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Current Inspector:

Inspection Date: Dec. 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.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minors records
22.1 Background Checks Code, Carbon Monoxide
22.1 Early Childhood Care and Education

Comments:
An unannounced monitoring inspection was conducted on 12/6/2023. The inspector was on site from approximately 10:03 am-1:15 pm. There were 120 children present, ranging in ages from 5 months to 5 years, with 20 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition and background checks. A total of 10 child records and 10 staff records were reviewed.

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. You will need to 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.

Violations:
Standard #: 8VAC20-780-520-C
Description: Based on a review of documentation and interview, the center did not ensure to obtain written parent authorization for the use of diaper ointment/cream.

Evidence:
1. In the infant classroom, two diaper creams were checked that that did not have a written parent authorization. Staff confirmed that the creams were being applied during diaper changes.
2. Administration acknowledged that the authorizations were not on file.

Plan of Correction: Both creams were removed from the classroom until documentation was updated. Teachers were instructed to bring any new diaper cream to nurse so a new form is issued.

Standard #: 8VAC20-780-550-G
Description: Based on a review of documentation and interview, the center did not ensure to maintain documentation of the required monthly evacuation drills.

Evidence:
1. A November 2023 evacuation drill was not documented.
2. Administration stated that the drill was conducted but acknowledged that it had not been recorded.

Plan of Correction: Ensure all fire drills are recorded promptly after each drill is conducted by administrative team member.

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.

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