VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Heavenly Hands Early Learning Center
2800 Hill Street
Lynchburg, VA 24501
(434) 386-8082

Current Inspector: Kelly Campbell (540) 309-2494

Inspection Date: March 11, 2024

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 20 Access to minor?s records 8VAC20-780 Staff Qualifications and Training. 22.1 Early Childhood Care and Education 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

Comments:

An unannounced on-site monitoring mandated inspection was conducted on 03/11/2024. There were 22 children, ages 4 weeks-4years, and 6 staff members present during the inspection. Two licensing inspectors observed the following: arrival of second shift, nap time and diaper changes. A total of 6 children?s records and 6 staff records, were reviewed. The inspectors discussed the following with staff: using model forms found on the DOE website. The two inspectors arrived at 1:20 PM and departed at 3:45 PM. The inspection notice was amended on 4/2/2024. Kelly Campbell Licensing Inspector Office of Child Care Health and Safety Division of Early Childhood Care and Education Phone# 540-309-2494 Kelly.campbell@doe.virginia.gov

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on review of staff?s records, the center failed to ensure that all required out of state background checks were obtained. Evidence: Staff # 4 had a documented employment date of 07/20/2023. Staff # 4 indicated on the sworn statement that they have lived outside of the state of Virginia in the past five years. An out of state child abuse and neglect search was not obtained from that state.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-140-A
Description:	REPEAT VIIOLATION SYSTEMIC DEFICIENCY Based on record review and interviews, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child?s attendance or within 30 days after the first day of attendance. Evidence: The record for Child # 6 contained documentation that the first date of attendance was 08/30/2023. On the day of the inspection, there was no documentation of a physical in the record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-A
Description:	REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on interview and review of staff record, the center failed to ensure that all staff had a negative tuberculosis (TB) screening at the time of employment, no more than 30 days prior to hire, and before coming in contact with children. Evidence: Staff # 6 started employment on 02/16/2024 and the TB test was completed more than 30 days prior to hire on 10/02/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all the elements as required by the standards. Evidence: Child # 1 first day of enrollment was 10/03/2022 and Child # 3 first day of enrollment was 12/05/2022. They did not have documentation of an annual update.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on review of staff records, the center failed to ensure that all records were complete per the standard. Evidence: 1.Staff # 1 had a hire date of 03/04/2024 and was missing the following items: documented job title and documentation of any health problems that may interfere with fulfilling the job responsibilities. 2.Staff # 2 had a hire date of 11/21/2023 and was missing the following items: documentation of any health problems that may interfere with fulfilling the job responsibilities. 3.Staff # 4 had a hire date of 07/20/2023 and was missing the following items: documented job title and documentation of any health problems that may interfere with fulfilling the job responsibilities. 4.Staff # 5 had a hire date of 1/17/2024 and was missing the following items: documented job title and documentation of any health problems that may interfere with fulfilling the job responsibilities. 5.Staff # 6 had a hire date of 02/16/2024 and was missing the following items: documented job title and documentation of any health problems that may interfere with fulfilling the job responsibilities.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-80-A
Description:	REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on review of the attendance and interviews with staff, the center failed to ensure that for each grouping of children, the center maintained a written record of daily attendance that documented the arrival and departure of each child in care as it occurred. Evidence: On the day of the inspection at approximately 1:20 PM, the preschool class did not have the daily attendance completed in the Bright Wheel system, for the fifteen children present in that classroom. The online system that is used had twelve children marked present. Staff # 7 confirmed the attendance had not been updated yet.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-240-C
Description:	REPEAT VIOLATION Based on review of staff records, the center failed to ensure that staff orientations were completed within seven days of hire. Evidence: Staff # 1 was hired on 11/21/2023 and Staff # 2 was hired on 1/17/2024. Both staff were missing orientation training in the following: prevention of sudden infant death syndrome and use of safe sleep practices, prevention of shaken baby syndrome and abusive head trauma, emergency preparedness and response planning, prevention of and response to emergencies due to food and other allergic reactions.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-G
Description:	Based on observation, the center failed to ensure that the substitute container shall clearly indicate their contents and shall not resemble food or beverage containers. Evidence: There was an unlabeled plastic spray bottle with a purple solution in the infant room. Staff # 9 confirmed it was a cleaning solution.
Plan of Correction:	Went through all containers and relabeled.
Standard #:	8VAC20-780-440-E
Description:	SYSTEMIC DEFICIENCY Based on observation, the center failed to ensure that there was 12 inches of space between occupied cots. Evidence: There were 10 children aged 2 years to 5 years sleeping on cots. 5 of the cots were touching other cots and did not have 12 inches of space between them.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-450-A
Description:	REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on observation of nap time, the center failed to ensure that all cots used by children during designated rest period shall have linens consisting of a top cover and a bottom cover or a one piece covering which is open on three edges. Evidence: Child # 8 was napping on a cot and did not have a bottom cover.
Plan of Correction:	HHELC provided the child with a bottom cover.
Standard #:	8VAC20-780-450-D
Description:	SYSTEMIC DEFICIENCY Based on observation, the center failed to ensure that all pillows assigned for individual use and covered with a pillowcase. Evidence: One child in the preschool area was sleeping with a blue pillow that did not have a pillowcase.
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 all handwashing procedures were followed according to the standard. Evidence: Staff # 8 changed Child # 6 and the child?s hands were not washed after the diaper change.
Plan of Correction:	Posted and covered techniques for hand washing. Employee was reprimanded and went back through training.
Standard #:	8VAC20-780-560-M
Description:	SYSTEMIC DEFICIENCY Based on observation, the center failed to ensure that no child shall be allowed to drink or eat while walking around. Evidence: Child # 7 (age 1 year) was walking around while drinking from a milk cup.
Plan of Correction:	Have employees watch child more closely while child is at the table eating and drinking.
Standard #:	8VAC20-780-570-B
Description:	REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on observation, the center failed to ensure that bottle fed infants who cannot hold their own bottles shall be held when fed. Bottles shall not be propped or used while the child is in his designated sleeping location. Evidence: Child # 9 (age 1 year) was observed sleeping in their designated sleep location with a bottle/ milk cup.
Plan of Correction:	Teacher was reprimanded and had to restudy the state standards concerning feeding and crib sleeping.
Standard #:	8VAC20-780-570-K
Description:	SYSTEMIC DEFICIENCY Based on observation, the center failed to ensure that all semisolid food shall be feed with a spoon unless written instructions from a physician. Evidence: Child # 6 (10 months old) had a bottle with an orange substance added to the formula. Staff #8 stated that a jar of baby food was put in the bottle.
Plan of Correction:	Not available online. Contact Inspector for more information.