VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Cynthia's Child Care Center LLC
100 North Carter Street
Suite 8 & 10
La crosse, VA 23950
(434) 253-3052

Current Inspector: Sydney Emory (804) 807-3277

Inspection Date: July 31, 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. 8VAC20-820 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

Comments:

An unannounced, on-site monitoring and complaint inspection was initiated on 7/31/2024 and completed on 7/31/2024. The on-site inspection began at 10:00A.M. and ended at 2:00P.M. The inspector reviewed compliance in the areas listed above. There were 31 children present and six staff. The inspector reviewed five children?s records and seven staff records on-site. This inspection included document review, tour of the facility, interviews, and observations. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Violations:

Standard #:	8VAC20-770-60-C-2
Description:	Based on staff record review, the center failed request the central registry background check within 30 days of employment. Evidence: 1. Staff #3 was employed in June 2024, the record did not contain the results of a central registry background check. 2. Staff #4?s record did not contain the results of a central registry background. 3. Staff #7?s, date of hire 4/29/2024, did not contain results for Central Registry check. 4.The Director acknowledged there was no follow up documentation to the status of the Central Registry requests within first 30 days of employment, and stated they had not sent request for Staff #3
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-40-H
Description:	Based on record review, the provider did not maintain active Public Liability Insurance. Evidence: 1. The liability insurance policy had an expiration date of 7/25/2024. 2. Director acknowledged that the insurance had expired and stated they would pay and send updated insurance form.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	Based on staff record reviews, education, experience, and job position was not presented in files. Evidence: 1. Staff #1?s date of hire 03/06/2023 record was missing documentation of education and experience for lead teacher qualification. 2. Staff #3?s record was missing evidence of education, experience, and date of hire. 3. Staff #5?s record, date of hire 05/26/2020, did not have documentation of experience. Staff #5 was observed in a lead position. 5. Staff #7?s record did, date of hire 04/29/2024, did not have documentation of education and experience.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-350-C
Description:	Based on observation and interview with staff, the center failed to ensure children in mixed age groups were within appropriate staff to children ratio. Evidence: Classroom #2 had 11 children present ranging in ages from 5 months to 2 years with only two staff present. 2. Director acknowledged the classroom was over ratio and should only have a maximum of 8 children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-A
Description:	Based on classroom observation, staff member did not wash their hands with soap and water before or after changing a child?s diaper. Evidence: Staff member #1 changed a child?s diaper and did not wash hands before or after the changing.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-B
Description:	Based on classroom observation disposable diapers were not disposed of in a leakproof container with a foot operated system. Evidence: 1. Based on Classroom 2 inspection an open trash can with no lid was being used for disposal of diapers. 2. Director acknowledged the trash can had no lid on top.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-560-G
Description:	Based on classroom observation, the center did not ensure food containers were clearly dated and labeled in a way that identified the owner. Evidence: Classroom 3 had placed 10 student?s lunches out on the counter. The lunches were not labeled with names or dates.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-570-E
Description:	Based on classroom observation, infant formula was not refrigerated, dated, or labeled with children?s names. Evidence: Inspector noted a total of 6 out of 14 bottles/cups were not dated or labeled in the infant room. Bottles and cups were sitting on counter and were observed to be room temperature and not in the refrigerator. Inspector observed chalkboard in classroom stated, ?Label ALL cups and bottles?.
Plan of Correction:	Not available online. Contact Inspector for more information.