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The Cottage School
3601 Seminary Avenue
Richmond, VA 23227
(804) 310-8910

Current Inspector: Heather Dapper (804) 625-2304

Inspection Date: April 23, 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 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Technical Assistance:
n/a

Comments:
A renewal inspection was conducted on April 23, 2024 from approximately 9:50 AM to 1:15 PM. There were 39 children present in the center, ranging in ages from infant to preschool, with 14 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of six child records and 11 staff records were 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 the date to be corrected for each violation listed on the violation notice and return it to the department within 5 business days from receipt. 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 preventative measures. Please do not use staff names, list staff by positions only.

Heather Dapper
Licensing Inspector
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
Phone # (804) 625-2304
heather.dapper@doe.virginia.gov

Violations:
Standard #: 22.1-289.035-B-2
Description: Repeat Violation
Based on a review of staff records, the center did not ensure staff had the satisfactory results of the fingerprint-based national criminal background check prior to employment.

Evidence:
1. The record for staff #1 (employed: 3/18/24) had results of the fingerprint-based national criminal background check dated 3/19/24.
2. The record staff #6 (employed 8/14/23) had results of the fingerprint-based national criminal background check dated 10/03/23.

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

Standard #: 8VAC20-780-160-A
Description: Repeat Violation
Based on review of records, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming in contact with children.

Evidence:
1. The record for staff #5 (employed: 2/19/24) had documentation of a TB screening on 2/22/24.
2. The record for staff #6 (employed: 8/14/23) had documentation of a TB screening on 8/25/23.
3. The record for staff #9 (employed: 4/01/24) had documentation of a TB screening on 4/05/24.

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

Standard #: 8VAC20-780-260-A
Description: Based on a review of records and interview, the licensee failed to provide licensing an annual fire inspection report from the appropriate fire official having jurisdiction.

Evidence:
1. The last documented fire inspection was dated 11/21/22.
2. The administrator reported the annual fire inspection had not been completed annually.

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

Standard #: 8VAC20-780-510-G
Description: Based on observation and interview, the center did not ensure that 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. The medication for child A (birth date: 06/03/23) had emergency medication that was not labeled with name and dosage amount.
2. The administrator acknowledged that the medication for child A was not labeled with name and dosage amount.

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

Standard #: 8VAC20-780-570-E
Description: Based on observation and staff interview, the licensee did not ensure the prepared infant formula shall be refrigerated, dated, and labeled with the child's name.

Evidence:
1. Child A had one prepared bottle without a date. Child B had three prepared bottles without a date. Child C had three prepared bottles without a date. Child D had one prepared bottle without a date.
2. One Dr. Brown?s bottle with white substance did not have a name or date.

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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