VIRGINIA DEPARTMENT OF SOCIAL SERVICES

La Petite Academy #7140
1921 South Independence Boulevard
Virginia beach, VA 23456
(757) 471-6104

Current Inspector: Brandie Viscayda

Inspection Date: Nov. 6, 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. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22 Checks Code, Carbon Monoxide.1 Background 63.2 Child Abuse & Neglect

Technical Assistance:

Standard 570.I discussed: A one-day's emergency supply of disposable bottles, nipples, and commercial formulas appropriate for the children in care shall be maintained at the center. Standard 560.G When food is brought from home the food container shall be clearly dated and labeled in a way that identifies the owner. Standard 510.P Medication must be returned within 14 days after expiration of authorization.

Comments:

An unannounced renewal inspection was conducted on 11/06/2023 from 10:10 am - 2:50 pm. At the time of entrance there were 61 children in care with 10 staff. The children in care ranged in age from infant - 12 years. Children were observed during morning program time which included preschool teaching time, free play and outdoor play. Lunch and nap was additionally reviewed. Toileting and diaper changing was reviewed in multiple classrooms. Records reviewed for 7 staff and 6 children. Violations were found in the following areas of the CDC standards: Administration, physical plant, special care provisions and emergencies and special services. Additional violations were found in required background checks for staff and required postings. These violations are listed on the violation notice issued to the facility and were reviewed with administrative staff at the conclusion of the inspection.

Violations:

Standard #:	22.1-289.011-F
Description:	Based on observation and interview, the center failed to post on the premises the findings of the most recent inspection of the facility. Evidence: 1. The most recent inspection, conducted on 04/04/2023, was not posted. a. Administrative staff confirmed that these inspection documents were not posted.
Plan of Correction:	Inspection has been posted. Moving forward management will ensure most recent inspections are posted within 24 hours of receipt.
Standard #:	8VAC20-770-60-C-2
Description:	Based on record review and interview, the center failed to ensure that staff have a central registry finding within 30 days of employment. Evidence: 1. Staff 1, hire date 05/01/2023, lacked a central registry finding. 2. Staff 2, hire date 09/04/2023, lacked a central registry finding. 3. Staff 3, hire date 08/28/2023, lacked a central registry finding. 4. Administrative staff confirmed that a central registry finding was not on file for these 3 staff.
Plan of Correction:	Moving forward management will calendar a follow up regarding Central Registry findings within 30 days of submission. Central Registry requests have been resubmitted for staff 1, 2 & 3.
Standard #:	8VAC20-780-130-E
Description:	Based on record review and interview, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The most recent immunizations on file for child 1 were administered on 03/16/2023. a. Child 1 is under the age of two years and was in care during the inspection. 2. The most recent immunizations on file for child 2 were administered on 09/13/2022. a. Child 2 is under the age of two years and was in care during the inspection.
Plan of Correction:	Management received for child 1 immunizations on 11/30, child 2 will have immunizations updated by 12/04 or care will be suspended. Moving forward management will track expiration dates and notify parents no less than 30 days in advance of the need for an updated immunization record.
Standard #:	8VAC20-780-140-A
Description:	Based on record review and interview, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance. Evidence: 1. Child 3, enrollment date 07/26/2023, lacked documentation of a physical exam. a. Administrative staff confirmed that a physical exam was not on file for child 3.
Plan of Correction:	Management received child 3's physical on 11/30. Moving forward management will require all files to be in compliance before child's 1st day of attendance.
Standard #:	8VAC20-780-160-A
Description:	Based on record review and interview, the center failed to ensure that each each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. Staff 1, hire date 05/01/2023, lacked documentation of a TB screening. 2. Staff 2, hire date 09/04/2023, lacked documentation of a TB screening. 3. Administrative staff confirmed that a TB screening was not available for these staff.
Plan of Correction:	Moving forward negative TB tests/screenings will be required in hand before all employees first day on the job. Missing TB test have been received and came back negative.
Standard #:	8VAC20-780-160-C
Description:	Based on record review and interview, the center failed to ensure that at least every two years from the date of the first initial screening or testing, staff members and individuals from shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1. The most recent TB screening for staff 4 was conducted on 01/18/2021. a. Administrative staff verified that an updated TB screening was not available for staff 4.
Plan of Correction:	Moving forward, management will track expiration dates and notify staff no less than 30 days in advance of the need for an updated TB test/screening.
Standard #:	8VAC20-780-40-M
Description:	Based on review and interview, the center failed to maintain a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. Evidence: 1. Child 4 has a written emergency allergy care plan for a diagnosed food allergy. This food allergy was not listed on the allergy list in any of the facility classrooms. a. Administrative staff confirmed that the allergy list had not been updated to include allergy information for child 4.
Plan of Correction:	All allergy lists have been updated. The AD and/or Safety Captain will update the allergy list every 30 days or as needed due to notification of a new allergy, new enrollment with known allergies or when a child with a known allergy transitions to another program.
Standard #:	8VAC20-780-60-A
Description:	Based on record review and interview, the center failed to ensure that children's records contain all of the required elements. Evidence: 1. The enrollment record for child 1 lacked the work phone number and place of employment for one parent 2. The enrollment record for child 2 lacked the following: a. Work phone number for one parent; b. The name, address and phone number of a second emergency contact. 3. The enrollment record for child 3 lacked the name, address and phone number of a second emergency contact. 4. Administrative staff verified the above information was not available.
Plan of Correction:	Enrollment records for child 1,2 & 3 have been updated. Moving forward management will add a calendar reminder 1 month in advance of expiration to ensure compliance.
Standard #:	8VAC20-780-260-A
Description:	Based on record review and interview, the center failed to provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1. Administrative staff stated that an annual fire inspection had not been conducted.
Plan of Correction:	Management scheduled inspection with Fire Marshall for 12/8 at 9:30am. Moving forward management will add a calendar reminder 1 month in advance of expiration to ensure compliance.
Standard #:	8VAC20-780-260-B
Description:	Based on interview, the center failed to provide annual approval from the health department. Evidence: Administrative staff stated that an annual inspection from the Virginia Beach health department was not available.
Plan of Correction:	Management has contacted the Health Department to schedule an inspection. Moving forward will add a calendar reminder 1 month in advance of expiration to ensure compliance. Management went to the office of the Virginia Beach Dept. of Health on 12/01/23, permit was paid, waiting on confirmation on the next available appointment.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: 1. One metal stall , in the preschool classroom, had widespread areas of rust on both sides on the lower half of the stall within easy reach of children. 2. The cord from the light table, in the 2's classroom, was accessible to children as the cord was wrapped around the leg of the table with the plug in dangling to the floor within easy reach of children in care 3. The following safety hazards were observed on the preschool outdoor play area: a. Broken bricks, concrete pieces and an exposed pipe was observed on the ground beside the side walk tricycle track. This area of ground sits below the sidewalk and is littered with debris and is uneven in such a way as to create a trip hazard; b. Three exposed tree roots, measuring approximately 30 inches in length each, were observed in multiple areas around the outdoor play structure. These roots were in areas on the ground where children run and gain access to the equipment. These tree roots are protruding upward as to create a trip hazard; c. The plastic play panel has 2 cracks in the plastic which creates a pinch point for children's fingers; d. Widespread areas of peeling paint was observed on two of the metal poles for the shade structure; 4. Exposed tree roots were observed on the toddler outdoor play area. a. The exposed root by the play structure measured approximately 15 inches in length; b. The exposed root by the sidewalk measured approximately 50 inches in length. 5. The ground below ( and at the end of) the sidewalk on the toddler playground sits below the sidewalk approximately 12 inches. This drop creates a trip/fall hazard. 6. 2 of 4 toilets in the two year old classroom are not operable. a. These 2 toilets are completely covered with tape and paper to prevent use. 2. The two staff working in the two-year old classroom stated the toilets had not been operable since mid July 2023.
Plan of Correction:	Work order has been submitted. Moving forward the playground will be inspected daily by Safety Captain and all deficiencies will be reported to management within 24 hrs. Management will work with DM & facilities department to ensure all interior and exterior repairs are completed in a timely manner. Work order for 2 broken toilets has been submitted as of 12/01/2023. DM will follow-up with maintenance company.
Standard #:	8VAC20-780-330-B
Description:	Based on observation, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99 as shown in Figures 2 (Compressed Loose Fill Synthetic Materials Depth Chart) and 3 (Use Zones for Equipment) on pages 6-7 of the National Program for Playground Safety's "Selecting Playground Surface Materials: Selecting the Best Surface Material for Your Playground," February 2004, and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child's trajectory in the event of a fall while the equipment is in use. Falls zones shall not include barriers for resilient surfacing. Where steps are used for accessibility, resilient surfacing is not required. Evidence: 1. There was no resilient surfacing under the outdoor play structure on the preschool playground. a. The entire perimeter of this structure lacked any mulch and had only compacted dirt in all areas. 2. There was no resilient surfacing under the outdoor play structure on the toddler playground. a. The entire perimeter of this structure lacked any mulch and had only compacted dirt in all areas.
Plan of Correction:	Work order has been submitted. Moving forward the playground will be inspected daily by Safety Captain and all deficiencies will be reported to management within 24 hrs. Management will work with DM & facilities department to ensure proper resilient surfacing is in place.
Standard #:	8VAC20-780-510-G
Description:	Based on observation, the center failed to ensure that medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: One prescription medication for child 5 was not labeled with the child's name, the dosage amount and the time to be given.
Plan of Correction:	Medication immediately returned to parent. Moving forward Safety Captain will complete weekly checks returning or discarding any medications with expiring authorizations to parents.
Standard #:	8VAC20-780-550-D
Description:	Based on record review and interview, the center failed to implement a monthly practice evacuation drill. Evidence: 1. The emergency fire drill log for the facility indicated the most recent fire drill as being conducted on 03/20/2023. 2. Administrative staff confirmed that a fire drill had not been implemented since 03/20/2023.
Plan of Correction:	Moving forward management will calendar monthly fire drills to ensure compliance.
Standard #:	8VAC20-780-550-K
Description:	Based on interview the center failed to prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools etc. This document must be kept in vehicles that centers use to transport children to and from the center. Evidence: 1. Administrative staff stated that the binder maintained for each bus did not have any written information regarding potential shelters, hospitals and evacuation routes that are applicable for daily pick up and drop off at local public schools. a. The binder reviewed for one bus lacked this information.
Plan of Correction:	Management has updated the bus binder to include local emergency number, shelters, hospitals, evacuation routes & bus routes.
Standard #:	8VAC20-780-580-C
Description:	Based on observation, the center failed to ensure that during transportation of children the number for poison control and 911 or local dial number for police, fire and emergency medical services shall be in transportation vehicles. Evidence: 1. The numbers for poison control and 911 or local dial for police, fire and emergency medical services were not in the bus or binder reviewed during the inspection. a. Administrative staff confirmed that these emergency phone numbers were not available in the bus used to transportation children to / from public school.
Plan of Correction:	Management has updated the bus binder to include emergency numbers. Safety Captain will inspect during scheduled safety inspections and inform management of any deficiencies within 24 hrs. Based on conversation with the licensor during our recent visit we will continue to comply with the standards as written.