VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Nikki's Christian Daycare Inc. Pam's Place
1549 Old Bridge Road
Suite 210
Woodbridge, VA 22192
(703) 427-2053

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: Oct. 19, 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 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced renewal inspection was conducted from 9:45 - 11:45am with the center director. There were 11 children, ranging from 22 months to five years of age, present with three staff supervising. Children were observed participating in circle time activities, completing curriculum lessons and playing on the playground. Four child records, three staff records and two applicant records were reviewed, along with the emergency drill log, written daily attendance, written allergy list, fire and health inspections, first aid kits and emergency supplies, annual training and the required posted information. Two playgrounds were inspected. 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, 11/1/2023. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-A
Description:	Based on review of three staff records, it was determined that not all staff had repeat background checks every five years as required. Evidence: The record for staff #3 had an OBI fingerprint determination letter dated: 6/12/2018.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.036-A
Description:	Based on review of two applicant records, and staff interview, it was determined that not all applicants had repeat background checks every five years as required. Evidence: The record for applicant #1 did not have a Central Registry search report. Staff stated that it had expired, and they didn?t have the updated search results.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-C-2
Description:	(Repeat Violation) Based on review of three staff records, it was determined that not all staff had an original central registry report within 30 days of employment, and no follow up was conducted. Evidence: the record for staff #1 (date of hire: 2/6/2023) did not contain documentation of a central registry search report or follow up.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-40-M
Description:	(Repeat Violation) Based on review of documentation, the facility failed to maintain a current written list of children?s allergies, sensitivities and dietary restrictions. Evidence: the allergy list was dated: 8/2023, and did not include child #3 (start date: October 2023) with a documented food sensitivity/restriction.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	(Repeat Violation) Based on review of three staff records, it was determined that not all records contained all required information. Evidence: the record for staff #1 (date of hire: 2/6/2023) did not contain documentation of first aid/CPR certification or documentation that the individual possesses the education certification and experience required by the job position. The record for staff #2 (date of hire 6/1/2023) did not contain documentation that two or more references were checked before employment or documentation that the individual possesses the education certification and experience required by the job position.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-80-A
Description:	(Repeat Violation) Based on review of the written attendance record, it was determined that the facility did not maintain a written record of daily attendance, for each group of children, that documents the arrival and departure of children in care as it occurs. Evidence: five children were observed in the "Gift of the Spirit" classroom, however no children were included on the attendance sheet for 10/19/2023. In the "Songbirds" classroom the children?s departure was not documented. Staff stated that they do not sign children out when they depart.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	(Repeat Violation) Based on observation, the facility did not ensure all areas of the center outside were maintained in a clean, safe and operable condition. Evidence: 1) There are multiple pieces of wood (fence planks, some broken) sitting on the playground; 2) the wooden fence surrounding both playgrounds is deteriorating, warped, has broken planks and has gaps in places; 3) there is a metal fencepost that has exposed rusting and sharp edges; 4) there are weeds, shrubs and tree limbs growing through the fence causing the fence to lose integrity; 5) there is a wood pile consisting of several large branches, tree roots and wooden boards creating a tripping hazard; 6) parts of the wire fence are broken and/or damaged leaving gaps at the bottom of the fence in some locations.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the facility failed to ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: there were two cannisters of disinfectant wipes and two bottles of disinfectant spray in an unlocked cabinet below the changing table in the "Gift of the Spirit" classroom, with labels that stated, "Caution," "Warning," and "Keep out of reach of children."
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-320-B
Description:	(Repeat Violation) Based on observation, the facility failed to ensure that all restrooms were equipped as required. Evidence: There was no toilet paper in the upstairs bathroom #1 that was accessible to the children; there were no paper towels in the downstairs bathrooms accessible to the children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-330-B
Description:	Based on observation, there was not resilient surfacing with a fall zone, free of hazardous obstacles, under and around playground equipment as required. Evidence: there was a bicycle ring that was less than six feet away from the play bus and a pole, and had less than 6? of mulch in the fall zone. There was a spinning playground equipment that was less than six feet away from the bench, the fence, and timber ties, with less than six inches of mulch in the fall zone. There was less than six inches of mulch under and around the composite play and slide structure and climbing (fake rock) structure.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-D
Description:	Based on observation, and review of documentation, it was determined that the facility did not ensure that in each grouping of children at least one staff member meets the qualifications of a program leader. Evidence: Staff #1 was designated as the program leader in the "Gift of the Spirit" class, and was observed working alone with children. The record for staff #1 does not include documentation indicating they meet the qualification of program leader. Staff #2 was designated as the program leader in the "Overflow" class, and was observed working alone with children. The record for staff #2 does not include documentation indicating they meet the qualification of program leader.
Plan of Correction:	Not available online. Contact Inspector for more information.