VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Deep Creek Country Day School
718 Shell Road
Chesapeake, VA 23323
(757) 485-1701

Current Inspector: Nanette Roberts (757) 404-2322

Inspection Date: Oct. 17, 2022

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. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

Technical Assistance given and Licensing Standards were reviewed regarding emergency preparedness plan, fire extinguisher, and background checks.

Comments:

An unannounced renewal inspection was conducted on October 17, 2022 from 11:25 am to approximately 2 pm. There were 68 children present with 12 staff members. A sample size of 12 records were reviewed which included six children?s records and six staff records. The Inspector observed staff and children?s interactions throughout the inspection. Children were observed during free play, naptime, diapering, and infant feeding. First aid kits and emergency preparedness documents were observed. Transportation vehicles were observed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented. The violations are listed on the violation notice issued to the center and were reviewed with the site director and owner at the exit interview.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on record review and interview, it was determined that the center did not ensure that employee criminal history records checks be made prior to the first day of employment. Evidence: 1. Staff #3 (date of hire March 2021) has their background checks dated June 22, 2021. 2. Staff #1 and Staff #2 confirmed the background checks were obtained after the hire date for Staff #1.
Plan of Correction:	The center responded with the following: Staff #2 had the understanding that background checks could come back after the first day of employment however after being aware of the current licensing Standards, moving forward, the center will ensure it is present on the correct date.
Standard #:	8VAC20-780-245-J-3
Description:	Based on observation and interview, it was determined that the center did not ensure that any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements in subdivision 1 of this subsection. Evidence: 1. During the morning hours and transportation of children to and from school, there is a period of time when there is no MAT certified individual at the center. 2. During the arrival time of the renewal inspection, there was no MAT certified staff member present at the center. 3. Staff #1 and Staff #2 confirmed there is a period of time in the morning and during transportation that there is no MAT certified staff to provide emergency medications if needed.
Plan of Correction:	The center responded with the following: Staff initially had another staff member that was MAT certified however they resigned and no longer works at the center. Owner and Director will rearrange the schedule to ensure that a MAT certified individual is present at the center at all times. There will be 2 to 3 additional staff members to obtain their MAT certification.
Standard #:	8VAC20-780-270-A
Description:	Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center outside be maintained in a safe and operable condition. Evidence: 1. The white fence in the playground has peeling paint where paint chips are observed on the ground and in reach of children. 2. The table on the playground has a crack which poses as a pinching hazard to the children in care. 3. Staff #1 and Staff #2 confirmed the crack to the table poses as a pinching hazard and the fence has peeling paint.
Plan of Correction:	The center responded with the following: The center will have a work order put in for the table and fence to be repaired and painted.
Standard #:	8VAC20-780-280-B
Description:	Based on observation and interview, it was determined that the center did not ensure that hazardous substances such as cleaning materials be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the 4 year old classroom, there are three bottles of disinfectant cleaner with a warning label, ?Keep out of reach of children? that are not locked. 2. In the infant room, there is a deodorizing liquid plug ins accessible to children. 3. Staff #1 confirmed the unlocked bottles of disinfectant cleaner and the plug ins accessible to children.
Plan of Correction:	The center responded with the following: The bottles of disinfectant cleaner will be moved to the closet and the liquid plug ins will no longer be used.
Standard #:	8VAC20-780-510-E
Description:	Based on record review and interview, it was determined that the center did not ensure that when a child at the center requires medication, written authorization from the child's physician and parent must be kept in the record. Evidence: 1. Child #3 did not have authorization by a parent to administer medications in the facility. 2. Staff #1 confirmed that Child #3 did not have authorization by a parent to administer medication.
Plan of Correction:	The center responded with the following: Staff #1 will obtain written authorization by a parents to administer medications to Child #3 and place it in the child?s record.
Standard #:	8VAC20-780-510-P
Description:	Based on observation and interview, it was determined that the center did not 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. The medications (inhalers) for Child # 1 were expired with the date of July 2021. 2. Staff #1 confirmed that the medications for Child #1 were expired and the parents were not notified within 14 days to pick up.
Plan of Correction:	The center responded with the following: Staff #1 will speak with the mother to return the inhalers and obtain new ones.
Standard #:	8VAC20-780-570-B
Description:	Based on observation and interview, it was determined that the center did not ensure that feeding bottles not be used while the child is in his designated sleeping location. Evidence: 1. In the toddler room, Child #2 was observed to have a bottle while lying down on their cot. 2. Staff #1 confirmed that Child #2 had his bottle while on the cot which is the child?s designated sleeping area.
Plan of Correction:	The center responded with the following: Staff immediately removed the bottle from the child.