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Lil' Angels Day Care Inc.
1903 Davis Lane
Hopewell, VA 23860
(804) 458-5642

Current Inspector: Lauren Bickford (540) 280-0742

Inspection Date: Feb. 15, 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
63.2 Child Abuse & Neglect

Technical Assistance:
n/a

Comments:
A renewal inspection was conducted on February 15, 2024, from approximately 11:30 AM to 1:45 PM. There were 26 children present, with 6 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staff and supervision, programming, medication, special care, and emergencies, and nutrition. A total of five child records and five 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.

Violations:
Standard #: 8VAC20-780-130-E
Description: Based on review of five children's records and interview, the center did not ensure to obtain documentation of additional immunizations once every six months for one child under the age of two years as required.

Evidence:
1. The record of child #4 (enrolled: 4/26/21) contained an immunization record dated 4/23/21 and 2/18/22. Child #4 was required to have an documentation of additional immunization once every six months.
2. Administration acknowledged that the immunization update was missing.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-160-C
Description: Based on a review of staff records, the center did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening.

Evidence:
1. The record for staff #3 (date of last TB screening 8/26/21) did not contain updated TB screening results as of 02/15/2024.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-40-M
Description: Repeat Violation
Based on observation and interview, the center did not ensure to maintain a current written list of all children's allergies, sensitivities, and dietary restrictions which is dated and kept confidential in each room or area where children are present.

Evidence:
In room #1, the allergy list was not posted. Child A is enrolled in room #1 and has allergies to specific foods.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-60-A
Description: Based on a review of children's records, the center did not ensure that each record contains all required information.

Evidence:
1. The record for child #2 had a list of foods from an allergy test that documented the allergies and sensitives to specific foods. The record did not have a written care plan that included instructions from a physician regarding the foot to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
2. The administrator stated that the record did not have a written care plan.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-270-A
Description: Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

Evidence:
On the preschool playground, there are 9 buckets holding cement to anchor poles of the shelter play area. The 9 buckets were cracked, had sharp edges, and areas where a child could pinch skin.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-350-B-1
Description: Based on interviews, the center did not ensure to follow the required ratio for children from birth to the age of 16 months: one staff member for every four children.

Evidence:
1. Staff #1 was left alone to supervise 7 infant children in room #1 for approximately four minutes while staff #2 cleaned the highchairs in the cafeteria area outside of room #1.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-550-F
Description: Based on record review, the licensee did not ensure that there was a minimum of one lockdown drill practiced, yearly.

Evidence:
The facility did not have documentation of a lockdown drill for 2023.

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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