VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Childcare Network
4300 John Tyler Highway
Williamsburg, VA 23185
(757) 253-2562

Current Inspector: Tiffany Jones (757) 403-3045

Inspection Date: May 30, 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 (8VAC20-770) 20 Access to minor's records 22.1 Background Checks Code, Carbon Monoxide

Comments:

A renewal inspection was completed on Tuesday, May 30, 2023 at 10:45 am until 2:09 pm at the center by the inspectors. There were 24 children present, ranging in ages from infancy to 4 years, with 4 staff supervising and 2 administrative staff at the facility. The inspectors completed observations of children in care engaged in active play, working on puzzles, completing bathroom breaks, handwashing, staff diapering, and preparing for lunch and eating lunch. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, background checks, and nutrition. A total of 5 child records and 4 staff 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. The inspection report was amended on 06/13/2023 to correct a typographical error ( standard #150 B on Supplemental) and an administrative error ( checking the box for repeat violation in the system even though it was noted on the supplemental). If there are any questions regarding the inspection please contact me inspector, Tiffany Jones at 757-403-3045.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on review of staff record, and interview, the center did not ensure to obtain a copy of the results of a child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: In Staff#3's record (date of hire: 02/20/23) there was no results of an out of state central registry found for review. Interview with staff confirmed a request for search was not completed at this time.
Plan of Correction:	The Director will request search for the state of GA for the staff today.
Standard #:	8VAC20-780-140-A
Description:	Based on review of children's records, and interview, the center did not ensure to obtain physical examination within 30 days after the first day of attendance. Evidence: In Child#1's (start date: 04/10/23) and Child#3's (start date: 10/02/22) records, there were no physical examinations documentation found. Interview with staff confirmed physical examination not being available for review during the inspection.
Plan of Correction:	The center will contact parents today to request a copy of physical examination for child's record.
Standard #:	8VAC20-780-150-B
Description:	Based on review of children's record and interview, the center did not ensure each report include the date physical examination and dates of immunization signed by a physician, his designee, or an official of al local health department. Evidence: In Child#3's records (start date: 10/03/22) the immunization documentation was not signed by physician. Interview with staff confirmed the documentation available for review during the inspection.
Plan of Correction:	The center will review document and check for signature/date by physicians for each child.
Standard #:	8VAC20-780-70
Description:	Based on review of staff records, and interview, the center did not ensure, in 3 of 4 records the center did not ensure to obtain all staff records information. Evidence: 1. In Staff #1's record (date of hire: 07/28/22), there was documentation for one references that did not include the date and signature of person making call. 2. In Staff#2's record (date of hire: 02/14/23), there was documentation of one references completed for review. 3. In Staff#3's record (date of hire: 02/20/23), the documentation of the two references did not include the name of persons contacted and signature of person making call. 4. Interview with staff confirmed the documentation available for review during the inspections.
Plan of Correction:	The Director will update documents and make sure all reference are complete for new hires.
Standard #:	8VAC20-780-270-A
Description:	Based on observations, the center did not ensure to all areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. In the Threes/Fours classroom, the area rug was observed torn in the center and unsecure to the floor that could cause a tripping hazard. 2. In the Twos classroom, the area rug was observed with multiple brownish stains throughout and debris on the floor.
Plan of Correction:	The Director removed the rug and ensure all building maintenance are complete.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the center did not ensure all hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: In the School Age hallway bathroom near the kitchen, there was a spray bottle of disinfecting solution on top of the toilet paper dispenser with bleach content with the labels" Keep out of reach of children" and "danger" accessible to children in care.
Plan of Correction:	The Director will ensure all cleaners/sanitizers are kept locked and inaccessible to children in care at all times.
Standard #:	8VAC20-780-500-A
Description:	Based on observations and interviews with staff, the center did not ensure compliance of all handwashing procedures: Evidence: 1. In the Turtles classroom, there was observations of Staff#2 completing diapering of two children in care back to back, and the children's hands were not washed after each change. 2. Staff#2 did not complete hand washing after a diaper change of each child. 3. The diapering surface was not cleaned with soap and water and sanitized after each use. 4. Interview with Staff#2 confirmed the child's hands are not washed after diapering and the diapering surface is cleaned with bleach and a paper towel after all diaper changes has been completed.
Plan of Correction:	The Director will be retraining staff on handwashing and diapering procedures.
Standard #:	8VAC20-780-560-F
Description:	Based on observation, review of documentation, and interview, the center did not ensure to list any substituted food on current one week menu. Evidence: There was observation of the children eating turkey wraps, toss salad, and orange slices in the classrooms which differed from the posted menu for the current week. Interview with staff confirmed there were substituted food served to the children in care.
Plan of Correction:	The Director will ensure menus are updated to list substitute food
Standard #:	8VAC20-780-560-J
Description:	Based on observation, the center did not ensure all tables are sanitized before each use for feeding as required. Evidence: In the Twos classroom, the staff was observed cleaning and sanitizing the table before feeding but the sanitizing procedure was not complete as the bleach/water solution did not air dry on the surface for a minimum of two minutes.
Plan of Correction:	The Director will retrain all staff on cleaning and sanitizing procedures.