VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Lilly's Learning Pad - Fan Campus
2302 W. Main Street
Richmond, VA 23220
(804) 728-2051

Current Inspector: Lynn Powers (804) 840-8260

Inspection Date: July 10, 2023

Complaint Related: No

Areas Reviewed:

X 8VAC20-780 Administration. X 8VAC20-780 Staff Qualifications and Training. X 8VAC20-780 Physical Plant. X 8VAC20-780 Staffing and Supervision. X 8VAC20-780 Programs. X 8VAC20-780 Special Care Provisions and Emergencies X 8VAC20-780 Special Services. X 8VAC20-820 THE LICENSE. X 8VAC20-820 THE LICENSING PROCESS. X 8VAC20-820 HEARINGS PROCEDURES. X 8VAC20-770 Background Checks X 22.1 Early Childhood Care and Education X 63.2 Child Abuse & Neglect

Comments:

A monitoring inspection was conducted on 07/10/2023 from approximately 9:18 am to 11:30 am. There were a total of 15 children in care ranging from 16 months to 8 years of age with 4 staff supervising. The center director was not present during the on-site inspection. During the inspection, the children were observed preparing for and having breakfast. The center was furnished with supplies and age appropriate toys for children in care. Staff interactions with the children were positive. The records for five children and two staff were reviewed. The inspector reviewed compliance in the areas of administration, physical plant, staff qualifications and training, staffing and supervision, programming, special care and emergencies and nutrition, and special services. 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. Please complete the plan of correction and date to be corrected for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only. If you have any questions about this inspection, please contact NeShara Gaston, Licensing Inspector at 540-280-0742 or e-mail.

Violations:

Standard #:	22.1-289.011-F
Description:	22.1-289.011 F Based on documentation review, the center failed to ensure the most recently issued license and findings from the most recent inspection were posted in a conspicuous place on the licensed premises. Evidence: During the inspection, an expired license was posted and the inspection documents posted were dated 7/5/2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-C-2
Description:	Based on review of two staff records, the center failed to ensure a search of the central registry was completed for each staff by the end of the 30th day of employment. Evidence: 1. Staff #2 (date of employment 1/11/2023) did not have a completed search of the central registry documented in the record. 2. The center director, provided an email from the office of background investigations, stating the request failed at intake due to an error, was returned for correction, no correction received and a new request is required because the failed request is beyond 90 days. 3. The center director acknowledged via email on 7/10/2023 that she failed to follow up in a timely manner and that a new request will be submitted.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-A
Description:	160-A Based on review of two staff records, the center did not ensure that each staff member submitted documentation of a negative tuberculosis screening at the time of employment and before coming into contact with children. Evidence: 1. The record for staff #2 (date of hire: 1/11/23) documented a tuberculosis screening dated 1/20/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-C
Description:	Based on review of two staff records, the center failed to ensure that every two years from the date of the initial testing or screening, staff members obtain and submit the results of a tuberculosis test or screening. Evidence: The record for Staff #1 documents a tuberculosis test dated 06/15/2021 which is beyond every two years.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-40-E
Description:	Based on documentation review, observation and interview, the center failed to ensure compliance with terms of the current license issued by the department. Evidence: The current license issued by the department includes the specific limitation of no more than 4 children permitted in the toddler classroom. 1. During the inspection, 5 children were observed in the toddler classroom with one teacher supervising. 2. During an interview with Staff #1, it was acknowledged that the toddler classroom had 5 children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Based on review of 5 children records, the center failed to ensure records for each child contained the required information. Evidence: The record for Child #2 did not include a second emergency contact person to call if a parent cannot be reached.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-260-A
Description:	Based on review of records, the center failed to provide an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The most recent fire inspection report reviewed at the center was dated 2/15/2022.
Plan of Correction:	Not available online. Contact Inspector for more information.