Heavenly Hearts Learning Academy
3421 Portsmouth Boulevard
Portsmouth, VA 23701
(757) 393-0569
Current Inspector: Trisha Brown (757) 404-2601
Inspection Date: Sept. 14, 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
63.2 Child Abuse & Neglect
- Comments:
-
An unannounced monitoring inspection was initiated and concluded on September 14, 2023. There were 15 children in care during the inspection. Children in care ranged in age from 10 weeks old through school age. Children were observed in teacher and self-directed activities. Children and staff records were reviewed. A walking tour of the center's inside and outside facilities was completed. Additionally, practice emergency evacuation documentation, emergency postings/evacuation routes, required postings, fire and health inspections, first aid kit and emergency equipment were reviewed. Violations regarding children's records, staff records and infant care including ratios were observed, cited on the violation notices and discussed with the owner at the conclusion of the inspection.
- Violations:
-
Standard #: 22.1-289.035-B-4 Description: Based on record review and interview the center failed to obtain out of state background checks as required.
Evidence:
1 - The record for Staff #3 contains documentation that the staff resided in North Carolina within the past five years. However, there was not a central registry finding from North Carolina on file for Staff #3
2 - The owner confirmed that there was not an out of state central registry report on file for Staff #3.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 22.1-289.058 Description: Based on interview the center failed to ensure that there is carbon monoxide detector as required.
Evidence:
The owner stated that there was not a carbon monoxide detector in the building at the time of the inspection.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-770-60-C-2 Description: Based on record review and interview the center failed to ensure that central registry findings are obtained as required.
Evidence:
1 - The record for Staff #2 did not contain any documentation of central registry finding. The staff was present preparing meals and driving children to and from the center.
2 - The owner confirmed that there was not documentation of central registry finding in the file of Staff #2.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-160-A Description: Based on record review and interview the center failed to ensure each staff member has documentation of tuberculosis (TB) screening as required.
Evidence:
1 - The record for Staff #1 contains a TB screening that is not dated. The documented date of hire for Staff #1 is June 19, 2023.
2 - The record for Staff #2 did not have any documentation of TB screening on file. The staff was present interacting with children as the cook and the driver.
3 - The record for Staff #3 contains a TB screening dated July 17, 2023. However, the documented date of hire is July 10, 2023. Therefore, the TB screening was not obtained before coming in contact with children.
4 - The record for Staff #5 has documented date of hire as June 24, 2023. However, the date on the TB screening is July 12, 2023. Therefore, the TB screening was not obtained before coming in contact with children.
5 - The record for Staff #6 contains a TB screening dated July 10. 2023. However, the documented date of hire is June 10, 2023. Therefore, the TB screening was not obtained before coming in contact with children.
6 - The owner confirmed that TB screenings were documented in the staff records as required.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-70 Description: Based on record review and interview the center failed to ensure that each staff record contains all required information.
Evidence:
1 - The record for Staff #2 did not contain documentation of date of hire, emergency contact, reference check or orientation.
2 - Seven out seven staff records do not contain any documentation of emergency contact information.
3 - The owner confirmed that the information was missing from the staff records.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-230-B Description: Based on observation and interview the center failed to ensure that individuals from independent contractors who do not meet staff qualifications when in the presence of children will be within sight and sound supervision of a staff member.
Evidence:
1 - A therapist was working in a classroom alone with a child in care. There were not any other staff in the room and both doors to classroom were closed.
2 - The owner stated that she was not aware that the therapist not in her employ could not be left alone to care for children enrolled in the program.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-350-C Description: Based on observation and interview the center failed to ensure that when children are in ongoing mixed age groups the staff-to-children ratio and group size applicable to the youngest child in the group will apply to the entire group.
Evidence:
1 - There were five children ages 10weeks through two years old in care in the infant room with one staff member.
2 - Staff #1 stated that when the children are asleep there is one staff in the room.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-370-1 Description: Based on observation and interview the center failed to ensure that infants are provided sleep as needed.
Evidence:
1 - During the scheduled nap time for the preschool children there were children napping in the infant room.
a. All the lights in the room were turned off.
b. Quiet/"naptime music could be heard.
c. An infant was observed being rocked in a bouncy seat.
2 - Staff #2 stated that nap time is scheduled for all children present in the infant child care room.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-500-A Description: Based on observation the center failed to ensure that staff wash their hands before changing a diaper.
Evidence:
Prior to changing the diaper of a child in care, Staff #2 did not wash her hands.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-570-A Description: Based on observation and interview the center failed to ensure that when a child is placed in an infant seat the protective belt will be fastened securely.
Evidence:
1 - Child #1 was placed in an infant seat without the safety belt being fastened securely.
2 - Staff present in the classroom confirmed that the safety belt was not secured while the child was in the seat.Plan of Correction: Not available online. Contact Inspector for more information.
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.
