VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Winwood Children's Center
301 Virginia Wildflower Terr., SE
Leesburg, VA 20175
(703) 777-0052

Current Inspector: Kimberly Weaver (571) 596-3662

Inspection Date: Sept. 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 8VAC20-820 THE LICENSE 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect 8VAC20-790 Subsidy Regulations

Technical Assistance:

The Licensing Inspector discussed staff records and crib placement. Effective January 1, 2025, the VDOE will begin determining compliance with ? 22.1-289.057 of the Code of Virginia, which is legislation passed by the General Assembly in 2020. The law requires all licensed child day programs, religious exempt child day centers that serve preschool age children, and certified preschools to test potable drinking water. The law requires that programs submit their plans and test results to the Virginia Department of Health Office of Drinking Water (VDH ODW) and the Superintendent. If the results of the testing indicate elevated lead levels, the program shall remediate, retest, and resubmit results to VDH ODW and the Superintendent. There is an alternative bottled water option that comes with additional requirements. The statutory requirement can be found online at: https://law.lis.virginia.gov/vacode/title22.1/chapter14.1/section22.1-289.057/ Resources are available for providers under "What's New"

Comments:

An unannounced, on-site monitoring inspection was conducted on 9/3/2024. The on-site inspection began at 11:30am and ended at 3:20pm. The inspector reviewed compliance in the areas listed above. There were 92 children present and 22 staff. The inspector reviewed 9 child records and 5 staff records on-site. This inspection included document review, interviews, observations, and a tour of the facility. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program. Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	8VAC20-780-140-A
Description:	Based on record review, each child did not have a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: Child #1, date of enrollment 3/28/2024, did not have a physical examination on file.
Plan of Correction:	Student serious and minor injury records will be reviewed by an administrator to ensure that staff names/signatures as well as the time the parent was notified is completed.
Standard #:	8VAC20-780-60-A
Description:	Based on record review and interview, a written care plan was not obtained for each child with a diagnosed food allergy, to include instructions from a physician and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: Child #2 has an EpiPen and Benadryl for a suspected allergy, but no written care plan. Child #3 has Benadryl for an allergy, but no written care plan.
Plan of Correction:	Parents of child #2 have been instructed to provide an allergy action plan in addition to the medication authorization. Child #3 has an MD appointment scheduled on 9/27/2024 and the parents have been informed that an allergy action plan must be completed in addition to the medication authorization.
Standard #:	8VAC20-780-510-P
Description:	Based on record review and interview, when an authorization for medication expired, the center did not obtain a renewed authorization. Evidence: Child #2 had a medication authorization for an EpiPen and Benadryl that expired 3/20/2024. Child #3 had a medication authorization for Benadryl that expired 3/11/2024.
Plan of Correction:	Parents of Child #2 and #3 have been instructed to provide a new medication authorization.
Standard #:	8VAC20-780-550-P
Description:	REPEAT VIOLATION Based on record review, children's serious and minor injury records did not contain all of the required information. Evidence: 23 out of 36 injury records for the month of May were missing the time the parent was notified and/or staff signatures.
Plan of Correction:	Student serious and minor injury records will be reviewed by an administrator to ensure that staff names/signatures as well as the time the parent was notified is completed.
Standard #:	8VAC20-780-580-B
Description:	Based on observation, vehicles used by the center for the transportation of children did not meet all requirements. Evidence: 1 out of 3 buses had a safety inspection that expired 8/2024.
Plan of Correction:	Bus has an appointment to get safety inspection completed.