VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Creme de la Creme
16351 Navigation Drive
Woodbridge, VA 22191
(703) 580-8887

Current Inspector: Angela Dudek (804) 629-8167

Inspection Date: Sept. 13, 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:

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 additional 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 now available for providers on the "What's New" webpage on the ChildCareVA website at https://www.childcare.virginia.gov/providers/what-s-new. Provided consultation on the following: 8VAC20-780-330B The water park playground poured in place will need documentation from a reputable source with expertise in this area that has done testing on the specific type of resilient surfacing in use along with the required depth for safety.

Comments:

An unannounced, on-site monitoring inspection was initiated on 9/4/24 and completed on 9/4/24. The on-site inspection began at 8:35am and ended at 12:40pm. The inspector reviewed compliance in the areas listed above. There were 40 children present and 16 staff. The inspector reviewed 5 children?s records and 5 staff records on-site. This inspection included document review, tour of the facility, interviews, observations and measurements. 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, which will be the close of business on 9/20/24. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	22.1-289.035-B-4
Description:	(Repeat Violation) Based on review of 5 staff records, the center did not obtain the results of a criminal history record check and a central registry check from all states in which staff members have resided within the last five years prior to employment. Evidence: The record for Staff #4 (date of hire 4/19/18) did not contain documentation of a completed central registry check from 2 states where they resided within the last five years prior to employment.
Plan of Correction:	Already corrected
Standard #:	8VAC20-770-60-C-2
Description:	Based on review of 5 staff files, the center did not obtain documentation that a central registry search was completed by the end of the 30th day of employment. Evidence: The records for Staff #1, Staff #2, Staff #3 did not contain documentation that a central registry search was completed within 30 days of employment. There were no Central registry results in the file. No documentation of follow up was in the file.
Plan of Correction:	Already corrected.
Standard #:	8VAC20-780-130-E
Description:	Based on review of 5 child records, the provider did not obtain documentation of updated immunizations once every six months for children under the age of two years. Evidence: 1)The record for Child #2 (12 months old) did not contain documentation of updated immunizations once every six months for children under the age of two years. The most recent immunizations on file were dated 1/16/24 when the child was 4 months old. 2)The record for Child #3 (2 years old) did not contain documentation of updated immunizations once every six months for children under the age of two years. The most recent immunizations on file were dated 8/30/23 when the child was 21 months old. 3)The record for Child #4 (2 years old) did not contain documentation of updated immunizations once every six months for children under the age of two years. The most recent immunizations on file were dated 4/18/23 when the child was 12 months old.
Plan of Correction:	Obtain updated immunizations from all parents.
Standard #:	8VAC20-780-160-A
Description:	(Repeat Violation) Based on review of 5 staff records, the center did not obtain documentation of a negative tuberculosis (TB) test or screening for staff at the time of employment and prior to contact with children and within 30 days prior to employment. Evidence: 1)The file for Staff #1 (date of hire 2/6/23), Staff #3 (5/2/24), and Staff #5 (12/26/19) did not contain documentation of a negative tuberculosis (TB) test or screening. 2)The file for Staff #2 (date of hire 2/26/24) did not contain documentation of a negative TB test or screen at the time of employment. The TB screening on file was dated 3/14/24.
Plan of Correction:	Already corrected.
Standard #:	8VAC20-780-40-M
Description:	Based on review of documentation and interview with the staff, the center did not maintain a current and dated written list of children?s allergies, sensitivities, and dietary restrictions that was accessible to all staff in each group or area where children are present. Evidence: The allergy list did not contain one of Child #1`s diagnosed food allergies so the list was not current.
Plan of Correction:	Already corrected.
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 records for Staff #1, Staff #2, and Staff #3 did not contain documentation that the Virginia Department of Education-sponsored orientation course was completed within 90 calendar days of employment.
Plan of Correction:	Already corrected.
Standard #:	8VAC20-780-240-E
Description:	Based on review of 3 staff records, the center did not ensure that staff complete a First Aid and CPR orientation appropriate to the age of the children in care within 30 days of the first day of employment. Evidence: The records for Staff #1, Staff #2, and Staff #3 did not contain documentation of a completed First Aid and CPR orientation within 30 days of employment.
Plan of Correction:	All staff will attend scheduled CPR/first aid training.
Standard #:	8VAC20-780-280-B
Description:	(Repeat Violation) 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 an unlocked closet at the waterpark playground area where children have access, 1 container of chlorine was stored. 2)In the unlocked kitchen where children have access, 2 containers of detergent and 2 containers of sanitizer containing a label that stated ?Keep out of Reach of Children? and the word ?Warning? on the label was stored on the floor. In the same area there was also 2 containers of lime scale remover containing a label that stated ?Keep out of Reach of Children? and the word ?Danger? on the label.
Plan of Correction:	Lock all cabinets and kitchen at all times.
Standard #:	8VAC20-780-330-B
Description:	Based on observation and inspection of the playground, the licensee did not ensure that the required resilient surfacing surrounding playground equipment with moving parts or climbing apparatus created a sufficient fall zone. Evidence: 1)The waterpark playground has a waterslide that is 42 inches in height that is installed over a poured in place product used as resilient surfacing. The resilient surfacing has a hole at the bottom of the left slide. The hole is approximately 3 inches wide, exposing the concrete underneath, and therefore causing an area with no resilient surfacing in this area. 2)The waterpark playground has 2 waterslides that have wood fencing butted up against them. Resilient surfacing and an appropriate fall zone is required to extend to 6 feet on all sides in this area. 3) The large playground has a short slide that is 23 inches in height with wood chips at 3 inches in depth at the end of the slide instead of the required 6 inches.
Plan of Correction:	Mulch has been added to the playground. Waterpark has been closed.
Standard #:	8VAC20-780-340-D
Description:	Based on interviews, the center did not ensure that each grouping of children had at least one staff member that met the qualifications of program leader or program director regularly present. Evidence: Staff #2 and Staff #3 are the designated program leader, but do not have documentation that they meet the qualifications of a program leader.
Plan of Correction:	Already corrected.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, the center did not ensure that disposable diapers were disposed in a storage system that is either foot-operated or used in such a way that neither the staff member?s hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: In the infant C classroom, the trash can for disposal of diapers was not able to be operated by foot causing the staff member to have to touch the exterior surface of the trash can with their hand or a soiled diaper to open the trash can.
Plan of Correction:	Replace trash can.
Standard #:	8VAC20-780-520-C
Description:	Based on observation, the center did not ensure that diaper cream was kept inaccessible to children. Evidence: In the Infant A, Infant B, and Infant C classroom, there were 6 diaper creams stored in unlocked drawers within each classroom where children have access.
Plan of Correction:	Lock all drawers.
Standard #:	8VAC20-780-530-A
Description:	Based on documentation review, the center did not have at least one staff member in each classroom or area where children are present that had obtained first aid and cardiopulmonary resuscitation (CPR) certification with an in-person competency demonstration. Evidence: The file for Staff #2, who is alone with children, does not contain documentation for completion of first aid and cardiopulmonary resuscitation (CPR) certification.
Plan of Correction:	Ensure teachers without CPR training are not alone with children.