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. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-80 SANCTIONS. 22VAC40-80 HEARINGS PROCEDURES. 22VAC40-191 Background Checks (22VAC40-191) 32.1 Report by person other than physician 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.
Technical Assistance:
The following was discussed with the program director:
Interactions between staff and children
Positive redirection and behavioral guidance
Tone and word choice used when speaking to the children
Comments:
An unannounced monitoring inspection was conducted between 10:00am and 2:00pm. Upon arrival there were 70 children in care with 13 staff present in the building and 24 school-age children on a field trip with 3 staff. Children were observed during toileting, nap and returning from a field trip. A sample of 5 children and 5 staff records were reviewed in addition to 4 over-the-counter skin products.
Based on observation the center did not ensure staff interacted with the children in order to promote the child's physical, intellectual, emotional, and social well-being and growth.
Evidence:
During the inspection staff #1 was heard talking to 3 year-old child #1 in the bathroom. The staff's voice tone was loud enough, that it was also heard by the program director in the office. Staff #1 stated to child #1, "You need to go to the potty right now! Go to the potty! If you don't go to the potty you will be in trouble. I will call your Mom." The program director confirmed hearing the interaction between the staff and child.
Plan of Correction:
The following corrective action was provided during the exit interview: The program director will retrain staff on positive redirection and behavioral guidance. The program director will monitor for compliance.
Standard #:
22VAC40-185-520-C
Description:
Based on observation and a record review the center did not ensure all requirements were followed when diaper cream is used:
Evidence:
1. In the toddler room there were 2 diaper cream containers that were not labeled with a child's name or written parent authorization noting any known adverse reactions.
2. The program director stated the center does not keep a record that includes the child's name, date of use, frequency of application and any adverse reactions of diaper cream.
Plan of Correction:
The following corrective action was provided during the exit interview: In the future the center will begin keeping a record of diaper applications to include all required information. All diaper creams and ointments will be labeled with the child's name and accompanied by a written authorization from the parent.
Standard #:
22VAC40-185-570-E
Description:
Based on observation the center did not ensure prepared infant formula was not dated.
Evidence:
In the infant room there were 4 bottles and 1 sippy cup that contained prepared formula. None of them were dated.
Plan of Correction:
The following corrective action was provided during the exit interview:
There are labels in the classroom to use for dating bottles and cups. The program director will remind the infant and toddler staff that all prepared formula should be labeled and dated.
Standard #:
22VAC40-185-580-I
Description:
The center did not ensure all requirements were met before leaving on a field trip.
Evidence:
There were 24 children on a field trip during the inspection. The center did not have a schedule of the trip's events and locations, posted and visible at the center site.
Plan of Correction:
The following corrective action was provided during the exit interview:
The director forgot to print the schedule this morning. It was printed and posted during the inspection. Tomorrow's schedule was printed and will be posted.
Standard #:
22VAC40-80-120-E-2
Description:
Based on a record review the center did not ensure the findings of the most recent inspection was posted in a conspicuous place in the center.
Evidence:
The center did not have the last findings of the most recent inspection posted in the facility conducted on June 5, 2019. The center had an acknowledgement form posted that was dated February 2019.
Plan of Correction:
The following corrective action was provided during the exit interview: This was an oversight. Today's inspection will posted in the front lobby today.
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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