VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Childtime Learning Center
1506 Kempsville Road
Virginia beach, VA 23464
(757) 474-1888

Current Inspector: Rene Old (757) 404-1784

Inspection Date: Feb. 21, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-185 PHYSICAL PLANT. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 PROGRAMS. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Comments:

An unannounced monitoring inspection was conducted on 02/21/2020 from 10:40 am - 2:40 pm. At the time of entrance there were 45 children in care with 8 teaching staff and two administrative staff. The children in care ranged in age from infant - five years. Children were observed during morning program time, lunch and nap. Records were reviewed for ten children and six staff. No medication is being administered at this time. Violations were observed in three parts of the CDC standards and background checks. These violations are listed on the violation notice and were reviewed with administrative staff at the conclusion of the inspection.

Violations:

Standard #:	22VAC40-185-130-B
Description:	Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Documentation of updated immunizations are not on file for child 1, age 16 months. a. The most recent immunizations on file were administered on 12/03/2018. 2. Documentation of updated immunizations are not on file for child 3, age, 13 months. a. The most recent immunizations on file were administered on 06/27/2019.
Plan of Correction:	This will be completed by 2/28/2020. Any family that is missing any items will be required to turn it in within 72 hours notification. District Manager will spot check periodically to ensure compliance
Standard #:	22VAC40-185-140-A
Description:	Based on record review, the center failed to ensure that each child shall have a physical exam before attendance or within one month after attendance. Evidence: 1. There is no documented physical exam on file for child 9. a. Child 9 has an enrollment date of 09/16/2019. 2. Administrative staff confirmed that a physical could not be located for child 9.
Plan of Correction:	Updated physical will be collected from parent on or before 03/06/2020. Going forward families must complete a paperwork appointment to ensure all items in file are complete before starting. Management will do a file audit by 4/25/2020. Any family missing anything will have 72 hours to provide paperwork or will not be able to attend.
Standard #:	22VAC40-185-160-C
Description:	Based on record review and interview, the center failed to At least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1. The most recent TB screening for staff 1 was conducted on 01/06/2018. 2. Staff 1 confirmed this as the most recent TB screening.
Plan of Correction:	Staff one will have their updated TB completed by 3/4/2020. Management will ensure all staff files are complete and compliant by 3/6/2020. DM will periodically inspect for compliance.
Standard #:	22VAC40-185-60-A
Description:	Based on record review, the center failed to ensure that children's records contain all of the required elements. Evidence: 1. The work phone number for one parent was not on file for child 1. 2. The work phone number for both parent's was not on file for child 2. 3. The work phone number for one parent was not on file for child 5 4. The work phone number for one parent was not on file for child 6. 5. The work phone number for one parent was not on file for child 9.
Plan of Correction:	This was corrected. Going forward all parents must complete a paperwork appointment prior to start to ensure there is a complete file. Parents will update files every 6 months and document.
Standard #:	22VAC40-185-290-3
Description:	Based on observation, the center failed to ensure that electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. Evidence: One outlet in the infant classroom lacked a protective cover.
Plan of Correction:	This was corrected on site . Teachers will be retrained by 3/4/2020 to ensure visual safety of their own classrooms. Safety Captain will inspect classrooms daily to ensure protective covers are in place. Management will do periodic walkthroughs to ensure compliance.
Standard #:	22VAC40-185-520-C
Description:	Based on observation, the center failed to ensure that diaper ointment shall be labeled with the child's name. Evidence: One diaper ointment in the infant room and two diaper ointments in the toddler class were not labeled with the child's name.
Plan of Correction:	This was corrected same day. Management will audit all medication to ensure compliance by 3/4/2020. DM will also check periodically.
Standard #:	63.2(17)-1721.1-B-2
Description:	Based on record review and interview, the center failed to ensure that staff shall undergo a background check prior to employment. Evidence: 1. Staff 2 has a hire date of 08.26.2019 however, her fingerprint background check was not obtained until 09.10.2019. 2. Administrative staff verified that staff 2 began work before here background check was obtained.
Plan of Correction:	Staff will not be able to start without a cleared fingerprint background check. Management will ensure compliance by inspection.