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Building Blocks Academy & Daycare Inc.
2422 North Avenue
Richmond, VA 23222
(804) 321-9189

Current Inspector: Florence Martus (804) 662-9772

Inspection Date: Sept. 10, 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 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
N/A

Comments:
The licensing inspector conducted an unannounced monitoring inspection September 10, 2015 from approximately 10:00am to 12:50pm. The licensing inspector and Staff #1 arrived to the center at the same time. Upon arrival the following ratios were observed with a total of 19 children: Toddlers & Twos- 8 children with 1 staff (see violation notice) Threes - Fives - 11 children with 1 staff (see violation notice) School Age children were not present during the inspection At approximately 10:25am, Staff #2 arrived at the center and began to supervise the children in the Toddlers & Twos classroom, along with Staff #3. During the inspection, children were observed coloring, singing songs and dancing, writing, playing dress-up, working puzzles, reviewing and matching shapes, taking bathroom breaks, eating lunch and transitioning into naptime. Lunch consisted peanut butter and jelly sandwiches, bananas, grapes and milk. All areas of the center including classrooms, hallways, bathrooms, kitchen, and playground were inspected. The center was equipped with toys and supplies and items were available to the children. The following information was reviewed: emergency supplies, injury reports, fire and shelter-in-place drills (see violation notice), daily attendance, emergency preparedness plan, parent agreements, and staff training information. The owner stated medication is not administered at this time. Transportation is provided and the van and transportation documents were reviewed (see violation notice). During the inspection, three children records and four employees? records were reviewed. If you have any questions about this inspection, please contact the licensing inspector, Lynn Powers at (804) 662-9790. The provider's responses for the plan of correction were not received as of September 28, 2015 and will not appear on this Violation Notice.

Violations:
Standard #: 22VAC40-185-140-A
Description: Based on review of three children's records, two records did not contain documentation of physical examinations. During the inspection, the licensing inspector observed the record for Child #1 (enrollment date 02/24/15) and the record for Child #2 (enrollment date 02/23/15) did not contain documentation of physical examinations. Each child is required to have documentation of a physical examination by or under the direction of a physician.

Plan of Correction: See intensive plan of correction.

Standard #: 22VAC40-185-160-A
Description: Based on review of four staff records, one record did not contain documentation of a negative tuberculosis screening completed within the required timeframe. Evidence: During the inspection, the licensing inspector observed the record for Staff #4 (hire date 05/26/15) contained a tuberculosis screening dated 08/11/15. Staff are required to submit a negative tuberculosis screening completed within 12 months prior to or 21 days after beginning employment.

Plan of Correction: See intensive plan of correction.

Standard #: 22VAC40-185-60-A
Description: Based on review of three children's records, two records did not contain the required information. During the inspection, the licensing inspector observed the following: 1. The record for Child #2 (enrollment date 02/23/15) did not contain proof of identity. 2. The record for Child #3 (enrollment date 03/12/14) did not contain documentation of child updates and confirmation of up-to-date information in the child's record.

Plan of Correction: See intensive plan of correction.

Standard #: 22VAC40-185-210-A-4
Description: Based on interviews, observation and review of staff records, the center did not ensure identified staff met program leader qualifications. Evidence: During the inspection, the licensing inspector observed Staff #4 supervising the Threes - FIves (Preschool) grouping of children. There were 11 children present. Staff #1 stated Staff #4 has been acting as the program leader for the Preschool children since the summer. Staff #1 stated Staff #4 is in the process of becoming qualified as a program leader. The record for Staff #4 did not contain documentation of education and training to be qualified as a program leader.

Plan of Correction: See intensive plan of correction.

Standard #: 22VAC40-185-240-D-5
Description: Based on observation and review of four staff records, the center did not ensure there was at least one staff member present with current training in performing the daily health observation of children. Evidence: The licensing inspector and the owner arrived at the center at the same time, approximately 10:00am. Upon arrival, Staff #3 and Staff #4 were the staff members present at the center supervising the children. Staff #3 (hire date 06/16/14) and Staff #4 (hire date 05/26/15) have not completed Daily Health Observation training.

Plan of Correction: See intensive plan of correction.

Standard #: 22VAC40-185-270-A
Description: Based on observation, the center did not ensure all areas and equipment were maintained in a safe and operable condition. Evidence: During the inspection, the licensing inspector observed the back of the first row seat in the van was torn and foam was exposed.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-280-B
Description: Based on observation, the center did not ensure all hazardous substances were kept in a locked place using a safe locking methos that prevented access by children. Evidence: During the inspection, the licensing inspector observed the following: 1. A container of bathroom cleaner wipes was located in a cabinet between the bathroom doors. The container contained the wording "Warning: Keep out of the reach of children". The cabinet did not contain a lock. 2. A bottle of hand sanitizer was located on a cabinet in the Preschool area. The cabinet was approximately 3 feet tall and the hand sanitizer was accessible to children. The bottle of hand sanitizer contained the wording "Caution: Keep out of the reach of children". 3. A container of glass cleaner wipes was located on the floorboard of the van used the transport children. The container contained the wording "Warning: Keep out of the reach of children".

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-340-A
Description: Based on observation, the center did not ensure care, protection, and guidance for all the children in care. Evidence: During the inspection, the licensing inspector observed 11 children (3-5 years of age) in an area designated for the Preschool children. The designated area measured approximately 14ft6inches by 11ft. The designated area also contained several tables, chairs, book cases, and various other equipment and toys. The area and current equipment created space that was difficult for children to move about in a safe manner.

Plan of Correction: See intensive plan of correction.

Standard #: 22VAC40-185-340-D
Description: Based on observation, interview and review of staff record, the center did not ensure each grouping of children had at least one staff member who met the qualifications of a program leader. Evidence: The licensing inspector observed the record for Staff #4 (hire date 6/16/14), identified as an aide. During the inspection, the licensing inspector observed Staff #4 supervising the Preschool classroom. Staff #1 stated Staff member #4 was going to become qualified as a program leader and would be supervising the Preschool classroom. Staff #1 stated Staff #4 has been supervising the Preschool classroom since the beginning of summer.

Plan of Correction: See intensive plan of correction.

Standard #: 22VAC40-185-350-C
Description: Based on observation, the center did not ensure the staff-to-child ratio for the youngest child present in the group was being followed. Evidence: When the licensing inspector arrived at the center at approximately 10:00am, the licensing inspector observed eight children (18 months to 2 years of age) being supervised by Staff #3. When children are in a mixed age group, the staff-to-child ratio is applicable to the youngest child present in the group. The required staff-to-child ratio for the children in the grouping was one staff member for every five children present.

Plan of Correction: See intensive plan of correction.

Standard #: 22VAC40-185-350-E-4
Description: Based on observation, the center did not ensure the required staff-to-child ratio for children three years to five years of age was being maintained. Evidence: When the licensing inspector arrived at the center at approximately 10:00am, the licensing inspector observed 11 children (three to five years of age) being supervised by Staff #4. The required staff-to-child ratio for the children in the grouping was one staff member for every ten children present.

Plan of Correction: See intensive plan of correction.

Standard #: 22VAC40-185-530-A
Description: Based on observations and review of four staff records, the center did not ensure there was at least one staff member present with current first aid and CPR certification by the American Red Cross, American Heart Association, National Safety Council, or other designated program approved by the Department of Social Services. Evidence: The licensing inspector and the owner arrived at the center at the same time, approximately 10:00am. Upon arrival, Staff #3 and Staff #4 were the staff members present at the center supervising the children. The record for Staff #4 (hire date 06/16/14) indicated the first aid and CPR certification was obtained online. Staff #4 stated she had completed the training online only. The Division of Licensing Programs does not accept online CPR/First Aid courses if it does not also include an in-person skills demonstration as part of the training. Staff #3 did not possess first aid and CPR certification.

Plan of Correction: See intensive plan of correction.

Standard #: 22VAC40-185-540-C
Description: Based on observation, the center did not ensure first aid kits contained the required items. Evidence: During the inspection of the van, the licensing inspector observed the first aid kit did not contain a thermometer, scissors, and at least two triangular bandages.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-550-E
Description: Based on interview and the review of documentation, the center did not maintain a record of the dates of the practiced emergency drills. Evidence: During the review of emergency drill records, the licensing inspector did not observed documentation of at least two shelter-in-place drills practiced on an annual basis. Staff #1 stated the drills were completed but were not documented.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-550-H
Description: Based on observation and interview, the center did not maintain the required documentation on the vehicles used to transport children. Evidence: During the inspection of the van, the licensing inspector asked Staff #1 what documentation is taken on the van when transporting children. Staff #1 stated the transportation documentation was taken off the van and binder was in the process of being re-done. Centers are required to have documentation of local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business (such as field trips, pickup/drop off of children to or from schools, etc.).

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-191-40-D-1-C
Description: Based on review of four staff records, one record did not contain updated background checks. Evidence: During the inspection, the licensing inspector observed the record for Staff #2 (hire date 07/15/13) contained a central registry finding dated 05/08/12. Central registry findings are required to be updated at least every three years from the date on the prior form.

Plan of Correction: See intensive plan of correction.

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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