VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Callahan Learning Center
916 Maple Grove Drive
Fredericksburg, VA 22407
(540) 750-4331

Current Inspector: Beth Velke (804) 629-8302

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. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 HEARINGS PROCEDURES. 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

Comments:

An unannounced renewal inspection was conducted on 01/11/24 from 8:40 a.m. to 11:20 a.m. with the administrator. There were 32 children in care, ranging in age from two to five-years-old, supervised by five staff. The children were observed in free play. Five child records and five staff records were reviewed. Four medications and authorization forms were reviewed, and the center has two staff current in Medication Administration Training (MAT). Required postings were observed. The attendance, menu, and emergency drill log were reviewed. The first aid kit, flashlight, and battery- operated radio were observed. The most recent Fire Inspection on file was dated 05/08/23 and the most recent Health Inspection on file was dated 11/29/23. Breakfast served was French toast, strawberries, and milk. Areas of non-compliance are identified in the Violation Notice. If you have questions regarding this inspection, please contact the Licensing Inspector, Beth Velke, at beth.velke@doe.virginia.gov or 804-629-8302. Please complete the "Plan of Correction" and "Date to be Corrected" areas on the Violation Notice for each violation cited and return to me by 5 p.m. on 01/23/24.

Violations:

Standard #:	8VAC20-770-60-C-2
Description:	Based on review five staff records; the center did not obtain documentation of the results of a central registry search within 30 days of employment for all staff members. Evidence: 1. The record for Staff #2 with a start date of 10/17/22, the results of the central registry search background check was dated 11/21/22. 2. The record for Staff #3 with a start date of 08/15/22, the results of the central registry search background check was dated 01/30/23. 3. The record for Staff #5 with a start date of 08/29/22, the results of the central registry search background check was dated 10/31/22.
Plan of Correction:	For central registry checks we will document follow up contact when the reports have not been received within 48 hours of submission date and continued documentation until received.
Standard #:	8VAC20-780-140-A
Description:	Based on a review of five child records, the center did not have documentation of a physical in each child record within 30 days after the first day of attendance. Evidence: The record for Child #4, with a start date of 09/06/22, had a physical dated 10/31/22.
Plan of Correction:	Document of children's physicals will be obtained within 30 days of attendance or the child will not be permitted to continue attending until satisfactory documentation is provided.
Standard #:	8VAC20-780-40-L
Description:	Based on staff interview, the facility failed to inform all staff who work with children of children's allergies, sensitivities, and dietary restrictions. Evidence: In the Prep Preschool, Preschool and Pre-K classes, when asked, not all staff could state which children in the group had allergies, sensitivities and/or dietary restrictions.
Plan of Correction:	A training for all staff will be performed regarding all child allergies, sensitivities and dietary restrictions.
Standard #:	8VAC20-780-70
Description:	Repeat Violation Based on a review of five staff records, the center did not obtain all required documentation for staff records. Evidence: 1. The record for Staff # 3, with a start date of 08/15/22, had documentation of references date 02/03/23 and did not contain documentation of the person making the call to check references. The standard requires two or more references as to character and reputation as well as competency before employment. 2. The record for Staff #4 did not contain documentation of the person making the call and the date the references were obtained. The standard requires documentation shall include date of contact and signature of person making the call.
Plan of Correction:	All staff references will be checked, dated and signed prior to an employees start date and documented appropriately in the staff file.
Standard #:	8VAC20-780-80-A
Description:	Based on review of the written attendance record, the center did not ensure they maintained a written record of daily attendance for each group of children documenting arrival and departure of each child in care as it occurs. Evidence: In the Pre-K class, ages four-years-old, there were seven children present, the written record reflected there were five.
Plan of Correction:	We have an internet specialist working on our overall internet connectivity. We are also working with our internet provider to update the router and the range of connection to better our service. We will also train teachers when a child enters or leaves their control to confirm the record is correct, and if it is incorrectly being displayed to use the alternate/backup log for their classroom.
Standard #:	8VAC20-780-270-A
Description:	Repeat Violation Based on observation, it was determined that not all areas of the center inside and outside were maintained in a clean, safe condition. Evidence: 1. In the Pre-K class, chipped paint was observed on the windowsill. The frame of the exit door leading outside, was deteriorating, a chunk of wood was missing from the bottom of the frame and paint was chipped on the door frame. 2. In the Preschool class, three-years-old, two one-inch round holes were observed behind the dramatic play sink, chipped paint was observed on the windowsill, peeling paint and deteriorating wood was observed at the base of the handwashing sink, and the base of the toilet had one screw extending approximately 10 thread lengths and the other approximately 15 thread lengths causing an impalement and scratch hazard. 3. In the Prep Preschool class, two-years-old, chipped paint was observed on the window near the reading area, peeling paint and deteriorating wood was observed at the base of the handwashing sink and the base of the toilet had screw threads that extended approximately 12 thread lengths, causing an impalement and scratch hazard. 4. On the playground a broken vent cover with sharp edges was observed, the large plastic playhouse?s table extension had collapsed and sharp plastic edges were exposed.
Plan of Correction:	The effected windowsills were sanded and repainted in both classrooms. The handwashing sink bases were replaced in all classrooms. The holes in the wall of the Preschool classroom were professionally patched and repainted. The exterior doors and door frames were replaced. The toilet screws were replaced in a safe standard and caps were placed on top. The vent cover located on the back of the building was replaced and the playhouse was disposed of.
Standard #:	8VAC20-780-550-F
Description:	Based on record review, the center did not conduct lockdown drills at least annually. Evidence: At the time of the inspection the drill log showed the last documented lockdown drill was conducted on 12/01/22.
Plan of Correction:	A lockdown drill was completed on January 23, 2024 and will be done at least annually going forward.