VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Little Tikes Family Care II LLC
3619 Mechanicsville Turnpike
Richmond, VA 23223
(804) 217-1762

Current Inspector: Molly Muscat (804) 588-2367

Inspection Date: July 21, 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. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced renewal inspection was conducted on-site on July 21, 2022. The owner was available during the inspection. There were 11 children in care with 2 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 4 child records and 3 staff records were reviewed. 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 date to be corrected for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. 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. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	8VAC20-770-60-B
Description:	Based on a review of records and interview on July 21, 2022, the center did not ensure to obtain a sworn statement from each staff prior to employment. Evidence: The record of staff #2 (hired on July 21, 2022) did not contain documentation of a sworn statement. Administration confirmed the center did not obtain a sworn statement from staff #2 yet.
Plan of Correction:	Administration will make sure to have completed documentation prior to employment. Staff #2 was hired on July 21, there was an emergency that occurred which prevented Administration from going over paperwork with staff #2 prior to the start of the shift.
Standard #:	8VAC20-780-160-A
Description:	Based on observation, a review of staff records and interview on July 21, 2022, the center did not ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record of staff #2 (hired July 21, 2022) did not contain documentation of a tuberculosis screening. Staff #2 was observed caring for children. Administration confirmed staff #2 didn't have a tuberculosis screening.
Plan of Correction:	Administration will ensure tuberculosis screenings are provided prior to employment. Staff #2 reading was on the date of hire.
Standard #:	8VAC20-780-240-B
Description:	Based on observation, record review and interview on July 21, 2022, the center did not ensure that staff shall complete orientation training in Subsection C prior to the staff member working alone with children. Evidence: 1. Staff #2 (hired July 21, 2022) was observed working alone with children. 2. The record of staff #2 did not contain documentation of orientation. 3. Administration stated orientation had not been completed with staff #2.
Plan of Correction:	Administration will make sure to complete orientation training prior to the staff member working alone with children. There was an emergency that occurred which prevented Administration from going over paperwork with Staff #2 at the beginning of the shift.
Standard #:	8VAC20-780-340-D
Description:	Based on observation, record review and interview, the center did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director is regularly present. Evidence: 1. During the inspection staff #1 was observed as the only staff in the infant room and staff #2 was observed as the only staff in the preschool room. 2. The records of staff #1 and staff #2 did not contain documentation of program leader qualifications. 3. Administration stated that Staff #1 still did not have qualifications and that staff #2 was just hired and this was staff #2's first day and that she didn't have program leader qualifications.
Plan of Correction:	The Director and Administrators are serving as program leaders for the 2 classrooms. Staff #1 has the training but not the time. As stated at the inspection we have only been in business for 5 months. Staff #1 will qualify in August.
Standard #:	8VAC20-780-340-F
Description:	Based on observation and interview on July 21, 2022, the center did not ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: Staff #1, assigned to the infant/toddler area, was observed cleaning up from breakfast just outside of the infant/toddler area, for approximately 7 minutes. Staff #1 was observed to have her back to the infants/toddlers while cleaning. There were 5 infant/toddlers left in the infant/toddler area without staff directly supervising, the youngest child is 9 months old. During this time, child #2 (age 21 months) left the infant/toddler area to play with a toy next to the front desk, and Staff #1 was unaware the child left the enclosed infant/toddler area. Another staff member saw child #2 next to the front desk and picked the child up and returned the child to the infant/toddler area. Staff #1 reported to the inspector that she would turn around occasionally while cleaning to see the children, but this behavior was not observed during the approximately 7 minutes that the staff was cleaning up from breakfast. Staff #1 acknowledged that she was unaware child #2 left the area and was heard asking the child if the child climbed the gate.
Plan of Correction:	Staff are aware that the children are to be in sight and sound at all times. The Director will redirect staff to ensure when staff has to walk away that someone is always covering the area.
Standard #:	8VAC20-780-350-B-1
Description:	Based on observation on July 21, 2022, the center did not ensure to maintain the required ratio of one staff to every four children ages birth to 16 months. Evidence: In the infant room there was 1 staff member with 5 children. The youngest child in the room is 9 months old.
Plan of Correction:	Administration will ensure to remain in ratio. There was an emergency prior to inspection. Staff arrived during the inspection.
Standard #:	8VAC20-780-350-B-2
Description:	Based on observation, interview, and record review on July 21, 2022, the center did not ensure to maintain the required ratio of one staff for every 5 children ages 16 months up to 24 months. Evidence: In the preschool room(2-5 year olds) there was one staff with 6 children. Child #1 was identified by staff as being 2 years old but after an interview with administration and record review it was determined that child #1 is 19 months old.
Plan of Correction:	Staff has been trained on maintaining correct ratio in classrooms.
Standard #:	8VAC20-780-500-A
Description:	Based on observation and interview on July 21, 2022, the center did not ensure that children's hands are washed with soap and running water after toileting. Evidence: Staff was observed changing a child's diaper. After the diaper change the child was placed back in the infant/toddler area and began playing with toys. The staff acknowledged that she didn't wash the child's hands after diapering.
Plan of Correction:	Staff are aware that hands should be washed after diapering. Additional training will be given to staff.
Standard #:	8VAC20-780-500-B
Description:	Based on observation and interview on July 21, 2022, the center did not ensure the diapering surface shall be cleaned and sanitized after each use. Evidence: Staff was observed, after diapering, to not clean and sanitize the changing pad. The staff acknowledged the changing pad was not cleaned and sanitized after the diaper change.
Plan of Correction:	Staff was trained on how to properly clean and sanitize the changing pad after each diaper change.
Standard #:	8VAC20-780-530-A-1
Description:	Based on a review of records and interview on July 21, 2022, the center did not ensure at least one staff in each classroom or area where children are present had a current CPR certification. Evidence: 1. Staff #2 was observed working alone with children. 2. Staff #2's record did not contain documentation of CPR certification. 3. Administration stated that it was staff #2's first day of employment and confirmed that staff #2 was not certified in CPR.
Plan of Correction:	Administration will ensure that staff is certified in CPR when working alone in a classroom with children.
Standard #:	8VAC20-780-530-A-2
Description:	Based on observation, a review of records and interview on July 21, 2022, the center did not ensure at least one staff in each classroom or area where children are present had a current First Aid certification. Evidence: 1. Staff #2 was observed working alone with children. 2. Staff #2's record did not contain documentation of first aid certification. 3. Administration stated that it was staff #2's first day of employment and confirmed that staff #2 was not certified in first aid.
Plan of Correction:	Administration will ensure that staff is certified in First Aid when working alone in a classroom with children.
Standard #:	8VAC20-780-530-C
Description:	Based on observation and interview on July 21, 2022, the center failed to ensure there are at least two staff members who are certified in First Aid and CPR on the premises during the center's hours of operation. Evidence: Two staff were observed on the premises and caring for children at the start of the inspection at 8:35am. Administration confirmed staff #2 was just starting employment on this date and was not certified in first aid and cpr.
Plan of Correction:	Administration will ensure there are at least 2 staff members certified in First Aid and CPR during the center's hours of operation.