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Emmanuel Lutheran Preschool and Child Development Center
23 Semple Farm Road
Hampton, VA 23666
(757) 865-2851

Current Inspector: Michele Patchett (757) 439-6816

Inspection Date: Aug. 31, 2015

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
63.2 Licensure and Registration Procedures
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Technical assistance was given regarding the clear documentation of all required items for injury reports.

Comments:
An unannounced monitoring inspection was conducted on August 31, 2015from approximately 1:45 P.M. until 6:20 P.M.. At the time of entrance there were 80 children and 15 staff members present with children. The sample size consisted of 5 children's records, 11 staff records. Children were observed during nap time, eating snack and playing with legos, board games and dinosaurs. Previous violations were reviewed. Areas of non-compliance are identified on the violation notice. The results of the inspection was reviewed and verified with the program director and interim director during the exit interview.

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on a record review and staff interviews, the licensee did not ensure that all staff submitted documentation of a negative tuberculosis screening. Documentation of the screening must be submitted no later than 21 days after employment and shall have been completed within 12 months prior to or 21 days after employment. Evidence: During the inspection conducted on August 31, 2015, the record for staff #9 (date of hire 7-6-15) included an outdated TB screening dated 10-1-13 and the record for staff #4 (date of hire 3-24-15) had an outdated TB screening dated 2-10-14. There was not documentation available for review indicating a TB screening had been conducted within the required one year.

Plan of Correction: The program director will staff obtain the TB screening.

Standard #: 22VAC40-185-70-A
Description: Based on a record review and staff interviews, the licensee did not ensure that all staff had a record with the required items. Evidence: During the inspection conducted on August 31, 2015, the record for staff #9 (date of hire 7-6-15) did not include documentation that two or more references as to character and reputation as well as competency were checked before employment.

Plan of Correction: The program director will contact references and place them in the record.

Standard #: 22VAC40-185-280-B
Description: Based on observation, the licensee did not ensure hazardous substances were kept in a locked place. Evidence: During the inspection conducted on August 31, 2015, one container of bleach and water and one container of sanitizing wipes labeled "keep out of reach of children " and "caution" were observed in an unlocked closet in the schoolage room (sanactuary).

Plan of Correction: The program director will ensure the closets are locked.

Standard #: 22VAC40-185-510-N
Description: Based on a medication review and interviews with staff, the licensee did not ensure that when an authorization for medication expires, the parent was notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center. Evidence: During the inspection on August 31, 2015, it was determined three medications had expired authorizations and the medications had not been returned to the parents as listed below; 1) one medication, Xopenex for child #1 had expired on 6-30-15 2) one medication, Xopenex for child #2 had expired on 6-30-15 3) one medication, Little Remedies for child #4 had expired on 5-15-15

Plan of Correction: The program director will ensure all medications are returned to parents unless they choose to complete a MAT form.

Standard #: 22VAC40-191-60-B
Description: Based on a record review, staff interviews and observation, the licensee did not ensure all staff had completed a sworn statement of affirmation prior to employment. Evidence: During the inspection conducted on August 31, 2015, it was determined that there was not a sworn statement of affirmation available for review for staff #11 (first date of employment 8-31-2015). Staff #11 was observed working during the inspection.

Plan of Correction: The program director will ensure the sworn statement is completed today.

Standard #: 22VAC40-191-60-C-1
Description: Based on a record review, observations and staff interviews, the license did not ensure that each staff member had an original criminal history record report (CRC)within 30 days of employment or employment must be denied. Evidence: During the inspection on August 31, 2015, it was confirmed there was not documentation available of a CRC conducted within 30 days of employment for staff # 9 (date of hire 7-6-15) . Staff #9 were working during the inspection.

Plan of Correction: The program director will ensure a background check is obtained.

Standard #: 22VAC40-191-60-C-2
Description: Based on a record review, observation and staff interviews, the licensee did not ensure all staff had obtained a search of the central registry report (CPS) within 30 days of employment or continued employment must be denied. Evidence: During the inspection on August 31, 2015, it was confirmed there was not documentation available of a CPS conducted within 30 days of employment for staff # 9 (date of hire 7-6-15) . Staff #9 were working during the inspection.

Plan of Correction: The program director will ensure a background check is obtained.

Standard #: 63.2-1720-F
Description: Based on a record review and staff interivews, the license did not ensure each staff member was not permitted to work in a position that involves direct contact with children in care until an original criminal history record (CRC) has been received, unless such person works under the direct supervision of another employee for whom a background check has been completed in accordance with the requirements of this section. Evidence: During the inspection on August 31, 2015, staff #9 (date of hire 7-6-15) did not have documentation of an original criminal records checks conducted and was observed working alone by the licensing inspector without direct supervision of another employee who had obtained a CRC as required.

Plan of Correction: The program director will ensure a background check is obtained.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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