VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Pittsylvania County Community Action-Stanleytown #14
74 Edgewood Dr.
Stanleytown, VA 24168
(434) 432-8911

Current Inspector: Tara K Martin (804) 588-2371

Inspection Date: Sept. 11, 2019 and Sept. 12, 2019

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. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Comments:

An unannounced on-site monitoring inspection was completed on 09/11/2019 and an announced record review inspection was completed on 09/12/2019. There were 14 children, ages 3 years-4 years, and 2 staff present during the inspection. The inspector reviewed 5 children?s records, 2 staff records and 2 medications during the inspection. Children were observed in the following activities: during lunch, during learning activities, in large motor play outside, during music and movement, having an afternoon snack and during nap. The inspector reviewed the emergency supplies during the inspection. The inspector discussed sharing space with the public school system, hand washing, required trainings, and injury reports with the staff. The inspector arrived for the on-site inspection at 10:15 a.m. and departed at 2:00 p.m. and arrived for the record review at 11:10 a.m. and departed at 1:15 p.m. If you have any questions, please contact Becky Forestier at 540-309-2835.

Violations:

Standard #:	22VAC40-185-160-A
Description:	Based on record review and discussion with the staff, the facility failed to obtain a negative tuberculosis screening/test within 21 days after employment. Evidence: Staff #2 has not obtained a negative tuberculosis; the documented date of hire for Staff #2 was 08/08/2019.
Plan of Correction:	A test/screening has been scheduled.
Standard #:	22VAC40-185-160-C
Description:	Based on record review and discussion with staff, the facility failed to obtain a follow-up tuberculosis screening/test at least every two years from the date of the first initial screening/test. Evidence: The tuberculosis screening/test in the record for Staff #1 was dated 10/10/2016; there was not a 2018 follow-up tuberculosis screening/test.
Plan of Correction:	A test/screening has been scheduled.
Standard #:	22VAC40-185-240-D-4
Description:	Based on record review medication review and interviews with the staff, the facility failed to ensure that any child for whom emergency medications (such as but not limited to albuterol, glucagon, and epipen) have been prescribed shall always be in the care of a staff member or independent contractor who has satisfactorily completed a training program to safely perform medication administration. Evidence: 1. Child #2 has a prescribed emergency medication on-site and was present during the 09/11/2019 inspection. 2. Child #4 has a prescribed emergency medication on-site.and was present during the 09/11/2019 inspection. 3. Staff #1 and Staff #2 both verified that they have not completed a training to perform medication administration.
Plan of Correction:	We will make sure that someone that is MAT certified on the premises until staff are certified.
Standard #:	22VAC40-185-510-G
Description:	Based on record review, medication review and interviews with the staff, the facility failed to ensure that when administering prescription medications, that would normally be administered by a parent or guardian, that medication is administered by a staff member or independent contractor that has satisfactorily completed a course to perform medication administration and that the center has obtained written authorization from a parent or guardian. Evidence: 1. Staff #2 stated that Medication B had been administered to Child #4 by Staff #1 on 08/30/2019. 2. Staff #1 verified that Medication B had been administered to Child #4 on 08/30/2019. 3. Staff #1 has not satisfactorily completed a course to perform medication administration. 4. The medication authorization form for Medication B was not signed by a parent or guardian (the signature line was blank) thus there was not written authorization form a parent or guardian to administer Medication B.
Plan of Correction:	A new will be completed and signed by the parent and staff are enrolled in MAT classes.
Standard #:	22VAC40-185-510-L
Description:	Based on interview with the staff, the facility failed to maintain a record of medication given to children to include all of the elements listed in the standard. Evidence: 1. Staff #1 and Staff #2 verified that there was no documentation of the 08/30/2019 administration of Medication B. 2. Staff #1 and Staff #2 verified that Medication B was administered to Child #4 on 08/30/2019.
Plan of Correction:	Moving forward medication will be documented when administered.
Standard #:	22VAC40-185-560-F
Description:	Based on observations and discussion with staff, the facility failed to ensure that when center choose to provide meals or snack the center shall follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the USDA and a menu listing foods to be served for meals and snacks during the current one-week period shall be posted in a location conspicuous to parents or given to parents. Evidence: 1. There was only 1 component offered for an afternoon snack; the children were served 1 slice of Dragon Fruit only. The USDA guidelines require that at least 2 of the 5 components are served. 2. The posted menu was dated 09/02-09/06.
Plan of Correction:	Will be discussed with the school nutritionist and the food service manager on providing the posted menu and the snack requirements.
Standard #:	22VAC40-191-60-B
Description:	Based on record review and discussion with the staff, the facility failed to ensure that no person shall be employed until the agency has the persons completed sworn statement or affirmation. Evidence: The record for Staff #2 has a documented hire date of 08/08/2019; the date on the sworn statement is 08/19/2019.
Plan of Correction:	Moving forward sworn statements will be obtained prior to new hire orientation or on the first day of hire when orientation takes place.