VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Primrose School at Cahoon Commons
660 Grassfield Parkway
Chesapeake, VA 23322
(757) 842-6589

Current Inspector: Rene Old (757) 404-1784

Inspection Date: April 20, 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 THE LICENSING PROCESS. 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 monitoring visit and facility tour was conducted on 4/20/2023. At the time of inspectors' arrival there were 130 infant to preschool aged children in care with 13 staff members and 3 administrators. Children were observed interacting with staff, nap, and hand washing. A sample of 5 children's records and 5 staff records were reviewed on-site. Additional records were received and reviewed on 4/24/23. Injury reports and medications were also reviewed. Areas of noncompliance are identified on the violation notice and were discussed with the director in an exit meeting at the conclusion of this inspection.

Violations:

Standard #:	8VAC20-770-60-C-2
Description:	Based on record review and interview it was determined the center did not ensure that all staff did not have a central registry finding within 30 days of employment or volunteer service. Evidence: 1. The record for staff #1(hired 8/29/22) did not contain the results of the central registry search. 2. Staff stated that it has to be resubmitted.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-130-E
Description:	Based on record review and interview it was determined the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The records for child #1, #2, #3, and #4 did not contain documentation of updated immunizations. 2. All four children were under the age of 2 years at the time of immunization documentation available. The documentation available was dated 10/11/22, 8/22/22, 1/26/22, and 5/6/20 respectively. 3. Staff confirmed that this information was not available during this inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-140-A
Description:	Based on record review it was determined the center did not ensure that each child had a physical examination by or under the direction of a physician within the required time frame. Evidence: 1. The record for child #3(enrolled 1/27/22) did not contain documentation of a physical exam. 2. Staff confirmed this documentation was not available during this inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	Based on record review and interview it was determined the center did not ensure that staff records contained all of the required information. Evidence: 1. The record for staff #2(hired 11/28/22) did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. 2. Staff confirmed that this documentation was not available during this inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-240-A
Description:	Based on record review and interview it was determined the center did not ensure that all staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. The records for staff #1 (hired 8/29/22), staff #2 (hired 11/28/22), staff #3 (hired 10/10/22) and staff # 5(hired 10/26/22) did not contain documentation of the completing the Virginia Department of Education-sponsored orientation. 2. Staff confirmed this documentation was not available during this inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	Based on observation and interview it was determined the center did not ensure that all areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. The doors to the kitchen were unlocked, there were sharp kitchen knives in an unlocked drawer. The kitchen is on the same hallway as several of the classrooms. 2. There was peeling paint on the bathroom door frame and a large roll of garbage bags in a lower drawer presenting a potential suffocation hazard in Early Pre-k room. 3. In the Pre-K room there were tears in the vinyl covering of the children's couch. 4. Staff confirmed the above issues were present during this inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-B
Description:	Based on observation and interview it was determined the center did not ensure all hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The doors to the kitchen were unlocked, there were several bottles of cleaning solutions unlocked under the sink area. The kitchen is on the same hallway as several of the classrooms.
Plan of Correction:	Not available online. Contact Inspector for more information.