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Mile High Kids and Community Development - Essex
205 Elementary School Circle
Tappahannock, VA 22560
(804) 925-6025

Current Inspector: Jaime Harris (804) 807-3278

Inspection Date: Nov. 27, 2023

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 SANCTIONS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 BACKGROUND CHECKS
22.1 EARLY CHILDHOOD CARE AND EDUCATION

Comments:
A monitoring inspection was conducted on November 27, 2023. The inspector was on site from approximately 11:50 am until 2:30 pm. The director was present during the inspection. There were 29 children present, ranging in ages from three to four years, with four staff. Children in Essex 1 had just returned from outdoor play and were washing hands. Children listened to a story and prepared for nap. Children in Essex 2 were in circle time talking about the concepts of more and less using counting cubes. Later children had a snack and prepared for dismissal.
The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. Five children?s records were reviewed. Five staff records were reviewed at the administrative office on December 14, 2023. 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.
If you have questions regarding this inspection, please contact the licensing inspector.

Sharon Curlee, Licensing Inspector
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
804-840-8312
Sharon.curlee@doe.virginia.gov

Violations:
Standard #: 22.1-289.035-B-2
Description: Based on a review of five staff records and interviews, the center did not obtain the satisfactory results of a national fingerprint-based criminal record search for one staff prior to employment.
Evidence:
The national fingerprints-based criminal record search in the record of Staff #5, employed on 09/02/2023, was dated 09/25/2023.
During interview, a member of management confirmed Staff #5 started employment on 09/02/23 and the fingerprint-based criminal record search was obtained after.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-130-A
Description: Based on a review of five children's records, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Evidence: T
he record of Child #1, enrolled 08/14/2023 did not contain documentation that the child received the immunizations required. The record contained a note from the child's physician indicating "4 year old vaccines deferred by family?.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-60-A-8
Description: Based on review of children's records and documentation, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
Evidence:
The record of child #4 confirmed a diagnosed food allergy. An allergy care plan was in the record however it was not complete nor was it signed by the physician. A note from the child?s physician was in the record and stated the child has an allergy to shellfish and if there were any questions to contact the office.? Both the note and the care plan did not include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-70
Description: Based on review of five staff records, the center did not obtain all required information for each staff record.
Evidence:
1. The record of staff #1, employed 03/08/2023, contained documentation of two reference dated 03/11/2023 and 03/10/2023. Documentation of two or more references are required to be checked before employment.
2. The record of staff #5, employed 09/02/2023, did not contain documentation of two or more references. Documentation of two or more references are required to be checked before employment.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-350-B-5
Description: Based on observation and interview, the center did not ensure the staff-to-child ratio for three-year-olds up to school age eligible were maintained whenever children were in care.
Evidence:
1. The licensing inspector arrived and signed in at the elementary school office at 11:50 am. Staff #1 was observed in the office with a child for dismissal. Staff #1 returned to the Essex 1 classroom at approximately 11:58 am where staff #2 was alone supervising 15 children ages three years to four years.
2. Upon interview, Staff #2 stated when children have early dismissals or when staff need to retrieve lunch for the cafeteria, then one staff is in the classroom alone.
3. The required staff-to child ratio for children three years up to school age eligible is one staff to every ten children. Staff #2 was out of ratio in the Essex 1 classroom for approximately ten minutes

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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