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Two By Two Learning Center, Inc.
2499 W. Beverley Street
Staunton, VA 24401
(540) 213-2292

Current Inspector: Barbara Workman

Inspection Date: Oct. 5, 2017

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.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
We discussed the requirements for resilient surfacing, medication, staff records, background checks, staff training, diaper containers, and storage of used linens. The risk assessments for violations were provided. Also, we talked about an older play airplane on the preschool playground in disrepair and plans for removal. Also, we discussed your plans for hemming/girding the worn carpet edges on stairs between the PreK area and the gym. The updated signed sworn statements using the latest form need to be placed in individual staff records.

Comments:
Thank you for your assistance during today's unannounced monitoring inspection conducted from 10:30 AM to 5:50 PM. Today, there were seventy-nine children, ages infancy through four years, with sixteen staff. I viewed program activities, equipment, daily routines, menu/nutrition, infant care and records, staffing, supervision, interactions with children, posted information, agency inspection reports, medication, emergency supplies and drill records, diapering procedures, written procedures and policies, six records for children, ten staff records, staff qualifications, staff training, indoor and outdoor areas. The children have participated in regular outdoor activities. Each age grouping of children had access to age appropriate toys, books and materials. Staff have provided seasonal learning activities and discussions. Infants were observed receiving attention for individual needs. We discussed the need to utilize systems for oversight of the center and meeting operational responsibilities. Let me know if you need any assistance. 540/430-9259

Violations:
Standard #: 22VAC40-185-70-A
Description: Based on a review of ten records for staff, and an interview with administrative staff, there was training information missing from the record of staff member 4. Evidence: The orientation training form in the file for staff member 4 did not include the training date.

Plan of Correction: The administrative staff who conducted the orientation training with staff member 4 will make sure the training date is added to the form. Administrative staff who file records will make sure all required information is included in the files.

Standard #: 22VAC40-185-240-C
Description: Based on a review of ten staff records, and an interview with administrative staff, staff member 9 did not complete a minimum of sixteen hours of staff development activities related to child safety, development and the function of the center. Evidence: There were only eight hours of training documented in the file for the training year beginning in 2016 to 2017.

Plan of Correction: Administrative staff have addressed the annual training requirements with staff member 9. Administrative staff will remind teaching staff of their required training hours in advance of the due dates. Staff who work directly with children will obtain a minimum of sixteen hours of training.

Standard #: 22VAC40-185-330-B
Description: Based on observation of the resilient surfacing at the fall zones of preschool playground equipment, measurement of the pea gravel, and interviews with administrative staff, the center failed to ensure that the resilient surfacing complied with the minimum safety standards for loose fill materials in fall zones surrounding the composite structure with a height of at least four feet. Evidence: There was compacted dirt and pea gravel at the exit area of the red curved slide and flex climbing component; and only four inches of depth for the pea gravel at the pole climber. Preschool age children were observed using the equipment during the morning outdoor activities.

Plan of Correction: The director made a phone call to arrange for maintenance work by the early afternoon. The pea gravel was replenished and tilled before the afternoon playground time to make sure there was a depth of six inches of loose fill pea gravel in all fall zones of equipment. The administrative staff will instruct staff to make the equipment off limits if the surfacing needs maintenance work. The administrative staff will check the condition of the surfacing at play equipment each week and more often when there is frequent use or concerns about weather conditions.

Standard #: 22VAC40-185-500-B
Description: Based on observation of the used diaper and linen storage areas in the younger infant room, and an interview with staff, there was not a covered receptacle for soiled linen. Also, there was not an individual leak-proof lined container, for the storage of one infant's wet and soiled cloth diapers, using a system that is not hand-operated. Evidence: There was a draw string cloth bag hanging from a door knob and staff indicated it contained wet and soiled cloth diapers for one infant in care. A crib sheet with a bib on top was laying over the top of a plastic container which staff indicated had additional used crib sheets inside and there was not a cover for the container.

Plan of Correction: The director and an administrator purchased a new container, with a lid, for use by the infant teachers storing used linens and items needing to be laundered. Also, a container with a foot pedal was obtained for use with the used cloth diapers. The administrative staff and teachers will review the licensing standards regarding storage of cloth diapers and used linens.

Standard #: 22VAC40-185-510-A
Description: Based on a review of medication for two children, and interviews with staff, the center failed to follow procedures for the administration and storage of medication present at the center. Evidence: There were two medications present with authorized used in the event of an emergency and one of the medications did not have a prescription label. Also, one medication was labeled with an expiration date of October 2015 and the other had an expiration date of January 2015. Administrative staff indicated that child 1's last date of care was September 21, 2017. According to administrative staff, there was not an attempt to return the medication that was kept locked in the office to a parent and there was not a plan for discarding the expired medication. There was an expired parent authorization for child 2 signed on August 23, 2016 of which staff indicated were administered, the administration record was not located, and the medication was not returned or discarded.

Plan of Correction: An administrative staff person took the medication to a pharmacy for proper disposal. The director or assigned administrative staff or M.A.T. certified staff will keep track of the medication authorization dates, required labels on medication and labeled expiration dates. Medication will be returned to families when it is expiring, signed authorizations are expiring, and children are withdrawn from care, or the medication will be discarded if not picked-up within fourteen days. Staff who accept medication will check the labels and authorization forms. Administrative staff will make sure the medication stored in the office is viewed on a regular schedule to determine if requirements are in compliance.

Standard #: 22VAC40-191-40-D-1-B
Description: Based on a review of ten staff records, an an interview with administrative staff, the center failed to ensure that the sworn statement or affirmation for staff member 4 was complete when signed at the time of initial employment. Evidence: The date was left off of the sworn statement when signed. The first date of employment was documented as July 24, 2017 and the background checks were completed on August 2, 2017 and August 16, 2017.

Plan of Correction: The administrative staff who oversee staff employment and records will read over the sworn statements when they are submitted and make sure they are completed as required before they are filed. The staff person will complete the sworn statement.

Standard #: 22VAC40-191-40-D-1-C
Description: Based on a review of ten staff records, and an interview with administrative staff, the center failed to obtain an updated sworn statement or affirmation and criminal history record check for staff member 9 before three years since the date of the most recent report. Evidence: The most recent sworn statement in the file was completed on September 17, 2014. The most recent criminal history record check was completed on September 24, 2014. Administrative staff indicated the records were not updated.

Plan of Correction: Administrative staff immediately arranged for staff member 9 to complete an updated sworn statement. The request form for a criminal history record check will be completed this date and sent to the Virginia State Police in Richmond. The administrative staff will review the system used for tracking staff record needs and make sure a reminder system is used regularly so that arrangements for updating information are made in advance of due dates. The director will inform the licensing office upon receipt of the report.

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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