8VAC20-780 Administration. 20 Access to minor?s records 8VAC20-780 Staff Qualifications and Training. 22.1 Early Childhood Care and Education 8VAC20-780 Physical Plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies 8VAC20-780 Special Services. 8VAC20-770 Background Checks
Comments:
An unannounced on-site monitoring inspection was conducted on 10/24/2023. There were 42 children, ages 9 months-5 years, and 9 staff members present during the inspection. The inspector observed the following: lunch, free play outside, and infant feeding and diaper changes. A total of 5 children?s records and 3 staff records, were reviewed. The inspector discussed the following with staff: medication and injury reports. The inspector arrived at 11:15 AM and departed at 1:40 PM
Kelly Campbell Licensing Inspector Office of Child Care Health and Safety Division of Early Childhood Care and Education Phone# 540-309-2494 Kelly.campbell@doe.virginia.gov
Based on review of three staff?s records, the center failed to ensure that all required out of state background checks were obtained.
Evidence: Staff # 1 had a documented employment date of 08/09/2023. Staff # 1 indicated on the sworn statement that they have lived outside of the state of Virginia in the past five years. An out of state Child Protective Service findings was not in the record.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
8VAC20-780-130-A
Description:
Based on review of five children?s records, the center failed to ensure that all children had the immunization record prior to beginning attendance.
Evidence:
The record for Child # 2, with a documented first day of attendance of 02/28/2023, did not have the immunization prior to attending. The immunizations in the record were dated 7/24/2023.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
8VAC20-780-140-A
Description:
Based on record review and interviews, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child?s attendance or within 30 days after the first day of attendance.
Evidence:
1. The record for Child # 2 contained documentation that the first date of attendance was 02/28/2023; the date on the physical exam for Child 2 was 07/24/2023. 2. The record for Child # 3 contained documentation that the first date of attendance was 06/29/2023; there was not documentation of a physical exam in the record.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
8VAC20-780-150-B
Description:
Based on record review, the center failed to ensure that each report of immunization and physical examination shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department.
Evidence:
1. The immunization report in the record for Child # 3 was not dated by a physician, his designee, or an official of a local health department.
2. The immunization report in the record for Child # 4 was not signed by a physician, his designee, or an official of a local health department.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
8VAC20-780-290-A-3
Description:
Based on observation, the center failed to ensure that in areas used by children of preschool age or younger electrical outlets shall have protective covers.
Evidence:
There were 2 uncovered electrical outlets on wall next to the outside door in the infant room. The uncovered outlets were not accessible to the children.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
8VAC20-780-330-B
Description:
Based on observation of the playground area, the center failed to ensure all immediate fall zones had the required amount of resilient surfacing.
Evidence: Observed on the playground the measurable amount of resilient surfacing was 3 or 4 inches with dirt being the main part of the resilient surfacing around the climbable play equipment. According to the attachment VII in the Standards for Licensed Child Day Center the amount of resilient surfacing is six to nine inches based on the height if the equipment. Children were observed on the playground using the climbing equipment.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
8VAC20-780-510-L
Description:
Based on observation, the center failed to ensure that all medications were locked.
Evidence:
On the shelf in child # 1 basket was an opened tube of prescription diaper cream that was unlocked.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
8VAC20-780-510-P
Description:
Based on observation and review of medications and authorizations, the center failed to ensure that all medications were returned to the parent or guardian within 14 days after the authorization expired or disposed of by the center.
Evidence:
Medication authorization for Child # 1 to administer prescription diaper cream was signed by the parent on 09/11/2023 and expired on 09/24/2023. The medication had not been returned to the parent. The medication was observed in the center on the day of the investigation.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
8VAC20-780-520-A
Description:
Based on review of nonprescription medication and topicals, the center failed to ensure that all nonprescription medication and topicals were not kept or used beyond the expiration date.
Evidence:
1. There were two diaper ointments in the toddler room that had expired. The AD ointment expired on 7/23 and the Destin expired on 1/23.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
8VAC20-780-520-C
Description:
Based on review of sunscreens, the center failed to ensure that all sunscreens were labeled with the owner?s name.
Evidence:
There was a diaper ointment in the toddler room that was not labeled with the owner?s name.
Plan of Correction:
Not available online. Contact Inspector for more information.
Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.
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