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Tri-County Community Action Agency, Inc. - Boydton
117 Mayfield Drive
Boydton, VA 23917
(434) 710-6998

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: March 6, 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.
22VAC40-80 THE LICENSING PROCESS.
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:
An unannounced monitoring inspection was conducted on 03/06/2019 from 9:45 to 11:15 am. A formal observation was completed in the classroom. The children were observed reading books, singing, talking about the weather, and identifying the letters in their names. They were also observed playing outside. Lunch consisted of BBQ on a bun, baked beans, peaches, pudding, and milk. The lunch menu was posted. Interviews were held with staff throughout the inspection, and the inspector interacted with children in each classroom when appropriate. The classroom, bathroom and playground were inspected. The center?s bus was not available during the inspection.

The records of 5 children were reviewed during the inspection. The employee records are kept off site and will be reviewed at a later date.

The center administers medication; however they did not have any being given at this time.

The center's first aid kit and emergency supplies were inspected.
Last emergency drill: 02/20/2020
Last fire inspection: 11/21/2019
Last health inspection: 08/29/2019

Census: There were 14 children and two staff present during the inspection.
There were no repeat violations found during the inspection.

If you have any questions about this inspection, please contact the licensing inspector, Jennifer Moore, at (804) 662-9716.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on record review and interview, the center did not ensure that five of the five children's records, were complete.

Evidence:
1. The records of child #1 (DOE: 09/16/2019), child #2 (DOE: 08/14/2019), child #3 (DOE: 08/14/2019), child #4 (DOE: 08/14/2019), and child #5 (DOE: 08/14/2019) were missing proof of identity within seven business days of initial attendance.
2. The records of child #2 (DOE: 08/14/2019), child #3 (DOE: 08/14/2019) and child #5 (DOE: 08/14/2019) had physicals that were dated past 30 days of their enrollment.
3. The record of child #5 (DOE: 08/14/2019) had immunization records that were received after the date of enrollment.
4. Staff confirmed that the records were not complete.

Plan of Correction: be sure physicals are done before the due date, also going to get the identity records by the end of March 31st

Standard #: 22VAC40-185-270-A
Description: Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition.

Evidence:
1. The couch in the classroom had an area that was ripped, exposing the foam.
2. There were five areas of chipped and peeling paint in the classroom. The areas were accessible to the children.
3. The platform at the top of the blue slide had a fabric lining that was ripped in several areas, posing a tripping hazard. The metal slide also had areas that were rusted.
4. The vinyl flooring that separated the classroom with the bathroom area was peeling up, posing a tripping hazard.
5. The staff confirmed that these items were on a list to be repaired.

Plan of Correction: make sure the staff follows up on the items to be fixed and painted

Standard #: 22VAC40-185-550-C
Description: Based on observation and interview, the center did not ensure that an emergency evacuation and shelter-in-place map was posted in a location conspicuous to staff and children.

Evidence:
1. An emergency evacuation map was not posted at the time of the inspection.
2. Staff confirmed that the map was kept in a file folder and not posted.

Plan of Correction: corrected during the inspection

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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