VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Belle Croft Preschool
24051 Drummondtown Road
Accomac, VA 23301
(757) 787-1864

Current Inspector: Nanette Roberts (757) 404-2322

Inspection Date: Oct. 8, 2024

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Physical Plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code

Technical Assistance:

Effective January 1, 2025, the VDOE will begin determining compliance with ? 22.1-289.057 of the Code of Virginia, which is legislation passed by the General Assembly in 2020. The law requires all licensed child day programs, religious exempt child day centers that serve preschool age children, and certified preschools to test potable drinking water. The law requires that programs submit their plans and test results to the Virginia Department of Health Office of Drinking Water (VDH ODW) and the Superintendent. If the results of the testing indicate elevated lead levels, the program shall remediate, retest, and resubmit results to VDH ODW and the Superintendent. There is an additional alternative bottled water option that comes with additional requirements. The statutory requirement can be found online at https://law.lis.virginia.gov/vacode/title22.1/chapter14.1/section22.1-289.057/

Comments:

An unannounced, on-site monitoring and self-report inspection was initiated and completed on 10/8/2024. The self-report was related to an injury of a child. The on-site inspection began at 11am and ended at 2:40pm. The inspector reviewed compliance in the areas listed above to include standards found out of compliance during the previous inspection.. There were 41 children present and 9 staff. The inspector reviewed 5 children?s records and 4 staff records on-site. This inspection included document review, tour of the facility, interviews, and observations. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program. Violations have been cited related to information submitted by the facility of a report of an injury to a child while under the supervision of the facility that required outside medical treatment. Please see the Violation Notice for more details. Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 11/11/2024. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	22.1-289.035-B-4
Description:	The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The record for Staff #4, employed for more than 30 days, did not have documentation of requesting a central registry or sex offender check from a state the staff member lived in.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-130-E
Description:	The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The record for Child #1, who was under 2 years of age, did not have an updated immunization record. An updated record with additional immunizations was 6 months overdue. The immunization record for Child #2, who was under 2 years of age, had not been updated. An updated record with additional immunizations was 7 months overdue.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	Repeat Violation Staff records shall be kept for each staff person that includes all of the required information. Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #4, who had been hired more than 30 days prior, did not have any completed reference verifications on file. Staff records shall contain documentation of orientation and training as required by 8VAC20-780-240. Staff #4 did not have documentation of orientation training on file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	Repeat Violation Areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. A foldable three shelf storage unit that held infant toys, was not secured to the wall. The shelf unit was unstable and shook when it was touched, resulting in an injury to a child. A piece of clear packing tape approximately 4 inches long posed a choking hazard. The tape was wrapped around plastic that was covering a pole in the classroom. The tape was peeled back and sticking out at a child?s height.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-B
Description:	Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. In a classroom there was a can of Lysol and Clorox wipes on a cubby. In another classroom there was a bottle of room fragrance. Keep out of reach of children was written on the labels of these products.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-290-A-3
Description:	In areas used by children of preschool age or younger, electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. In a toddler classroom there was an electric outlet that did not have a protective cover.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-A
Description:	When staff are supervising children, they shall always ensure their care and protection. Child #3 sustained first degree burns when Staff #3 placed a cup of hot coffee on a low, unstable toy shelf within reach of children. The staff member left the hot coffee unattended. Child #3 crawled to the shelf, stood up and reached for the cup. The cup fell over, and the hot coffee spilled on the child?s chest.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-A
Description:	Children?s hands shall be washed with soap and running water or disposable wipes before and after eating meals and snacks. The preschool children came in from the playground and did not wash their hands before eating lunch. Lunch was served in the main building where soap and running water was available. Children?s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. After changing a diaper, Staff #2 did not wash the child's hands with soap and water. Staff shall wash their hands with soap and running water before and after a diaper change. After changing a diaper, Staff #2 did not wash her hands.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-B
Description:	Disposable diapers shall be disposed of in a leakproof or plastic lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Soiled diapers were put into an open, plastic shopping bag that was hanging on the wall next to the diaper changing table. The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Staff #1 cleaned the diaper changing surface but did not sanitize the surface.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-N
Description:	Centers shall keep a record of medication given to children which includes all the required information. There was no documentation of the medication given daily to child #6 on 7 dates between 9/30/24 and 10/8/24.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-520-C
Description:	If diaper ointment or cream is used, the products do not need to be kept locked but shall be inaccessible to children. There was a container of Equate diaper rash ointment on a low cart that was accessible to children in the infant room.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-520-D
Description:	If insect repellent is used, it does not need to be kept locked but shall be inaccessible to children. A basket containing more than 12 bottles of insect repellant sat on a low shelf, accessible to children in the preschool lunchroom.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-540-E
Description:	Repeat Violation One working battery-operated radio is required in each building used by children. There was no working, battery operated radio in either the Baby Barn or the Preschool building.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-560-G
Description:	Based on observation and interviews, it was determined the facility did not ensure that when food is brought from home it is clearly dated and label in a way that identifies the owner. There was a pink snack cup on the cubby in the infant room with no name or date. There were multiple bottles in the infant room that did not have dates on them.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-570-I
Description:	A one-day's emergency supply of commercial formulas appropriate for the children in care shall be maintained at the center. The emergency supply of infant formula had expired 4 months ago.
Plan of Correction:	Not available online. Contact Inspector for more information.