VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Woodlake Child Development Center
14750 Meyer Cove Drive
Midlothian, VA 23112
(804) 739-3709

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: May 29, 2024

Complaint Related: Yes

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies.

Comments:

An unannounced inspection was initiated on 5/29/2024 in response to a complaint that was received by the licensing department on 5/17/2024 regarding allegations in the areas of diapering procedures, ratio and supervision and behavioral guidance. The inspection was initiated on 5/29/2024 and completed on 6/3/2024. On 5/29/2024, two inspectors were on site from approximately 10:58 am to 1:25 pm. Interviews with staff were completed, observations were made in the center, and documentation was reviewed. Additional interviews were conducted remotely. The preponderance of the evidence gathered during the investigation supports the allegation; therefore, the complaint is determined to be valid. See the violation notice for more details. Please complete the plan of correction and date to be corrected for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable. Your plan of correction must 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. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	8VAC20-780-350-B-3
Complaint related:	Yes
Description:	Based on interview, the center did not ensure to follow the required ratio in their two year old classroom. Evidence: 1. The ratio for two year old children is 1:8. (staff:children) In interview, four staff stated that the two's room had been out of ratio recently in the mornings. Staff stated that the room could be up to 5 children over ratio for anywhere from a few minutes to 15 minutes while waiting for the next staff member to come in. 2. Administration acknowledged that the two year old classroom was out of ratio several times.
Plan of Correction:	The director ensured staff are arriving on time and made schedule changes. Staff were also reminded of the importance of this.
Standard #:	8VAC20-780-400-B
Complaint related:	Yes
Description:	Based on a review of documentation and interview, the center did not ensure that behavioral guidance was constructive in nature, age and stage appropriate, and intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. In interview, staff reported that staff #1 (date of employment: 12/11/2023) had an inappropriate tone and was not kind and nurturing towards the children. It was reported that she screamed at a child. Documentation from a parent also noted an incident where staff #1 displayed inappropriate behavior guidance. 2. Administration acknowledged that the staff's strategies and behavior were not appropriate and stated that her employment was terminated.
Plan of Correction:	Staff are trained on appropriate behavioral guidance practices upon hire. When brought to the attention of the director, the employee was terminated.
Standard #:	8VAC20-780-500-A
Complaint related:	Yes
Description:	Based on observation and interview, the center did not ensure to follow the required handwashing procedures. Evidence: 1. Staff are required to wash their hands before and after a diaper change. Staff #2 (date of employment: 5/15/2024) was observed picking up a child to change their diaper. The staff member was not observed washing their hands prior to the change. After cleaning the table and putting on gloves, the staff proceeded to change the next child. Staff #2 acknowledged that she did not wash her hands in between diaper changes. 2. The first child that staff #2 changed immediately returned to play and was not observed washing her hands. Children are required to wash their hands after toileting. Staff #2 acknowledged that she did not instruct the child to hand wash. 3. Administration acknowledged that the handwashing procedures were not followed.
Plan of Correction:	The staff member was trained upon hire,. The director has also retrained the staff member and reminded all staff of proper handwashing procedures.
Standard #:	8VAC20-780-500-B
Complaint related:	Yes
Description:	Based on a review of documentation and interview, the center did not ensure to follow the required diapering procedures. Evidence: 1. Centers are required clean and change children immediately if they become wet and soiled. Documentation from a parent dated 3/18/2024 stated that child #3 (date of enrollment: 9/6/22) had not been cleaned and changed properly resulting in the child being in pain. In an interview with a second family, a parent stated that her child was not being changed regularly and that she picked up her child several times with a heavily wet and soiled diaper. The center's online app where diapers were logged per the center's protocol, showed days with 4-5 hour breaks between diaper changes being entered into the system. 2. On 5/29/2024, staff #2 was observed diaper changing. Staff #2 sprayed sanitizer on the mat and immediately wiped it off. Bleach sanitizer is required to air dry or sit for two minutes. 3. Administration acknowledged that protocol was not followed.
Plan of Correction:	Wifi issues have occurred several times- staff have been reminded to let the front know immediately to ensure paper documentation. Staff have also been retrained on proper diapering procedures.