection without a current TB screening. 2. Staff # 6 started employment on 02/24/2021 and the most recent TB screening was dated 9/22/2020. The Staff person was working with children on the day of the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	5th REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all the elements as required by the standards. Evidence: 1. The record for Child # 1 did not include the following information: work phone number and place of employment of each parent who has custody. 2. The record for Child #2 did not include the following information: the father?s information, place of employment and contact number, the address of one of the two designated people to call in an emergency if a parent cannot be reached, first date of attendance, chronic physical problems, previous schools attended. 3. The record for Child # 4 did not include the following information: address of two designated people to call in an emergency if a parent cannot be reached; and first date of attendance. 4. The record for Child # 6 did not include the following information: address of two designated people to call in an emergency if a parent cannot be reached.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	5th REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on review of ten staff records, the center failed to ensure that all records were complete per the standard. Evidence: Staff # 2 had a hire date of 03/18/2022 and did not have the two required reference checks prior to employment.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-260-B
Description:	SYSTEMIC DEFICIENCY Based on observation, interview and documentation review, the center failed to provide an annual health inspection Evidence The most recent health inspection on record was 6/17/2021. The center could not provide an updated inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	SYSTEMIC DEFICIENCY Based on observation, the center failed to ensure that all areas and equipment are safe, clean and operable condition. Evidence: 1.The paper towel container in the downstairs infant room was dangling off the wall. It was not secured to the wall. 2.In the upstairs preschool room, there was a hole in the wall. The hole was approximately 2 inches in diameter. 3.In the preschool bathroom, the toilet paper container was off the wall and laying on the floor next to the toilet. 4.The flooring in the preschool bathroom was bubbled up and starting to separate from the floor. There was a hole in the wall next to the toilet with crumbling drywall, no baseboard, and accessible to children. 5.In the 2 to 3-year-old room, the plastic storage container has a large piece missing from the top drawer, creating sharp edges.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-B
Description:	2nd REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on observation, the center failed to ensure that all chemicals were locked using a safe locking method that prevents access by children. Evidence: 1.In the preschool room sitting on the desk was an air freshener aerosol can. Children were observed in the room and the can was accessible to the children. 2.In the toddler bathroom downstairs, there were cleaning/sanitizing chemicals that were unlocked.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-D
Description:	REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on observation, the center failed to ensure that cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single-service articles and shall be stored in areas physically separate from food. Evidence: There was an aerosol spray container of Ant and Roach killer on top of the cubbies that was unlocked and stored above food.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-350-B-1
Description:	Based on observation, the center failed to ensure that the ratio for infants was met. Evidence: Upon arrival at approximately 9:28 AM, the infant room had 11 children with two staff members. The youngest child was 3 months of age. The required ratio is 4 children to 1 staff person. Three staff members were required for the room.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-420-A
Description:	Based on review of the parent policies, the center failed to ensure that all required elements were provided to the parents in writing by the first day of attendance. Evidence: The following policies were missing from the parent handbook: picking up children after closing and when a child is not picked up for emergency situations, medication or medical procedures, policy for sunscreen, diaper ointment and insect repellent, policy for communicating an emergency situation with parents, daily schedule, food policies, termination policies and custodial parent?s rights.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-A
Description:	REPEAT VIOLATION Based on observation, the center failed to ensure that each child washed their hands after toileting. Evidence: Staff was observed changing an infant?s diaper and the infant?s hands were not washed after the diapering.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-560-G
Description:	Based on observation, the center failed to ensure that all food brought from home was clearly labeled and dated. Evidence: In the preschool room, there were five lunch boxes that were not clearly labeled to identify the owner and dated.
Plan of Correction:	Not available online. Contact Inspector for more information.