VIRGINIA DEPARTMENT OF SOCIAL SERVICES

A+ Childcare & Learning Center
3510 George Washington Memorial Hwy
Yorktown, VA 23693
(757) 867-8003

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: July 11, 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 Hearing Procedures. 8VAC20-770 Background Checks 20 Access to minors records 22.1 Early Childhood Care and Education 63.2 Child Abuse & Neglect

Technical Assistance:

Effective January 1, 2025, the VDOE will begin determining compliance with ? 22.1-289.057 of the Code of Virginia, which is legislation passed by the General Assembly in 2020. The law requires all licensed child day programs, religious exempt child day centers that serve preschool age children, and certified preschools to test potable drinking water. The law requires that programs submit their plans and test results to the Virginia Department of Health Office of Drinking Water (VDH ODW) and the Superintendent. If the results of the testing indicate elevated lead levels, the program shall remediate, retest, and resubmit results to VDH ODW and the Superintendent. There is an additional alternative bottled water option that comes with additional requirements. The statutory requirement can be found online at https://law.lis.virginia.gov/vacode/title22.1/chapter14.1/section22.1-289.057/. Resources are now available for providers on the "What's New" webpage on the ChildCareVA website at https://www.childcare.virginia

Comments:

An unannounced monitoring inspection was started in the center on July 11, 2024 from 10:15 AM until 2:00 PM and concluded on July 15, 2024. At the time of entrance, 63 children were in care with 12 staff members. The sample size consisted of 6 children?s records and 6 staff records. Children were observed preparing for and eating lunch, playing in centers to include dress up, blocks and reading. The playgrounds resilient surfacing was not inspected due inclement weather 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 contact the Licensing Inspector, Christine Mahan (757) 404-0568 with any questions.

Violations:

Standard #:	22.1-289.035-B-1
Description:	Based on record review and staff interviews, the licensee did not ensure each staff member had a Sworn Statement completed prior to first day of employment. Evidence: 1. The sworn statement for staff #1 was dated 3-20-24 and their first day of employment was 3-18-24. 2. The sworn statement for staff #3 was dated 3-26-24 and their first day of employment was 3-25-24.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.035-B-4
Description:	Based on record review and staff interviews, the licensee did not ensure, all staff had obtained an out of state criminal history name check (CRC) prior to the first day of employment and an out of state child abuse and neglect search (CPS) was request by the 30th day of employment for any state where they lived within the last five years from date of employment. Evidence: The following staff did not have out of state background checks as required. 1.Staff #1?s record did not include results of an out of state CRC prior to first day of employment (3-18-2024). 2. Staff #6?s record did not include results of an out of state CRC prior to first day of employment (5-1-2023).
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-330-C
Description:	Based on observation and staff interviews, the licensee did not ensure where playground equipment is provided, the ground supports shall be covered with materials that protect children from injury. Evidence: On the younger children?s playground, the plastic playground border had 3 protruding bolts and there were 2 rusty nails protruding from the wooden platform under the metal train.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-440-J
Description:	Based on observation and measurements, the licensee did not ensure the center shall Thirty inches of space between service sides of occupied cribs and other furniture where that space is the walkway for staff to gain access to any occupied crib. Evidence: Two infants were observed sleeping in their cribs and there was only 21inches of space on their service sides.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-G
Description:	Based on observations and staff interviews, the licensee did not ensure medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: 1. One medication for Child #2 was not labeled with the dosage amount and the time or times to be given.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-I
Description:	Based on review of documentation and staff interviews, the licensee did not ensure to administer prescription medication that would normally be administered by a parent or guardian to a child provided the center has obtained written authorization from a parent or guardian. Evidence: The medication authorization for Child #3 was reviewed and the parent authorization expired on 5-24-2024. The medication log for Child #5 was reviewed and medication had been administered a total of 11 times between June 3, 2024, and July 8, 2024.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-P
Description:	Based on review of documentation and staff interviews, the licensee did not ensure when an authorization for medication expires, the parent shall be notified the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Evidence: 1.There were two expired authorizations for medications observed at the center and the parents were not notified that the medications needed to be picked up, the authorizations were not renewed nor had the medications been disposed of by the center. 2. The authorization for Child #2 expired on 6-4-2024 and the authorization for Child #3 expired on 5-24-2024.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-520-D
Description:	Based on review of documentation and staff interviews, the licensee did not ensure if insect repellent is used, it shall be in the original container and labeled with the child's name. Evidence: Insect repellent patches for Child #5 was observed stored in a plastic bag and not kept in the original box/packaging.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-550-K
Description:	Based on observation and staff interviews, the licensee did not ensure the center shall prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools etc. This document must be kept in vehicles that centers use to transport children to and from the center. Evidence: Center Director confirmed the school age children left the building for a field trip the previous week and there was not a document with potential shelters, hospitals, evacuation routes for their specific field trip
Plan of Correction:	Not available online. Contact Inspector for more information.