VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Childtime Childcare, Inc. - Old Lane
4311 Old Lane
Chester, VA 23831
(804) 751-0399

Current Inspector: Molly Muscat (804) 588-2367

Inspection Date: Jan. 2, 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. 8VAC20-820 THE LICENSE. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Comments:

An unannounced renewal inspection was conducted on January 2, 2024 from approximately 10:45 am to 1:15 pm. There were 60 children in attendance and a total of 14 staff present. 6 staff records and 6 children?s records were viewed. All areas of the center were observed including classrooms, bathrooms, and the playground. The children were observed getting ready for lunch, playing outside, and taking a nap while the licensing inspector was on-site. Violations were cited as a result of this inspection. Please complete the plan of correction and ?date to be corrected? for each violation cited on the violation notice, sign, and return it to me within 5 business days from today, 01/26/2024. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again, and 3) person(s) responsible for implementing each step and/or monitoring any preventative measure(s).

Violations:

Standard #:	8VAC20-780-60-A-8
Description:	Based on review of records and documentation, the center failed to obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: 1. The posted allergy list listed child #3 as having a food allergy. The record for child #3 did not contain a written care plan with instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. 2. The posted allergy list listed child #4 as having a food allergy. The record for child #4 did not contain a written care plan with instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. 3. The posted allergy list listed child #5 as having a food allergy. The record for child #5 did not contain a written care plan with instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
Plan of Correction:	The approved care plan supplied by our licensing representative was given to families of children with known allergies and is on file for child #5. Child #3 no longer has this allergy and the parent has presented a signed note. Child #4 is no longer in our care. Additionally, the care plan has been added to the school enrollment packets to ensure compliance moving forward.
Standard #:	8VAC20-780-245-A
Description:	Based on a review of 6 staff records, and interview, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. The record for staff #2, date of employment 04/26/2021, contained documentation of 7.5 hours of annual training. Interview with the Director confirmed that staff #2 has 7.25 hours of annual training. An additional 8.5 hours of annual training was needed.
Plan of Correction:	Staff #2 has completed 8.5 hours of missing training and is now on file. Management will review the training log monthly to ensure compliance moving forward. Additionally, during our next monthly staff meeting, scheduled on 02/06/24, management will review training expectations with all staff as well as how to access monthly training and annual training hour requirements.
Standard #:	8VAC20-780-510-F
Description:	Based on review of medications on site the center failed to ensure that two medication authorizations were available to staff during the entire time it was effective for two out of seven children. Evidence: 1. A non-prescription medication was on site for child B. There was not written authorization from the child's parent or physician. 2. A prescription inhaler medication was on site for child G. There was not written authorization from the child's parent or physician.
Plan of Correction:	The medication was returned to the family. Management reviewed LCG and VA state licensing medication policies and regulations with all staff on 01/03/2024.
Standard #:	8VAC20-780-510-P
Description:	Based on review of medications on site, the center failed to ensure that when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: 1. Medication was on site for child A. The authorization form was signed by the parent on 04/18/2023. No end date was written. There was not written authorization from the child's physician. 2. Medication was on site for child C. The authorization form was signed by the parent on 11/15/23. No end date was written. There was not written authorization from the child's physician. 3. Medication was on site for child D. The authorization form was signed by the parent on 06/26/23. No end date was written. There was not written authorization from the child's physician. 4. Medication was on site for child E. The authorization form was signed by the parent on 11/14/23. No end date was written. There was not written authorization from the child's physician. 5. Medication was on site for child F. The authorization form for the medication expired on 09/01/2023. 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.
Plan of Correction:	Medication was returned to the families on 01/05/2024. Moving forward, management will check the Medication Box weekly and ensure medication is returned to families after 14 days or at the end of administration as stated by the doctor. Management received retraining on Medication Administration on 01/02/2024 from the District Manager and will ensure that forms are filled out correctly before receiving them from parents.