VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Little Blessings Child Care, Inc.
1133 Locust Drive
Cascade, VA 24069
(434) 685-2458

Current Inspector: Monique Anderson (540) 309-2397

Inspection Date: June 11, 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 8VAC20-780 SPECIAL SERVICES 8VAC20-770 BACKGROUND CHECKS 22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE

Comments:

An unannounced renewal inspection was conducted on 06/11/2024. There were 49 children, ages 7 months- 12 years, and 9 staff members present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, staffing and supervision, physical plant, programs, emergencies and nutrition. The children were observed in the following activities: finishing up breakfast, in free choice activities, participating in an art project, and in outdoor large motor play. Infants were observed being fed and sleeping on demand. A total of 5 children?s records, 5 staff records, 2 applicant records, and 3 medications were reviewed. The inspector arrived for the inspection at 8:15 am and departed at 10:40 am. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:

Standard #:	22.1-289.035-B-2
Description:	REPEAT VIOLATION Based on record review, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: The record for Staff 3 contained a documented hire date of 10/11/2023. The eligibility letter for Staff 3 was dated 10/13/2023.
Plan of Correction:	Will not hire until the fingerprints are returned.
Standard #:	22.1-289.035-B-4
Description:	Based on record review, the center failed to obtain a copy of the child abuse and neglect registry check from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 3 contained evidence that Staff 3 had resided outside of the state of Virginia within the preceding five years. The record for Staff 3 contained a documented hire date of 10/11/2023. There was not a child abuse and neglect registry check from all of the states in which the individual had resided in the preceding five years available for review during the inspection. Staff 3 was observed working during the inspection.
Plan of Correction:	Will request this today.
Standard #:	8VAC20-780-130-E
Description:	Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for Child 1contained a documented start date of 10/30/2023. The most recent immunization record in the record for Child 1 was dated 10/03/2023; additional immunizations have not been obtained every 6 months from 10/03/2023 until the time that the child turned 2 years old.
Plan of Correction:	Will request this today. If a child will be late in getting updates I will put a note in the record.
Standard #:	8VAC20-780-80-A
Description:	Based on observation and staff interviews, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. There were 5 children observed in the Infant Room; there were 6 children marked present on the attendance record. The attendance record did not document the departure of each child as it occurred. 2. There were 20 children observed in the toddler group; there were 17 children marked present on the attendance record. The attendance record did not document the arrival of each child as it occurred. 3. There were 19 children observed in the school-age group; there were 15 children marked present on the attendance record. The attendance record did not document the arrival of each child as it occurred.
Plan of Correction:	The attendance clipboards are now taken to the classes by the teachers to mark arrival and departure as it occurs by the classroom teachers or other staff.
Standard #:	8VAC20-780-350-A
Description:	Based on observation, staff interviews, and record review, the center failed to maintain the maximum group size limitations. Evidence: There were 20 children observed in the toddler group at approximately 10:00 am participating in free choice activities. The maximum group size for this age, based on an allowable variance for ratio issued to the center, is 18 children.
Plan of Correction:	I will restructure the classes to meet the maximum group size.
Standard #:	8VAC20-780-350-B-2
Description:	Based on observation and staff interviews, record review and staff interviews, the center failed to maintain the required staff-to-child ratio for children 16 months up to 24 months. Evidence: There were 20 children observed in toddler class. There were 3 staff observed supervising the group of children. Staff 1 identified Child 2 as the youngest child in the group. Child 2 was determined to be 16 months old. The required staff-to-child ratio, based on an allowable variance for ratio issued to the center, for children 16 months up to 24 months is 1:6. A total of 4 staff was required for this group of children.
Plan of Correction:	I will restructure the groups to meet the required staff to child ratios.
Standard #:	8VAC20-780-500-B
Description:	REPEAT VIOLATION Based on observation, the center failed to ensure that the diapering surface shall be cleaned with soap and water and sanitized after each use. Evidence: Staff 3 was observed changing a diaper. Staff 3 did not clean or sanitize the diapering surface after changing a diaper.
Plan of Correction:	Discussed with staff.