VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Bundle of Joy - Bell Creek
7620 Left Flank Road
Mechanicsville, VA 23116
(804) 559-9983

Current Inspector: LaTasha Smith (804) 588-2362

Inspection Date: July 8, 2024

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration 8VAC20-780 Staff Qualifications and Trainings 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 Early Childhood Care and Education 32.1 Report by person other than physician 63.2 Child Abuse & Neglect

Comments:

An unannounced renewal inspection was conducted on Monday, July 8, 2024, from 10:20 AM until approximately 12:40 PM. There were 117 children present with 22 staff supervising. The inspector observed children playing with various age-appropriate materials, transitioning to the playground, napping, handwashing, and listening to a story. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A sampling of 4 medications were reviewed. A total of 10 child records and 10 staff records were also 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 preventive measure(s). If you have any questions about this inspection, please contact the licensing inspector LaTasha Smith at (804) 588-2362.

Violations:

Standard #:	8VAC20-780-60-A
Description:	(Repeat violation) Based on review of children records, the center failed to ensure that all required information were in children records. Evidence: 1. The record for child #1 did not contain the date or signature of person viewing the proof of identification. Child #1's date of enrollment was 6/17/2024. 2. The record for child #3 (enrollment date 6/3/24), child #4 (enrollment date 7/1/2024), child # 5 (enrollment dated 7/8/2024) and child # 10 (enrollment date 2/5/2024), did not contain a home phone number of each parent who has custody. 3. The record for child #6, child #7, and child #9, did not contain the first date of attendance.
Plan of Correction:	1. The information of child?s identity was there, but the date viewed, and signature of view was not. This was corrected on site. 2. The parent?s cell phone is utilized as their home phone, which was documented on the form. Families will be asked to indicate this on their form moving forward. 3. Corrected on site.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, the center did not ensure handwashing with soap and running water occurred after toileting and any contact with blood feces or urine as required. Evidence: 1. In the Toddler 1 classroom, Staff A did not wash their hands or the child?s hands after a diaper change. 2. In the Toddler II classroom, Staff B was observed changing a child?s diaper. After the diaper change, staff did not wash their hands or the child?s hands. Staff B placed the child on the carpet and proceeded to change another child?s diaper.
Plan of Correction:	Both staff members have been retrained in proper diaper changing procedures. Changing guidelines are also posted in the classroom and were shown for reference to the staff members.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, the center failed to clean and sanitize the diaper changing table as required after each use. Evidence: In the Toddler II classroom, Staff B did not clean or sanitize the changing pad after changing a diaper.
Plan of Correction:	Both staff members in the room have been retrained on proper cleaning and sanitization policies.