Exceptional Learning Center LLC
4878 Finlay Street
Henrico, VA 23231
(804) 222-7525
Current Inspector: Heather Dapper (804) 625-2304
Inspection Date: Dec. 19, 2024
Complaint Related: No
- Areas Reviewed:
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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 Early Childhood Care and Education.
63.2 Child Abuse & Neglect.
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.
- Comments:
-
An unannounced, on-site monitoring inspection was initiated on December 19, 2024 and completed on December 19, 2024. The on-site inspection began at 1:40 PM and ended at 3:30 PM. The inspector reviewed compliance in the areas listed above. There were 16 children present and three staff. The inspector reviewed five children?s records and three staff records on-site.
This inspection included document review, tour of the facility, interviews, and observations.
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 violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on January 14, 2024. A POC submitted after this date will not appear on the public website.
- Violations:
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Standard #: 22.1-289.011-F Description: The license and any other documents required by the Superintendent shall be posted on the licensed premises.
The most recent inspection findings were not posted on the licensed premises.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 22.1-289.035-B-3 Description: The center must request a search of the central registry prior to the employee's first day of employment.
Staff #1, who had been employed for 122 days, did not have a central registry search requested. Staff #1 was working alone with children.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-160-A Description: Each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming into contact with children.
The record for staff #1 had documentation of a TB screening completed 57 days prior to hire.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-60-A Description: **REPEAT VIOLATION**
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.
The record for child #3, enrolled for 52 days, did not have documentation of the following components: name, address, and phone number of one of two designated people to call in an emergency if a parent cannot be reached; the sex of child; and names of persons authorized to pick up child.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-70 Description: Staff records shall be kept for each staff person and contain all of the required information.
The record for staff #1, who has been working at the center for the 122 days, was missing documentation of two or more references as to character and reputation as well as competency, documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-240-A Description: Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.
The record for staff #1 did not have documentation of the VDOE online orientation course. Staff #1 has been employed for 122 days and is working with children.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-270-A Description: The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.
1. In room #1, window tint from the exit door was peeling away from the surface of door and windows. Children were observed pulling, rubbing, and licking the edges of the tint that had peeled away from the window. An outlet was crushed inward, exposing the inside of the outlet and cracked plastic from the outlet cover. A board covering a section of the wall, was pulling away from the inner edges posing a risk for pinching skin.
2. In bathroom #1, a hole in the wall exposing drywall.
3. In bathroom #2, a rusted broken toilet paper holder.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-340-C Description: During the stated hours of operation, there always shall be one staff member who meets the qualifications of a program leader or program director.
At approximately 2:00 PM, staff #1 and staff #3 were the only staff in attendance at the center. Staff #1 and staff #3 were supervising 14 children. Staff #1 and staff #3 did not have documentation to demonstrate qualifications of a program leader or program director.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-350-C Description: **REPEAT VIOLATION**
When children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group. The required ratio for children 2 years of age is one staff per eight children.
1. Staff #3 was observed exiting and entering room #1 at different times between 2:42 PM and 2:47 PM, leaving staff #1 alone and supervising 16 children.
2. Staff #3 was alone and supervising 13 children ages 2 years old to school age between 2:58 PM to 3:01 PM.
3. Staff #1 exits center to help child off bus at 3:03 PM, leaving staff #3 alone and supervising 14 children two years old to school age.
4. Staff #1 takes one child to the bathroom at 3:05 PM, leaving staff #3 alone and supervising 13 children ages two years old to school age.
5. Staff #1 takes two children to bathroom #2 for diaper changes at 3:13 PM, leaving staff #3 alone and supervising 12 children ages two years old to school age.
6. Staff #1 exits room #1 at 3:23 PM to wash her hands, leaving staff #3 alone and supervising 14 children ages two years old to school age.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-500-A Description: Children?s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. Staff shall wash hands with soap and running water before and after a diaper change.
Staff # 1 changed a child?s diaper in bathroom #2 and did not wash the child's hands with soap and water. Staff #1 did not wash hands before or after changing a child?s diaper.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-500-B Description: Disposable diapers shall be disposed in a leakproof or plastic-lined 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.
A foot operated storage system used for disposing diapers was not located at the center. Staff was observed disposing diapers in trash can without lid.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.
