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Elizabeth's Early Learning Center
2320 Bedford Avenue
Lynchburg, VA 24503
(434) 528-5698

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Nov. 29, 2016

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.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-80 SANCTIONS.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Comments:
Today's visit was a renewal inspection. The inspection began at 10:15 am and concluded at 4:40. There were ninety six children present with eighteen direct care staff. During the inspection diapering was observed, hand washing was observed, lunch time was observed, nap time was observed, the records for all four Board Officers were reviewed, seven of of forty-five staff records were reviewed, five out of one hundred forty-two children's records were reviewed, four medications to include authorizations were reviewed, and some policies and procedures were reviewed. Some of the out door play areas could not be viewed due to rain. Discussion took place in the Sunshine classroom to ensure a parent of a child under the age of twelve months was aware that an "as needed" inhaler is being administered every four hours due to child's symptoms. Your renewal application has been received in our office and a recommendation regarding your license will be made upon the completion of today's inspection. Thank you for your time, please call me at 540-309-2051 if you have any questions.

Violations:
Standard #: 22VAC40-185-280-G
Description: Based on the inspector's observations in multiple classrooms, the center failed to ensure hazardous substances that are not kept in original containers were labeled with their contents. Evidence #1: The inspector opened a locked cabinet in the Rainforest classroom and observed a total of three generic janitorial spray bottles that were not labeled in any manner. Staff stated the bottles contained bleach/water solutions and soapy/water solutions used for cleaning and sanitizing. Substitute containers are required to be labeled with their contents. Evidence #2: The inspector opened a locked cabinet in the Betts Station classroom and observed a total of three generic janitorial spray bottles that were not labeled in any manner. Staff stated the bottles contained bleach/water solutions and soapy/water solutions used for cleaning and sanitizing. Substitute containers are required to be labeled with their contents.

Plan of Correction: The Program Director will ensure all substitute containers with cleaners and sanitizers are labeled with their contents. A review with staff will take place.

Standard #: 22VAC40-185-500-A
Description: Based on the inspector's observations in the Rainforest classroom, the center failed to wash a child's hands after toileting. Evidence: The inspector observed a diaper change in the Rainforest classroom and the child did not wash their hands or have their hands wiped after the completion of the diaper change. The age range for the classroom is fifteen through two years of age.

Plan of Correction: All staff will be reminded to have children wash their hands after a diaper change for this age group.

Standard #: 22VAC40-185-500-B
Description: Based on the inspector's observations in the Rainforest classroom, the center failed to ensure the nonabsorbent diapering surface was sanitized properly. Evidence: The inspector observed three back to back diaper changes in the Rainforest classroom. After each diaper change a bleach water solution was applied and not allowed to air dry or remain on the surface for at least two minutes. The sanitizing solution was immediately wiped with a paper towel. Barriers were not observed in use.

Plan of Correction: The PD will review with all staff responsible for diapering the proper procedures for sanitization.

Standard #: 22VAC40-185-520-C
Description: Based on the inspector's review of the log used to document the use of diaper creams/ointments, the center failed to ensure there is an area to indicate any adverse reactions. Evidence: The inspector viewed the infant daily log that is also used to log the use of diaper creams/ointments. There is not an area specified on the form to indicate any adverse reaction if one shall occur.

Plan of Correction: The form will be updated to include an area to indicate adverse reaction to a diaper cream/ointment if one shall occur

Standard #: 22VAC40-185-570-F
Description: Based on the inspector's observations in the Red Barn classroom, the center failed to ensure a heated bottle was stirred or shaken and tested for temperature before serving a child. Evidence: The inspector observed a staff member heat a bottle in a crockpot and did not shake/stir and test for temperature before feeding a child.

Plan of Correction: The PD will ensure all staff are reminded to shake or stir a bottle and test for temperature before serving a child.

Standard #: 22VAC40-191-40-D-1-C
Description: Based on the inspector's review of all four records for the Board Officers, the center failed to ensure a Board Officer had a completed signed sworn statement. Evidence: The Board Officer for position of Secretary does not have a completed signed sworn statement. The officer is currently acting as Secretary.

Plan of Correction: The PD will have the Board Officer complete the signed Sworn Statement within two weeks of today's inspection.

Standard #: 22VAC40-80-120-E-2
Description: Based on the inspector's observations, the center failed to post the findings of the most recent inspection in a conspicuous manner at the center's main entrance. Evidence: The center posted the Inspections Summary issued at the last inspection in a visible manner at the manner entrance and the Violation Notice issued at the last inspection was posted behind the inspection Summary. The Violation Notice is required to be posted in a conspicuous manner.

Plan of Correction: The PD will ensure today's Violation Notice is posted in a visible manner at the mainentrance.

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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