VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Bridges Head Start - Acquinton I
18550 King William Road
King william, VA 23181
(804) 769-1591

Current Inspector: Jaime Harris (804) 807-3278

Inspection Date: Sept. 7, 2023

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 HEARINGS PROCEDURES. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

n/a

Comments:

The inspector conducted an unannounced focused inspection on 09/12/2023 from 9:35 AM to 11:36 PM. This inspection focused on compliance with administration, staff qualifications and training, special care and provisions, and special services standards. The children were observed playing on the playground, in the class for group time, center play and lunch. Today, the following child to staff ratio was observed: Preschool- 11:2 Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Please complete the plan of correction and the date to be corrected for each violation listed on the violation notice and return it to the department within 5 business days from receipt. 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 measures. Heather Dapper Licensing Inspector Office of Child Care Health and Safety Division of Early Childhood Care and Education Phone # (804) 625-2304 heather.dapper@doe.virginia.gov

Violations:

Standard #:	22.1-289.020
Description:	Based on observation and interview, the provider did not ensure all required postings were displayed at each public entrance. Evidence: 1. The providers provisional license was not displayed at the center. 2. The providers most recent inspection was not displayed with a description of specific violations of licensing standards to be corrected and the deadline for the completion of such corrections.
Plan of Correction:	Staff will post the center's license and the most recent inspection summary on the board at the public entrance.
Standard #:	8VAC20-780-130-A
Description:	Based on a review of children's records, the center did not ensure that each child's record contained documentation of immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for child #4 (enrolled 09/04/23) did not have documentation of immunizations.
Plan of Correction:	Staff will make sure to have all immunization documentation in child's file per the state board of health.
Standard #:	8VAC20-780-160-A
Description:	Based on review of records and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming in contact with children. Evidence: 1.The record for staff #1 (employed: 08/14/23) had documentation of TB screening on 07/07/23. TB documentation must be submitted within the last 30 calendar days.
Plan of Correction:	Office staff will ensure that TB test are not older than 30 days but done prior to coming in contact with children.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the center did not ensure all hazardous substances such as cleaning materials insecticides and pesticides, were kept in a locked place using a safe locking method that prevents access by children. Evidence: On a shelf in the classroom a bottle of sanitizer deodorant labeled "Hazard to Humans and Domestic Animals" and "Caution" and one container of Purell Surface wipes labeled "Keep Out of Reach of Children" and "Physical and Chemical Hazards" was not locked to prevent access by children.
Plan of Correction:	Staff will make sure that all hazardous materials will be locked up and out of reach of children to prevent access.
Standard #:	8VAC20-780-350-B-4
Description:	Based on observation and interview, the center did not ensure to maintain the required staff-to-children- ratio of 1 staff to 10 children. Evidence: 1. On 09/07/23, 11 children ranging in age from 3 years- 4 years were observed with 1 staff during the transition from the classroom to the playground. Staff #1 left the attendance sheet /log in the classroom and staff #2 left the group to go back to the classroom for the attendance sheet/log. 2. Administration acknowledged that the classroom was out of compliance with ratio.
Plan of Correction:	Staff will maintain the required staff to children ratio of 1 staff to 10 children during classroom hours.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, the center did not ensure that children's hands are washed with soap and running water or disposable wipes before and after eating meals. Evidence: 1. The children transitioned from the carpet area to the table for lunch without washing hands. 2. The children transitioned from the lunch table to the carpet area without washing hands.
Plan of Correction:	Staff will ensure that each child's hands are washed before and after eating each meal.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, the center did not ensure that the disposable diapers shall be disposed 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. Evidence: 1. The licensing inspector observed the trash can with a foot operated pedal without a trash bag located next to the bathroom with a broom, mop and other cleaning supplies. 2. Staff #1 stated that children are still wearing disposable pull-ups/diapers in the class. No other trash cans were observed that was either foot operated or used in such a way that neither the staff member's hand nor soil diaper touches an exterior surface of the storage system during disposal.
Plan of Correction:	Staff will ensure that the trash can with foot pedal has trash bag in it at all times to make sure soiled diapers are disposed of.
Standard #:	8VAC20-780-540-C
Description:	Based on observation and interview, the first aid kit did not contain the minimum required supplies. Evidence: The center did not have the required supplies for the first aid kit at the time of inspection. The first aid kit shall include scissors, tweezers, gauze pads, adhesive tape, band-aids, antiseptic cleaning solution or pads, thermometer, triangular bandages, single use gloves and a first aid instructional manual.
Plan of Correction:	Staff will obtain the items that they need for the first aid ASAP.
Standard #:	8VAC20-780-540-E
Description:	Based on observation and interviews, the center did not have all nonmedical emergency supplies as required. Evidence: 1. Staff #1 stated that the radio did not have batteries. 2. Staff #1 was unable to locate a battery - operated flashlight.
Plan of Correction:	Staff will obtain all non-emergency items needed such as radios and flashlights.
Standard #:	8VAC20-780-560-G
Description:	Based on observation, the children's food containers were not clearly dated and labeled in a way that identifies the owner. Evidence: 1. In the classroom, four of the children's cups were not dated and labeled. 2. Staff #1 stated that the children bring their cups from home.
Plan of Correction:	Staff will make sure all bottles and/or containers are labeled with the child's name and date.