VIRGINIA DEPARTMENT OF SOCIAL SERVICES

A Child's Place at Hollin Hall
1500 Shenandoah Road
Alexandria, VA 22308
(703) 765-8811

Current Inspector: Pamela Sneed (804) 629-2691

Inspection Date: Oct. 17, 2023

Complaint Related: Yes

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. 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

1. Discussed with management the ongoing communications with parents. 2. Reviewed the intent of the requirement of staff to sit with children during meals. 3. Recommended diaper changing not occur during lunch time. Before or after would be most appropriate.

Comments:

Conducted an unannounced complaint investigation at 11:50am into allegations concerning the care of children. Observations made, staff interviewed and records reviewed and. Based on the evidence collected some concerns reported were determined to be valid while there was insufficient evidence to support other concerns reported and therefore determined to be not valid. Areas of non-compliance with standards and laws reviewed were found. Questions about this inspection may be directed to pamela.sneed@doe.virginia.gov Note: The plan of corrections should be submitted within 5 business days in order for them to be included in this report and posted on the website.

Violations:

Standard #:	22.1-289.011-F
Complaint related:	No
Description:	Repeat violation and systemic deficiency. Based on observations made, the findings from the most recent inspection were not posted on the licensed premises. Evidence: The findings from the complaint investigation report dated 9/27/23-10/6/23 were not posted on the licensed premises.
Plan of Correction:	This is posted. Anytime there is a report it will be posted.
Standard #:	8VAC20-780-340-A
Complaint related:	No
Description:	Repeat violation. Based on observations made, the supervising staff did not ensure the care of 4 of the 21 children in the Preschool-1 classroom today. Evidence: 4 children were observed to have runny noses. The mucus from their noses was running from their nose to their mouths while eating lunch. At no time did the supervising staff attempt to wipe the children's noses.
Plan of Correction:	All staff have been reminded of keeping children clean. Also to have supplies to keep clean.
Standard #:	8VAC20-780-350-B-3
Complaint related:	Yes
Description:	Based on observations made, 1:8 staff-to-child ratios were not maintained in the Preschool-1 classroom today for a period of less than 2 minutes. Evidence: 1. At approximately 12:35pm, there were 3 staff, 1 staff trainee (not counted in the ratios) and 21 children present in the Preschool-1 classroom when Staff #10 exited the room. 2. When Staff #10 left the classroom the ratios became 2 staff to 21 children. 3. Children were having diapers changed and eating lunch at this time, while 1 of the 2 remaining staff was changing diapers in the diaper changing area the entire time.
Plan of Correction:	This staff member was told to return to the classroom right away when the Director noticed. Training will support the understanding even more. Letter sent out to staff with reminders about ratio as well.
Standard #:	8VAC20-780-500-A
Complaint related:	No
Description:	Based on observations made, a staff person and a child did not wash as required after diapering and before eating lunch. Evidence: 1. Staff #4 was observed changing 6 children's diapers and assisting an additional child in the bathroom without washing her hands between each diapering/toileting. The staff wore and changed disposable gloves. 2. A child in the Preschool-1 class was observed having their diaper changed and when finished walked to a table in the classroom where they sat down and began eating lunch. 3. The child did not wash their hands and none of the staff prompted the child to do so.
Plan of Correction:	All staff have been reminded about diapering procedures. We are also having a staff training to remind staff of state policies and regulations.
Standard #:	8VAC20-780-550-P
Complaint related:	Yes
Description:	Repeat violation. Based on records reviewed, staff did not ensure that a written injury report was written to document facial scratches on 10/6/23. Evidence: 1. A parent observed facial scratches on their child when they picked up the child on 10/6/23. 2. When the parent asked staff how the child got scratched, staff stated they did not know. 3. There was no documentation of a written injury report given to the parent on 10/6/23.
Plan of Correction:	On 10/11/23, a written injury/incident report was written and given to the parent to document the facial scratches. The report stated that staff did not know how/when the child was scratched. Staff was reminded how important it is to be extra alert. Also do health checks through the days esp @ Diaper changes.
Standard #:	8VAC20-780-550-P
Complaint related:	Yes
Description:	Repeat violation. Based on records reviewed, staff did not ensure that a written injury report was written to document facial scratches on 10/6/23. Evidence: 1. A parent observed facial scratches on their child when they picked up the child on 10/6/23. 2. When the parent asked staff how the child got scratched, staff stated they did not know. 3. There was no documentation of a written injury report given to the parent on 10/6/23.
Plan of Correction:	On 10/11/23, a written injury/incident report was written and given to the parent to document the facial scratches. The report stated that staff did not know how/when the child was scratched.
Standard #:	8VAC20-780-560-L
Complaint related:	No
Description:	Based on observations made, staff did not sit with the children during lunch in 2 of 3 classrooms. Evidence: 1. None of the 4 staff sat with the children during lunch in the Preschool-1 class. 2. None of the 2 staff sat with the children during lunch in the Pre-K class (today the Pre-K classes were combined into one class).
Plan of Correction:	We have told them the importance of interactions. We explained that eating with the children is needed.