VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Minnieland Academy at Cardinal #16
14910 Feeder Lane
Woodbridge, VA 22193
(703) 878-3371

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: June 27, 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 (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Provided consultation on standards: 1) Crib mattresses shall be maintained at the lowest level for children that can sit up or stand. Best practices are to always have the crib mattress at the lowest level for safety.

Comments:

An unannounced monitoring inspection was conducted from 8:45 - 11:15am with the center director. There were 30 children, ranging from six months to nine years of age, present with nine staff supervising. School age children were observed preparing to leave for a field trip, younger children were engaged with age-appropriate toys and playing outside on the playground. Infant care was also observed. Five child records and five staff records were reviewed, along with the emergency drill log, written daily attendance, written allergy list, required posted information, ratios and the annual fire and health inspections. Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the violation notice, and then return a signed and dated copy to the licensing office by 4:00pm on Wednesday, 7/5/2023. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.

Violations:

Standard #:	8VAC20-770-60-C-2
Description:	Based on review of four staff records, the center did not have an original central registry report within 30 days of employment of a staff member, and no follow up was documented as required. Evidence: the record for staff #2 (date of hire: 5/22/2023) and staff #4 (date of hire: 5/8/2023) did not contain documentation of a central registry search report or evidence that follow up was conducted.
Plan of Correction:	Central registries were submitted for all staff members in questions. All are pending on the portal. Follow up was done but not documented on the staff files.
Standard #:	8VAC20-780-140-A
Description:	Based on a review of five child records, the facility did not obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: the record for child #1 (date of first attendance: 7/24/22) did not have documentation of a physical examination.
Plan of Correction:	Physicals were requested from the family and the date of the request was documented in the file, but no new physical was provided.
Standard #:	8VAC20-780-160-A
Description:	Based on review of four staff records, the center did not have documentation of a negative tuberculosis (TB) test/ screening for all staff at the time of employment and prior to coming into contact with children that was completed within 30 days of the date of employment. Evidence: the record for staff #4 (date of hire: 5/8/2023) did not have documentation of a TB test/screening and was observed working in a classroom with children. The record for staff #2 (date of hire: 5/22/2023) had a TB test/screening dated: 9/23/2022.
Plan of Correction:	All staff have TB documented on file. Requested updated screening for staff #2. Staff #4 TB on file during the inspection.
Standard #:	8VAC20-780-40-M
Description:	Based on review of documentation, and staff interviews, the facility failed to maintain a current written list of all children's allergies, sensitivities and dietary restrictions. The list shall be dated and kept confidential in each area where children are present. Evidence: 1) The list was dated 1/2023 and not current per staff interview; 2) The list included children that no longer attend; 3) The list did not include multiple children that had sensitivities and preferences; 4) Per staff and observation, the list is posted in the classrooms and is not kept in each area where children are in care such as the playground. The LI had to remind school age staff to take the list on their field trip.
Plan of Correction:	Allergy list was updated on the day of the inspection.
Standard #:	8VAC20-780-70
Description:	Based on review of four staff records, not all records contained all required information. Evidence: 1) The record for staff #1 (date of hire: 1/10/23) and staff #4 (date of hire: 5/8/23) did not have documentation that two or more references were checked before employment. 2) The record for staff #2, who was observed alone in a classroom, did not have documentation of education and experience required by the job.
Plan of Correction:	Staff #1 could not locate references on file. Called references again and left messages. Staff 4 references on file. Staff #2 education and copy of resume requested from staff.
Standard #:	8VAC20-780-80-A
Description:	Based on observation, and a review of the written attendance record, the facility did not maintain an accurate written record of daily attendance that documents the arrival and departure of each child as it occurs. Evidence: the attendance record kept in the prep classroom did not list any children in attendance and ten children were observed in care. The tablet had a passcode so the LI couldn?t review the electronic attendance.
Plan of Correction:	Staff have been retrained to document attendance on paper attendance sheets first then entered on tablet.
Standard #:	8VAC20-780-240-B
Description:	Based on review of four staff records, the center did not have complete documentation that all staff received orientation training, as required, prior to working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The record for staff #1 (date of hire: 1/10/23), staff #2 (date of hire: 5/22/23), staff #3 (date of hire: 11/3/2022) and staff #4 (date of hire: 5/8/23) did not contain documentation of completed orientation training.
Plan of Correction:	Staff #1 and #2 training paperwork could not be located; however staff is currently being retrained to have documentation on file. Staff #3 training documentation was on file as well as training certificates.
Standard #:	8VAC20-780-260-B
Description:	Based on review of documentation, the facility failed to obtain documentation of annual approval from the health department. Evidence: the documented health department inspection was dated: 3/3/2022.
Plan of Correction:	Health department was contacted to schedule an inspection.
Standard #:	8VAC20-780-340-D
Description:	Based on observation and review of documentation, the facility failed to ensure that in each grouping of children at least one staff member meets the qualifications of program leader. Evidence: staff #3 was observed working alone in the prep classroom and staff #5 was observed working alone in the toddler classroom. The records for staff #1 and staff #2 do not contain documentation of group leader qualifications (age/education/experience.)
Plan of Correction:	Staff #3 in the PREP class is 21 years of age. Copy of HS diploma has been requested. Staff #1 and staff #2 have been asked for the documentation.
Standard #:	8VAC20-780-530-A
Description:	Based observation and review of documentation, the facility failed to have at least one staff in each classroom where children are present current certification in CPR and first aid. Evidence: the record for staff #3, who was observed alone in the prep classroom, did not have documentation of CPR and first aid training. The record for staff #5, who was observed alone in the toddler classroom, had expired CPR/First aid certification dated: 9/27/2019.
Plan of Correction:	Staff #3 has documentation of completed FA/CPR on file. Staff #5 has been scheduled to attend FA/CPR class on 7/19/2023.