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La Petite Academy #7139
3903 Cedar Lane
Portsmouth, VA 23703
(757) 483-4325

Current Inspector: Trisha Brown (757) 404-2601

Inspection Date: Dec. 20, 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.
22VAC40-191 Background Checks (22VAC40-191)

Comments:
The licensing inspector conducted an unannounced complaint inspection in response to a complaint that was received by the licensing office on 10/27/2017 and initiated on the same day. On site interviews were conducted with staff relating to the allegation of rough handling on 10/31/17. The investigation concluded on 10/31/17. The information gathered during the investigation does not support the allegation, therefore, the complaint is determined to be ?not valid.? There are no violations resulting from this complaint investigation. If you have any questions, contact your licensing inspector at (757) 491-3961.

Violations:
Standard #: 22VAC40-185-130-B
Description: Based on record review and interview the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1 - The record for child 5 contains an immunization record dated 6/14/17. 2 - Staff 1 confirmed that the most recent information in the file of child 5 is dated 6/14/17.

Plan of Correction: All immunization records will be reviewed on or before 1/5/18. Parents will be required to update all missing immunizations on or before 1/ 19/18. Management will develop a system to ensure that children's immunization records are kept up to date. DM will review for compliance quarterly.

Standard #: 22VAC40-185-60-A
Description: Based on record review and interview the center failed to document all required information in children's records. Evidence: 1 - Four out of six records reviewed do not have documentation of annual information updates from parents a. There is no information update documented for child 1 who enrollment date is 6/20/16. b. The most recent information update documented for child 2 is 8/3/16. c. The most recent information update documented for child 3 is 2/19/16. d. The most recent information update documented for child 4 is 2/19/16. 2 - Staff 1 confirmed that the records for child 1 - 3 do not contain documentation of information updates.

Plan of Correction: New management will have a system in place to have all parents update children's files on or before 1/15/18. Moving forward management will ensure that this task is completed each year at the beginning of the school year. DM will review for compliance on or before 1/30/18.

Standard #: 22VAC40-185-70-A
Description: Based on record review and interview the center failed to ensure that each staff record contains all required information. Evidence: 1 - The record for staff 6 does not contain documentation of date of hire or job title. 2 - Staff 1 confirmed that the record for staff 6 does not contain documentation of date of hire or job title.

Plan of Correction: All current managers will be retrained on the proper set up of all staff files to ensure compliance on or before 1/3/18. DM will review files quarterly for compliance.

Standard #: 22VAC40-185-270-A
Description: Based on observation the center failed to ensure that areas and equipment are maintained in clean, safe and operable condition. Evidence: 1 - There is paper, trash, tissues, at least one water bottle, used wipes and debris across the outside play space. 2 - Additionally, there are 60lb sand bags around and near each of the exit leading from the classrooms to the outside. a. There are as few as for and as many as six bags outside the doors. b. These doors are used as emergency exits as well as, in some cases, regular access to the playgrounds. c. An adult tripped on one of sand bags as she was exiting the building from the pre-k room. 2 - Staff 1 confirmed that the 60lb bags of sand pose a tripping hazard. 3 - Furthermore, there is carpet turned upside down on the basketball court that poses a trip hazard. 4 - There are haphazardly coiled hoses that pose both trip and entanglement hazards on the playground. 5 - There are 4 haphazardly placed rubber mats on the the sidewalk, around the outside play space that pose a trip hazard. 6 - The flooring in the girls bathroom in the early preschool room has separated from the floor and is buckling. The buckling is around a metal drain in the floor. The separation creates a gap approximately 1 inch high between the hard floor and soft floor cover. The gap creates a trip hazard.

Plan of Correction: We are working in conjunction with our facilities department to remove the sandbags on or before 1/3/18. All trash will be removed on or before 12/21/17. We will partner with our facilities department to repair the bathroom flooring on or before 1/21/18. Our safety coordinator will be retrained on monitoring all of these issues on or before 12/29/17.

Standard #: 22VAC40-185-350-C
Description: Based on observation and interview the center failed to ensure that when children are regularly in ongoing mixed age groups the staff-to-child ratio applicable to the youngest child in the group applies to the entire group. Evidence: 1 - For a period of less than two minutes there were 7 children present in the toddler room ages 14months to 23months with one staff. 2 - Staff 5 stated that staff 4 left room to return items to the kitchen. And it was nap time.

Plan of Correction: The staff observed will be retrained on all ration and supervision requirements on 12/21/17. All staff will be retrained on proper ratio and supervision training during the January staff meeting (TBA). Management will observe daily for compliance.

Standard #: 22VAC40-185-350-D
Description: Based on observation and interview the center failed to ensure that during the designated rest period the ratio of staff to children may be double the number os children to each staff except for infants. Evidence: There were 7 children present in the toddler room with one staff. The youngest child in room was 14 months old. Therefore, the ratio for infants should have been followed. Furthermore, the ratio may not be doubled at rest time for infants.

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

Standard #: 22VAC40-185-370-3
Description: Based on interview the center failed to ensure that infants are provided outdoor time if weather and air quality allow. Evidence: 1 - When asked staff 2 and 3 stated not all the infants went outside yesterday. a. Weather conditions yesterday were partial sun with a high temp of 63 degrees. 2 - Staff 2 and 3 stated that the infants do not go outside when it's cold out.

Plan of Correction: All staff will be retrained and required to provide daily outdoor time, effective 12/21/17, weather permitting. Management will observe daily for compliance.

Standard #: 22VAC40-185-420-E-1
Description: Based on interview the center failed to document for infants, who are awake and cannot turn over by themselves, the amount of time spent on their stomachs. 1 - When asked to show documentation staff 2 and 3 stated that the information was inconsistently maintained in the center's digital records "Bright Wheel." 2 - When asked to show the documentation through the digital system staff 2 and 3 stated that there was not an amount of time documented. Rather a picture of the child awake on floor was sent to the parent. 3 - Staff 1 confirmed that an actual amount of time infant's are engaged in tummy time is not recorded.

Plan of Correction: Tummy Time will be noted twice daily in our mobile application "BrightWheel" with specific times, effective 12/22/17. Management will check daily for compliance.

Standard #: 22VAC40-185-510-N
Description: Based on medication review the center failed to ensure that when an authorization for medication expires, the parent is 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 by either dissolving the medication down the sink or flushing it down the toilet. Evidence: 1 - There are four medications/diaper ointments in the toddler room that have expired authorizations. However, the medication remain in the center beyond 14 days of the expiration. a. Butt Paste authorization dated 6/17. b. A:&D ointment authorization dated 5/27/17 to 5/28/17. c. A&D ointment authorization dated 5/18/17 to 5/28/17. d. Desitin authorization dated 5/18/17 to 5/28/17. 2 - Staff 1 confirmed that the medication authorizations had expired and medications had not been returned to the parent within 14 days or discarded as required.

Plan of Correction: All medication policies will be reviewed with management and staff during the January staff meeting, to be conducted by the DM. All expired medications were removed from the building on 12/20/17. Management will check medication boxes each Friday to ensure that any expired medications are removed.

Standard #: 22VAC40-185-520-C
Description: Based on medication/diaper ointment review the center failed to ensure that written parent authorization is obtained. Evidence: 1 - There is a container of A&D ointment in the toddler room that does not have any written parent authorization with the medication. 2 - Staff 1 and 5 confirmed that there was not a written parent authorization with the medication.

Plan of Correction: All staff will be retrained on not accepting medication without proper documentation on or before 12/22/17. Management will check weekly for compliance.

Standard #: 22VAC40-185-560-G
Description: Based on observation and interview the center failed to ensure that when food is brought from home it is labeled with the dated. Evidence: 1 - In the toddler room there is a sippy cup in the refrigerator that does not have a date on the it. a. There is another cup that is dated 12/18/17, two days ago. 2 - staff 5 stated that she overlooked putting the date on one of cups. a. Staff 5 stated that the cup dated 12/18/17 had just come into the center this morning, 12/20/17 and not 12/18/17.

Plan of Correction: All parent provided sippy cups will be removed from the classroom as of 12/26/17. The center will provide sippy cups, and remove them after each water offering/ snack/ and meal service. Management will observe daily for compliance.

Standard #: 22VAC40-185-560-K
Description: Based on interview the center failed to ensure that tables are sanitized before and after each use for feeding. Evidence: When asked staff4 stated that the tables were sprayed with sanitizer and after a few seconds the tables were wiped dry. By definition sanitized means sprayed or dipped and allowed to air dry. The tapes were not allowed to air dry as required.

Plan of Correction: All toddler staff will be retrained on or before 12/22/17 on proper sanitation techniques. Management will observe daily for compliance.

Standard #: 22VAC40-185-570-I
Description: Based on observation and interview the center failed to ensure that a one-day's emergency supply of disposable bottles, nipples, and commercial formulas appropriate for the children in care shall be maintained at the center. Evidence: 1 - While in the infant room staff 2 and 3 stated that they did not have a one-day's emergency supply of commercial formulas appropriate for the children maintained at the center. 2 - Staff 1 confirmed that there is not an emergency supply of commercial formulas appropriate for the children maintained at the center.

Plan of Correction: All required formula was purchased on 12/21/17. Management will inspect the off site emergency bag monthly for compliance.

Standard #: 22VAC40-191-60-C-1
Description: Based on record review and interview the center failed to have have an original criminal history record report within 30 days of employment. Evidence: 1 - The record for staff 7 does not contain documentation of a completed criminal history record report. a. Staff 7 has a documented date of hire 9/26/17. b. Documentation in the record of staff states transaction is being processed. There is no other documentation in the staff record.

Plan of Correction: Our new acting manager will re-run the criminal record check for this employee 12/21/17. Moving forward, all new hire CRC paperwork will have to be submitted to the DM for review prior to the employee completing new hire orientation.

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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