VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Teachable Moments Preschool LLC
1915 Thomson Drive
Lynchburg, VA 24501
(434) 215-3148

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Jan. 11, 2024

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 on 01/11/2024. There were 57 children, ages 5 months-5 years, 12 staff members providing direct care and supervision and various support staff present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, staff and supervision, physical plant, programs, emergencies, and nutrition. The children were observed in learning activities, free choice activities, during lunch, and during rest time; infants were observed being fed and allowed to sleep on demand. A total of 6 children?s records, 6 staff records, 1 applicant record, and 7 medications was reviewed. The inspector discussed the following with center staff: infant feeding, attendance, transition times and program administration. The inspector arrived for the inspection at 9:50 am and departed the center at 1:20 pm. An Exit Conference was held with both the program director and assistant director via telephone on 01/12/2024. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:

Standard #:	8VAC20-780-130-A
Description:	SYSTEMIC VIOLATION Based on record review, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for Child 1 did not contain an immunization record. Child 1 was observed in care during the inspection.
Plan of Correction:	Working with families to obtain the immunization records.
Standard #:	8VAC20-780-140-A
Description:	REPEAT VIOLATION/SYSTEMIC VIOLATION Based on record review, the center failed to obtain a copy of the child?s physical examination before the child?s attendance or within 30 days after the first day of attendance. Evidence: 1. The record for Child 4 did not contain physical examinations. Staff 7 verified the start date for Child 4 was 10/02/2023. 2. The record for Child 5 did not contain physical examinations. Staff 7 verified the start date for Child 5 was 10/30/2023.
Plan of Correction:	Working with families to obtain the physical records.
Standard #:	8VAC20-780-60-A
Description:	REPEAT VIOLATION/SYSTEMIC VIOLATION Based on record review, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: the home address for each parent who has custody; when applicable, work phone number and play of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was no addressed provided for either designated person); written agreements between the parent and the center as required by the standards; previous child day care and schools attended by the child; name of any additional programs or school that the child is concurrently attending and the grade or class level; and first date of attendance. 2. The record for Child 2 did not contain the following information: : the home address for each parent who has custody; when applicable, work phone number and play of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was no addressed provided for either designated person); written agreements between the parent and the center as required by the standards; previous child day care and schools attended by the child; name of any additional programs or school that the child is concurrently attending and the grade or class level; and first date of attendance. 3. The record for Child 3 did not contain the following information: written agreements between the parent and the center as required by the standards; and first date of attendance. 4. The record for Child 4 did not contain the following information: the home address for each parent who has custody; when applicable, work phone number and play of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was only one designated person provided and there was not an addressed provided for that person); written agreements between the parent and the center as required by the standards; previous child day care and schools attended by the child; name of any additional programs or school that the child is concurrently attending and the grade or class level; and first date of attendance. 5. The record for Child 5 did not contain the following information: the home address for each parent who has custody; when applicable, work phone number and play of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was no addressed provided for either designated person); written agreements between the parent and the center as required by the standards; previous child day care and schools attended by the child; name of any additional programs or school that the child is concurrently attending and the grade or class level; and first date of attendance. 6. The record for Child 6 did not contain the following information: the home address for each parent who has custody; when applicable, work phone number and play of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was no addressed provided for either designated person); written agreements between the parent and the center as required by the standards; previous child day care and schools attended by the child; name of any additional programs or school that the child is concurrently attending and the grade or class level; and first date of attendance.
Plan of Correction:	Working with families on getting the information while creating a new enrollment process.
Standard #:	8VAC20-780-210-A
Description:	Based on record review and staff interview, the center failed to ensure that one of the program leader qualifications is met when assigning the position of program lead. Evidence: The record for Staff 2 contained a documented job title of program leader. Staff 2 stated that they were a program lead and was observed in the role of program lead during the inspection. The documentation in the record for Staff 2 did not support that Staff 2 meets one of the qualifications required by the standards to hold the position of a program leader.
Plan of Correction:	Will look at all staff's qualifications and will train a new program lead.
Standard #:	8VAC20-780-440-B
Description:	Based on observation, the center failed to ensure that cribs shall be identified for use by a specific child. Evidence: Child 1 was observed sleeping in crib that was not identified for their use; the crib was not labeled.
Plan of Correction:	Will create a system to identify the cribs.
Standard #:	8VAC20-780-510-P
Description:	Based on document review and observation, the center failed to ensure that when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of. Evidence: The authorization for Medication 6 expired on 12/22/2023. The medication was still on-site during the 01/11/2024 inspection; the authorization was not renewed nor was the medication disposed of by 01/05/2024.
Plan of Correction:	The medication was sent home.