VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Children of America (Winchester), LLC
631 West Jubal Early Drive
Winchester, VA 22601
(540) 667-7003

Current Inspector: Amy Tomblin (804) 629-3923

Inspection Date: Nov. 21, 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 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

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.

Comments:

An unannounced, on-site renewal inspection was initiated on November 21, 2024 and completed on November 21, 2024. The Department issued a Special Order on August 22, 2024 to place the licensee on probation for a period of six months and to contact parents guardians and other responsible persons (families) regarding health and safety violations as a result of high-risk violations. The on-site inspection began at 9:30 a.m. and ended at 4:05 p.m. The inspector reviewed compliance in the areas listed above. There were 80 children present and 22 staff. The inspector reviewed eight children?s records and 11 staff records on-site. This inspection included document review, tour of the facility, interviews and observation. 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 December 5, 2024. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	8VAC20-780-130-E
Description:	Repeat Violation The center shall obtain documentation of additional immunizations every six months for children under the age of two years. The immunization record update for Child #4, who was one year and nine months old, was more than ten months past due. The immunization record update for Child #5, who was 1 year and 11 months old, was more than two months late.
Plan of Correction:	Information has been given to families for updating.
Standard #:	8VAC20-780-260-B
Description:	Annual approval from the health department shall be provided. The center?s health inspection was almost two months past due.
Plan of Correction:	H.D. was notified and has scheduled a visit.
Standard #:	8VAC20-780-320-B
Description:	Each restroom area for children shall have sinks that are supplied with running warm water. The restrooms sinks in the Pre-K classroom, the School Age classroom, the Preschool Two classroom and the Two?s classroom did not have warm water.
Plan of Correction:	All hot water was turned on during the inspection.
Standard #:	8VAC20-780-420-E-3
Description:	Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. Up-to-date information is required to be requested from the parent for each child's record at least annually. The information in the record of Child #2 had not been updated in one year and eight months which was overdue by eight months. The information in the record of Child #4 had not been updated in more than one year and three months which was overdue by more than three months.
Plan of Correction:	Information has been given to families for update.
Standard #:	8VAC20-780-500-A
Description:	Repeat Violation Children?s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. Staff # 1 changed a child?s diaper in the Infant A room and did not wash the child's hands.
Plan of Correction:	Training has been issued to staff members.