VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Shenandoah Valley Child Development Center
2867 West Mosby Road
Harrisonburg, VA 22801
(540) 879-1155

Current Inspector: Stephanie Reed (540) 272-6558

Inspection Date: March 12, 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) 32.1 Report by person other than physician 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Comments:

Thank you for your assistance and your time during this unannounced monitoring inspection. The visit was conducted on March 13, 2020 from 11:00 am through 2:40 pm. There were fifty-three children in the care of ten staff. The administrator was available to assist, if needed. The total enrollment for the program was ninety children. Six children records, ten staff records, menus, first aid kits, evacuation drills, emergency supplies, health inspection, fire inspection, and posted required information were reviewed. Handwashing and bathroom procedures, diaper procedures, indoor play/table play, lunch (sausage, green beans, potato casserole, applesauce, bread, and milk), transitions, naptime, and outside play were observed during this visit. Areas of non-compliance may be found on the violation notice. Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return it to me in 10 calendar days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word "corrected" is not acceptable. Your plan of correction must 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 measure(s). Please contact Beth Orebaugh, licensing inspector, if you have questions concerning this inspection, the licensing standards, and/or if you need any additional assistance at (540) 847-9173.

Violations:

Standard #:	22VAC40-185-60-A
Description:	Based on record review and staff verification, the center failed to ensure that all required information was in a child's file. Evidence: 1. Child #2's file did not contain a complete contact for emergency contact #1 and #2. Date of enrollment was 12/03/2019. 2. Child #5's file did not contain a complete contact for emergency contact #2. Date of enrollment was 02/11/2019. 3. Child #6's file did not contain a complete contact for emergency contact #2. Date of enrollment was 03/09/2020. 4. Staff verified that the records did not contain complete addresses for emergency contacts.
Plan of Correction:	I will be sure to get the full address from the parent's when I see them at drop off or pick up.
Standard #:	22VAC40-185-260-A
Description:	Based on review of the fire inspection, the center failed to have an annual fire inspection completed. Evidence: 1. The last fire inspection on file is dated 01/24/2019. 2. The staff verified that this is the last fire inspection that had been completed.
Plan of Correction:	We have contacted the Fire Marshall and he will be here tomorrow 03/13/2020. Documentation will be sent to the licensing inspector.
Standard #:	22VAC40-185-260-B
Description:	Based on review of the health inspection, the center failed to have an annual health inspection completed. Evidence: 1. Last health inspection was completed 03/11/2019. 2. The staff verified that this is the last health inspection that had been completed.
Plan of Correction:	I will place a phone call to the health inspector today to get a date for him to come complete his inspection. Documentation will be sent to the licensing inspector.
Standard #:	22VAC40-185-270-A
Description:	Based on observations of the children's restrooms, the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. Licensing inspector observed a toilet seat in the 3 and 4 year old bathroom that was coming off the hinges in the first bathroom stall. 2. Staff verified that the toilet seat was very loose.
Plan of Correction:	I will make sure our maintenance guy fixes that seat immediately.
Standard #:	22VAC40-185-500-B
Description:	Based on observation, the center did not ensure that proper diapering procedures were followed. Evidence: 1. In the toddler classroom, the licensing inspector observed Staff #9 dispose a soiled diaper. Staff #9 did not use a foot pedal to open the lid of the trash can to dispose the soiled diaper. Staff #9 lifted the lid with her hand to dispose the soiled diaper. 2. Staff #9 verified that she did not use the foot pedal to dispose but used her hand to lift the lid to dispose the soiled diaper.
Plan of Correction:	The director will retrain staff member on diapering procedures and remind her to use the foot pedal.
Standard #:	22VAC40-185-510-D
Description:	Based on review of medication authorizations on 3/12/20, the center did not ensure that two medication authorizations were available to staff during the entire time it was effective for two out of two children. Evidence: 1. A non-prescription pain reliever was observed for Child A and Child B. Medication authorizations were not present for these medications. 2. During interview, staff reported the authorizations for these medications were not present.
Plan of Correction:	Staff will direct parents to the director or administrator when parents need to drop off medication.
Standard #:	22VAC40-185-520-A
Description:	Based on review of over-the-counter skin ointments and verification from staff, the center failed to ensure that over-the-counter skin products shall not be kept beyond the expiration date. Evidence: 1. In the toddler room, there was a tube of Burts Bees Baby Diaper ointment that expired in December 2019. 2. Staff verified that the diaper ointment expired in December 2019.
Plan of Correction:	The teacher's in the classrooms will be responsible for checking their diaper ointment and other over-the-counter medications monthly.
Standard #:	22VAC40-185-570-E
Description:	Based on observation and verification of staff, the center failed to ensure that all bottles were labeled with the date. Evidence: 1. In the infant classroom, there were two bottles in the refrigerator that were not labeled with the date. 2. Staff verified that the bottles were not labeled with the date.
Plan of Correction:	The bottles will be checked when the children arrive and the date will be put on them before being put in the refrigerator.