VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Creme de la Creme
16351 Navigation Drive
Woodbridge, VA 22191
(703) 580-8887

Current Inspector: Angela Dudek (804) 629-8167

Inspection Date: Nov. 29, 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 32.1 Report by person other than physician 63.2 Child Abuse & Neglect

Comments:

An unannounced monitoring inspection was conducted on 11/29/2022 from 9:45am to 1:45pm. There were 126 children ages 3 months to age 6 years old supervised by 19 staff. The physical plant, outdoor playground area, programming, attendance, menus, 5 staff records, 5 children?s records, 14 medications with corresponding authorization records, emergency drills, injury reports, and emergency supplies were reviewed. Children were observed participating in math activities, circle time, mandarin class, viewing a video, gross motor play, puppets, science activities, snack, reading and outside play. Diapering and handwashing procedures were also observed. There was an adequate number of staff present with current certification in Medication Administration Training (MAT) and CPR and First Aid. Areas of non-compliance are identified in the Violation Notice. Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the Violation Notice, and then return a signed and dated copy to the licensing office by 5pm on 12/9/22. Please email me at angela.dudek@doe.virginia.gov with any questions.

Violations:

Standard #:	8VAC20-780-40-M
Description:	Based on review of documentation and interview with the staff, the center did not maintain a current and dated written list of children?s allergies, sensitivities, and dietary restrictions that was accessible to all staff in each group or area. Evidence: The Gard 3CD class did not have an allergy list with them while they were on the playground.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A-8
Description:	Based on review of 3 child records, the provider did not ensure they had a written care plan including instructions from a physician for each child with a diagnosed food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for Child #1 did not contain an allergy care plan signed by a physician for their physician diagnosed food allergy.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-240-A
Description:	Based on review of 5 staff records, the center did not ensure that the Virginia Department of Education-sponsored orientation course was completed within 90 calendar days of employment. Evidence: The records for Staff #1 (date of hire 5/23/22), Staff #3 (date of hire 6/1/22), and Staff #5 (date of hire 6/30/22) did not contain documentation that the Virginia Department of Education-sponsored orientation course was completed within 90 calendar days of employment.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-245-L
Description:	Based on review of 5 staff records and staff interview, the center did not ensure they have at least one staff member on duty who has obtained within the last 3 years instruction in performing the daily health observation of children. Evidence: There were no staff on site who had obtained the daily health observation of children training within the last 3 years.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-260-A
Description:	Based on review of documentation and staff interview, the center did not ensure they have an annual fire inspection report from the appropriate fire official. Evidence: The last fire inspection report on file at the center was completed on 11/16/21.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-330-B
Description:	Based on observation and inspection of the playground, the licensee did not to ensure that the required amount of resilient surfacing was under playground equipment with moving parts or climbing apparatus to create a sufficient fall zone. Evidence: 1)On the Threes and older playground, there was a climber that was 27 inches from the ground with 2 inches of wood chips in the fall zone area. The requirement is 6 inches of wood chips in the fall zone area that extends 6 feet on all sides of the equipment. 2)On the Threes and older playground, there was a platform that was 17 inches from the ground with 3 inches of wood chips in the fall zone area. The requirement is 6 inches of wood chips in the fall zone area that extends 6 feet on all sides of the equipment. 3)On the Threes and older playground, there was a platform and climber that was 39 inches from the ground with 2 inches of wood chips in the fall zone area. The requirement is 6 inches of wood chips in the fall zone area that extends 6 feet on all sides of the equipment. 4)On the Threes and older playground, there was a spiral slide that was 7 feet from the ground with 1 inch of wood chips in the fall zone area. The requirement is 6 inches of wood chips in the fall zone area that extends 6 feet on the sides of the equipment and 7 feet in front of the slide. 5)On the Threes and older playground, there was a V-shaped climber that was 29 inches from the ground with 1 inch of wood chips in the fall zone area. The requirement is 6 inches of wood chips in the fall zone area that extends 6 feet on all sides of the equipment. 6)On the Threes and older playground, there was a balance beam that was 18 inches from the ground with 2 inches of wood chips in the fall zone area. The requirement is 6 inches of wood chips in the fall zone area that extends 6 feet on all sides of the equipment. 7)On the Threes and older playground, there was a tunnel with openings on each side that were 18 inches from the ground with 1 inch of wood chips in the fall zone area. The requirement is 6 inches of wood chips in the fall zone area that extends 6 feet on all sides of the equipment. 8)On the Threes and older playground, there were 2 platforms that were 14 inches from the ground with 1 inch of wood chips in the fall zone area. The requirement is 6 inches of wood chips in the fall zone area that extends 6 feet on all sides of the equipment. 9)On the Threes and older playground, there was a platform that was 20 inches from the ground with 1 inch of wood chips in the fall zone area. The requirement is 6 inches of wood chips in the fall zone area that extends 6 feet on all sides of the equipment.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, the center did not ensure that disposable diapers were disposed in a 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: In the Gard 2 AB classroom, the foot-operated storage system for disposal of diapers was not able to be operated by foot causing the staff member to touch the exterior surface of the trash can with their hand or a soiled diaper to open the trash can.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-570-E
Description:	Based on observation, the center did not ensure that prepared infant formula was dated and labeled with the child?s name. Evidence: In the Infant C classroom, Child #6 had a bottle that was stored in the refrigerator and was not dated or labeled with their name.
Plan of Correction:	Not available online. Contact Inspector for more information.