VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Firefly Childcare New Dorset
2426 New Dorset Circle
Powhatan, VA 23139
(804) 822-1185

Current Inspector: Tara Barton (804) 381-8487

Inspection Date: April 3, 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 (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Comments:

A renewal inspection was conducted on April 3, 2024 with the center director and staff. There were 44 children present, ranging in ages from 2 years to 12 years, with 8 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 5 staff records were 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. . Time of today?s inspection: 1:00 p.m. to 3:10 p.m. Please call me if you have any questions at 804-381-8487 or e-mail tara.barton@doe.virginia.gov.

Violations:

Standard #:	8VAC20-770-60-B
Description:	Repeat violation. Based on review of five staff records, the facility failed to have a completed sworn disclosure statement for each staff at the first day of employment. Evidence: Staff 1 (date of employment 8/11/2023) did not have a signed sworn disclosure statement on file.
Plan of Correction:	Completed on 4/10/2024.
Standard #:	8VAC20-770-60-C-2
Description:	Repeat violation: Based on review of five staff records, the facility failed to have documentation of a completed search of the central registry (CPS check) on file for each staff within the first 30 days of employment. Evidence: Staff 5 (date of employment 11/20/2023) did not have a completed search of the central registry on file. There was no documentation of having submitted the search of the central registry within 7 days of employment as required.
Plan of Correction:	Staff contacted CPS regarding background check. Check has been resubmitted.
Standard #:	8VAC20-780-160-A
Description:	Repeat violation: Based on review of five staff records, the center failed to obtain documentation of a negative tuberculosis (TB) screening or test within the required time frame. The test or screening must be done at the time of employment, prior to coming in contact with children, and no more than 30 days prior to of the date of employment. Evidence: Staff 1 (date of employment 8/11/2023), Staff 2 (date of employment 5/22/2023), and Staff 5 (date of employment 11/20/2023) not have documentation of a TB test or screening.
Plan of Correction:	TBs are being scheduled with Chesterfield health dept. - waiting on their availability.
Standard #:	8VAC20-780-60-A
Description:	Based on review of five children's records, the facility failed to have required information in each child's file. Evidence: Child 5 did not have a separate Child Registration form completed (from the sibling in care). The child did not documentation of allergies, signed written agreement, date of enrollment, and persons authorized to pick up,
Plan of Correction:	A separate form was provided to the parents.
Standard #:	8VAC20-780-70
Description:	Repeat violation: Based on review of five staff records, the facility failed to have required documentation in each file. Two references as to character, reputation, and competence should be checked prior to employment. Evidence: Staff 3 (date of employment 10/18/2023) did not have documentation of a second reference on file
Plan of Correction:	Second reference called and documented 4/10/2024.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, the facility failed to have staff wash their hands and the children's hands with soap and running water after a diaper change. Evidence: Staff did not wash the child's hands or the staff's hands immediately after changing a child?s diaper.
Plan of Correction:	Staff retrained on diapering procedures. A step by step chart has been posted at all diapering stations.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, the facility failed to have staff clean and sanitize the diaper changing table as required after each use. Evidence: Staff in the twos room did not clean and sanitize the diaper changing table after a child's diaper was changed.
Plan of Correction:	Staff retrained. A step by step chart has been posted by all diapering stations.
Standard #:	8VAC20-780-510-L
Description:	Based on review of medication, the facility failed to keep medication in a locked place using a safe locking method that prevents access by children. Evidence: a bag of medication for one child and a bottle of staff medication were beside the medicine cabinet in the director's office, unlocked. One child's medication was located in the staff refrigerator, unlocked.
Plan of Correction:	Larger medication box purchased to hold all medications. A box with a lock has been purchased to house refrigerated medications.
Standard #:	8VAC20-780-510-P
Description:	Based on review of seven medications on site, the facility failed to notify parents that that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Evidence: the medication authorization for one child expired 2/14/2024 and the medication was not returned. The medication expired 11/2023.
Plan of Correction:	Medication has been returned and parents are completing new authorizations. Staff will check medication regularly to prevent recurrence.
Standard #:	8VAC20-780-550-E
Description:	Based on review of the emergency drill log, the facility failed to conduct a shelter in place drill a minimum of twice per year. Evidence: there was documentation of only one shelter in place drill in the past year (conducted 4/14/2023).
Plan of Correction:	Shelter in place drill scheduled for 4/19/2024.
Standard #:	8VAC20-780-550-F
Description:	Based on review of the emergency drill log, the facility failed to conduct a lockdown drill at least once annually. Evidence: there was no documentation of a lockdown drill.
Plan of Correction:	Lockdown drill scheduled for 4/11/2024.
Standard #:	8VAC20-780-560-J
Description:	Repeat violation: Based on observation, the facility failed to sanitize tables after each use for feeding. Sanitize is defined as " the surface of the item is sprayed or dipped into the disinfectant solution and allowed to air dry on the surface for a minimum of two minutes or according to the disinfectant solution instructions." Evidence: the tables in the open room upstairs still had food particles from lunch after rest time.
Plan of Correction:	Staff retrained on all sanitizing processes.