VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Children of America (Stephens City), LLC
201 Centre Drive
# 101
Stephens city, VA 22655
(540) 868-2700

Current Inspector: Stephanie Reed (540) 272-6558

Inspection Date: Nov. 15, 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 minor's records 22.1 Background Checks Code, Carbon Monoxide 32.1 Report by person other than physician 63.2 Child Abuse & Neglect

Technical Assistance:

Discussed physical plant, playground including resilient surfacing, activities, supervision, nap requirements, hazardous substances, diapering, central registry background checks and medication authorization.

Comments:

An unannounced monitoring inspection was conducted with the Licensing Administrator and Director on November 15, 2023 beginning at 10:35 a.m. to 2:45 p.m. and then from 3:45 p.m. to 4:30 p.m. for the exit interview. There were 100 children in care ages 5 months through 4 years of age under the supervision of 16 staff. Classrooms, children's activities and routines were observed. The playground was observed. Five medications and authorizations were reviewed. Seven children's records and one new staff record was 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 provide plan of correction and date to be corrected by for each area of noncompliance listed on the violation notice. If you have questions regarding this inspection, contact Stephanie Reed at Stephanie.Reed@doe.virginia.gov

Violations:

Standard #:	8VAC20-770-60-C-2
Description:	Based on review of documentation, the center failed to ensure that central registry background check results were obtained within 30 days of employment. Evidence: A completed report was not sent within 7 days to request the central registry finding for staff #3, hired on 10/02/2023. The results were not obtained within 30 days of employment and had not been obtained as of the date of the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-40-E
Description:	Based on review of documentation, the licensee failed to ensure that the center?s activities, services, and facilities are maintained in compliance with the center's own policies and procedures that are required by these standards. Evidence: 1. Child #2 had diphenhydramine on site and the parent?s authorization was signed 10/19/2023. 2. The authorization form stated that the duration of the authorization is 10 days. 3. The Child Day Center (CDC) standards require that parent authorization for medication expire after 10 days.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-80-A
Description:	Based on review of documentation, the center failed to maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occur Evidence: At approximately 10:44am, there were seven children present in the Infant C Classroom and the arrival of only five of those children had been documented on the attendance record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	REPEAT VIOLATION Based on observation, the center failed to ensure that all areas of the center were maintained in clean, safe, operable condition. Evidence: 1. In the Infant C classroom, there were two broken plastic storage bins (orange and blue) that were cracked and had jagged edges creating a scratching hazard. 2. On the playground, the chain-link fence was missing several areas of connectors, creating an entrapment hazard from the bottom rail of the fence.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-330-B
Description:	Based on observation and review of documentation, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with the minimum safety standards as described in American Society for Testing Materials standard F1292-99 as shown in the Compressed Loose Fill Synthetic Materials Depth Chart Evidence: The surfacing material ?softlawn garden rye synthetic turf? installed on the playground is not listed in the Compressed Loose Fill Synthetic Materials Depth Chart.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-A
Description:	REPEAT VIOLATION Based on observation, the staff of the center failed to always ensure the care, protection and guidance of all children in care. 1. Upon suggestion by the Licensing Administrator, additional staff were called upon to assist in the Preschool 1 classroom as the following was observed taking place: child standing in the doorway of the restroom facing the classroom with his pants down around his ankles; children walking around the classroom with soiled hands touching the cots and linens of other children; a child stepping on the back of a sleeping child while walking to the restroom; a child spinning in circles while lying on her back, nearly hitting her head on a bookcase, then climbing into the bottom of the bookcase; cots placed with less than 12 inches of space between in preparation to be occupied for naps. One staff voiced frustration by stating ?I?m not okay?, to which the director replied ?You?re okay?. 2. The following was observed taking place in the two?s classroom: children walking onto and standing on different children?s cots; a child walking around in a visibly soaked t-shirt; a child with walking around the room with a blanket on his head; a child crawling under the fitted sheet on the cot; and a child eating food off the floor.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-A
Description:	REPEAT VIOLATION Based on observation, the center failed to ensure that staff washed their hands after coming into contact with body fluids. Evidence: In the two year old room, Staff #1 was observed wiping the noses of several children and Staff #1 did not wash their hands in between or after wiping each child?s nose.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-B
Description:	REPEAT VIOLATION Based on observation, the center failed to ensure that a nonabsorbent surface for diapering or changing was used, and that for children younger than three years, this surface shall be a changing table or countertop designated for changing. Evidence: 1. In the preschool 1 classroom that serves older two year olds, the diapering pad was observed on the floor in the bathroom.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-560-M
Description:	Based on observation, the center failed to ensure that children weren?t permitted to walk around while eating or drinking. Evidence: In the Infant C classroom, Child #1 was observed walking around the classroom drinking from a cup of milk.
Plan of Correction:	Not available online. Contact Inspector for more information.