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Pittsylvania County Community Action- Joseph L. Galloway
514 North Main Street
Chatham, VA 24531
(434) 432-8911

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

Inspection Date: May 4, 2022

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.
8VAC20-770 BACKGROUND CHECKS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE

Comments:
An unannounced monitoring inspection was conducted on 05/04/2022. There were 18 children, ages 3 years-5 years, and 4 staff members present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, staffing and supervision, physical plant, programs, emergencies and nutrition. The children were observed having a morning snack, during outside play, in music and movement and in free choice activities. A total of 5 children?s records, 5 staff records and 1 medication were reviewed. The inspector arrived for the inspection at 9:00 am and departed at 11:20 am.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:
Standard #: 22.1-289.035-A
Description: Based on record review and discussion with staff, the center failed to ensure that all employees shall undergo a background check in accordance with the Code of Virginia prior to employment or beginning to serve as a volunteer and every five years thereafter.

Evidence: The most recent search of the central registry in the record for Staff 5 was dated 09/26/2016; there was not a 2021 repeat search available for review during the inspection.

Plan of Correction: Will get the form completed and follow up in 10 days.

Standard #: 8VAC20-780-60-A
Description: Based on record review and discussion with staff, the center failed to ensure that the separate record for each child enrolled shall contain all of the elements as required by the standards.

Evidence: The record for Child 4 contained documentation of a diagnosed food allergy. The record for Child 4 did not contain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. The care plan in the record did not include instructions from a physician.

Plan of Correction: Will get with staff and contact the parent.

Standard #: 8VAC20-780-80-A
Description: Based on document review and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

Evidence: The children of Center 2 were observed during breakfast and the attendance had not yet been taken; the written attendance record did not document the arrival of each child as it occurred.

Plan of Correction: Will get with the Education Manager and will to a memo or meeting to remind staff.

Standard #: 8VAC20-780-270-A
Description: Based on observation and discussion with staff, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

Evidence:
1. The large wooden piece of playground equipment had multiple boards that were splintered and deteriorating and had multiple protruding nails and screws that could snag skin.
2. The bridge rail of the 2Step plastic play structure was cracked; the crack in the plastic material created a pinch point.

Plan of Correction: Will contact the facilities manager and will recommend not using until fixed.

Standard #: 8VAC20-780-330-B
Description: Based on observation, measurements and discussion with staff, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards described in the American Society for Testing and Materials and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles.

Evidence: The height of the slide on the plastic jeep play structure measured 1 foot 11 inches high, which requires a 5 foot 11 inch fall zone for the slide trajectory. There was only 3 feet of resilient surfacing, creating the fall zone, for the slide trajectory. The fall zone for the slide did not comply with the minimum safety standards described in the American Society for Testing and Materials.

Plan of Correction: Will contact the facilities manager and will recommend not using until fixed.

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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