VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Cadence Academy Preschool
365 Ferry Road
Fredericksburg, VA 22405
(540) 371-9300

Current Inspector: Angela Dudek (804) 629-8167

Inspection Date: Jan. 10, 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 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:

Provided consultation on the following: 8VAC20-780-560J Tables should be sanitized with a 2 step process where soap and water is used first then wiped and sanitizer is sprayed second and allowed to dry for 2 minutes prior to wiping away. 8VAC20-780-560F There must be a component served from each category for lunch each day.

Comments:

An unannounced renewal inspection was conducted on 01/10/2024 from 10:55am to 2:50pm. There were 163 children ages 2 months to age 5 years old supervised by 27 staff. The physical plant, programming, attendance, menus, 5 staff records, 5 children?s records, 12 medications with corresponding authorization records, emergency drills, emergency supplies, and policies were reviewed. Children were observed participating in lunch, building, dramatic play, reading and nap. Diapering and handwashing procedures were also observed. There was an adequate number of staff present with current certification in Medication Administration Training (MAT), CPR and First Aid, and Daily Health Observation (DHO) training. Areas of non-compliance are identified in the Violation Notice. Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the Violation Notice, and then return a signed and dated copy to the licensing office by 5pm on 2/2/24. Please email me at angela.dudek@doe.virginia.gov with any questions.

Violations:

Standard #:	22.1-289.011-F
Description:	(Repeat Violation) Based on observation and staff interview, the center did not ensure they post the findings of the most recent licensing inspection of the facility. Evidence: The most recent licensing inspection of the facility from the inspection on 12/21/2023, was not posted.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.035-A
Description:	Based on review of 5 staff records, the provider did not obtain a criminal history background check report every five years from the date of the last check. Evidence: The record for Staff #5 did not contain documentation that a criminal history background check report had been completed every five years from the date of the last check. The last criminal history check was completed 7/3/18.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-50-A
Description:	Based on observation, the Center did not ensure that staff and child records were treated confidentially. Evidence: There were records posted at the front entrance of the center dated 2/14/22, 8/22/22 and 1/5/23 that contained confidential information for staff and children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-80-A
Description:	(Repeat Violation) Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. Evidence: During inspection in the Preschool 3A classroom (ages 3-4 years old), there were 16 children present, but the written record reflected there were 17 children present.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-240-A
Description:	Based on review of 5 staff records, the center did not ensure that the Virginia Department of Education-sponsored orientation course was completed within 90 calendar days of employment. Evidence: The record for Staff #4 (date of hire 2/27/23) did not contain documentation that the Virginia Department of Education-sponsored orientation course was completed within 90 calendar days of employment.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	(Repeat Violation) Based on observation, the center did not ensure that all areas and equipment of the center, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: The cabinet doors in the Preschool 3B classroom (ages 3-4 years old) were broken away from the hinge and the doors were falling forward causing them to stick out in such a way as to be a risk to snagging a child?s skin from the sharp corners and a risk that the doors may fall on a child and injury them.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the center did not ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1)During inspection in the Preschool 2A classroom (ages 2-3 years old), a container of hand sanitizer was not locked up and sitting on a windowsill. 2)During inspection in the Preschool 3A classroom (ages 3-4 years old), there was an unlocked cabinet that contained 2 air fresheners, a container of sanitizer, and antibacterial cleaner.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-D
Description:	Based on observation, the Center did not ensure that cleaning and sanitizing materials were not located above food, food equipment, utensils or single-service articles and were stored in areas physically separate from food. Evidence: During inspection in the Preschool 2A (ages 2-3 years old) and Preschool 3A (ages 3-4 years old) classrooms, there were cleaning and sanitizing materials stored above paper plates and eating utensils. There were cleaning and sanitizing materials stored together with food.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-350-B-1
Description:	(Repeat Violation) Based on observation, the center did not maintain the required supervision ratio of staff to children whenever children are in care. Evidence: During the inspection, the center did not maintain the required supervision ratio of 1 staff for every 4 children in the Toddler room where a child under the age of 16 months was present.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-A
Description:	(Repeat Violation) Based on observation, the center did not ensure that children wash their hands with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: In the Preschool 2A classroom (ages 2-3 years old), children did not wash their hands with soap and running water or disposable wipes before eating as required.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-B
Description:	(Repeat Violation) Based on observation the center did not ensure that the diapering surface was cleaned and sanitized after each use and that the diapering surface should only be used for diapering or cleaning children. Evidence: 1)In the Preschool 2A classroom (ages 2-3 years old) on the diapering surface was stored children?s artwork and art supplies. 2)In the Toddler classroom, a staff member changed a child's diaper then sprayed a cleaner on the diapering surface and wiped it clean. No sanitizer was used as required. To properly sanitize the diapering surface, the sanitizer should be sprayed on the surface and the solution allowed to dry for at least 2 minutes.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-E
Description:	(Repeat Violation) Based on review of 12 medications and medication authorizations, the center did not ensure they follow the policy for administration of medication. Evidence: For medications for Child #6, Child #7, and Child #8, the duration of the parent?s authorization was not renewed after 10 workdays nor was written medication authorization given from the child?s physician and parent for a long term medication.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-I
Description:	(Repeat Violation) Based on review of 12 medications, the center did not ensure that they administer only those drugs that were dispensed from a pharmacy and maintained in the original, labeled container. Evidence: The medication for Child #6 was not maintained in the original, labeled container from a pharmacy.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-520-C
Description:	(Repeat Violation) Based on observation, the center did not ensure that diaper cream was kept inaccessible to children. Evidence: In the Preschool 2B classroom (ages 2-3 years old), there were 2 diaper creams stored on the diaper station where children have access.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-550-D
Description:	Based on review of documentation, the center did not ensure they implement a monthly practice evacuation drill. Evidence: There was no documentation of an evacuation drill for December 2023.
Plan of Correction:	Not available online. Contact Inspector for more information.