VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sandra Luedeke
2901 Lolly Pine Court
Chesapeake, VA 23323
(757) 485-5424

Current Inspector: Arlene Agustin (804) 629-7519

Inspection Date: June 22, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 8VAC20-800 Household Members 8VAC20-800 Physical Health of Caregivers and Household members 8VAC20-800 Caregiver Training 8VAC20-800 Physical Equipment and Environment 8VAC20-800 Care of Children 8VAC20-800 Preventing the Spread of Disease 8VAC20-800 Medication Administration 8VAC20-800 Emergencies 8VAC20-800 Nutrition 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child abuse and neglect

Technical Assistance:

Reviewed the Standards regarding emergency contacts and exits.

Comments:

An unannounced monitoring inspection was conducted on June 22, 2022. The inspector arrived at 11:30 AM and departed at approximately 12:45PM. Present in the home were 7 children, totaling 14 points, and one provider. Children were observed during story time, free play, and lunch. First Aid kits and documents were observed. The new playground was observed. A sample size of six children's records were reviewed and two staff records. It was reported that no medication has been administered to children in care and no children's injuries were reported. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented. The violations are listed on the violation notice issued to the center and were reviewed with the program director at the exit interview.

Violations:

Standard #:	22.1-289.035-A
Description:	Based on record review and interview, it was determined that the center did not ensure that the child abuse or neglect registry background checks were completed every five years. Evidence: 1. Staff #1 did not have an updated child abuse and neglect registry background check. The last documented background check was dated April 2016. 2 .Staff #1 confirmed that the was no updated check completed.
Plan of Correction:	The center responded with the following: Staff #1 will request the CPS background checks to be completed immediately and will provide the information to the inspector once received. Staff #1 will keep a copy to the record and will ensure it is completed every 5 years.
Standard #:	8VAC20-800-800-A
Description:	Based on record review and interview, it was determined that the center did not ensure they have a written emergency preparedness and response plan. Evidence: 1. During observation of records, there was no written emergency preparedness and response plan written in the records or center. 2. Staff #1, the owner, confirmed the center does not have a written emergency preparedness and response plan in the records.
Plan of Correction:	The center responded with the following: The emergency preparedness plan will be completed today and will be send to inspector once completed, Moving forward, staff will ensure that it is kept in the record and annually reviewed.
Standard #:	8VAC20-800-100-A
Description:	Based on record review and interview, it was determined that the center did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: 1. Child #1, (date of enrollment: 10/19/2020) does not have documentation of a physical examination in their record. 2. Child #2, (date of enrollment: 01/18/2021) does not have documentation of a physical examination in their record. 3. Staff #1 confirmed there was no documentation of physical examinations for Child #1 and Child #2.
Plan of Correction:	The center responded with the following: Staff will obtain physicals for the children and place the documentation in the children's files.
Standard #:	8VAC20-800-280
Description:	Based on observation and interview, it was determined that the center did not ensure that cleaning agents were stored away and inaccessible to children. Evidence: 1. A bottle of Hydrogen Peroxide, with a warning label stating, "Keep out of reach of children," was on the picnic table to the playground area accessible to children. 2. An aerosol can of disinfectant with a warning label stating, "Keep out of reach of children," was beside the diaper changing table in reach of children. 3. Staff #1 confirmed both bottles were in reach of children.
Plan of Correction:	The center responded with the following: Staff #1 immediately moved both bottle to a locked cabinet during the time of the inspection. The bottles will no longer be accessible to children.