VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Noah's Ark Daycare Center, Inc.
585 Deer Ridge Road
Hillsville, VA 24343
(276) 766-3502

Current Inspector: Todd Scott (276) 608-3749

Inspection Date: March 1, 2023

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. 8VAC20-820 THE LICENSE. 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Early Childhood Care and Education 63.2 Child Abuse & Neglect

Comments:

A renewal inspection was initiated on 3/1/2023 and concluded on 3/1/2023. There were 42 children present with nine staff supervising and one cook. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of five child records, five medication records and seven staff records and five board members records were reviewed. The inspection started at 10:00 am and concluded at 1:10 pm. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	8VAC20-770-40-D-1-a
Description:	Based on record reviews the center failed to ensure that a new person designated as or agent who is or will be involved in the day-to-day operations of the facility have a current Search of central registry check before the end of 30 days. Evidence: Board member #5 has an appointment date to the board of July 2020. There are no central registry checks on file for this board member.
Plan of Correction:	I gave board member 5 the central registry form to fill out and return to me ASAP. I will be using the portal to send his background form off as soon as he gives it back to me. [sic]
Standard #:	8VAC20-770-60-C-2
Description:	Based on record reviews the center failed to ensure that all staff have a central registry finding within 30 days of employment. Evidence: Staff # 7 has a hire date of 1/30/2023, there are no central registry checks on file for this staff person.
Plan of Correction:	I called central registry office the same day you left, they emailed me her background the same day. I will send this with these papers.
Standard #:	8VAC20-780-270-A
Description:	Based on observation 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. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: Located on the big playground is a blue, green, orange seesaw. The top area is broken and is a pinch point that could snag skin. The PVC pipe that surrounds the playground has some areas that are cracked and has a hole. These areas could snag skin. The ground covering is showing in several places on the playground. This is a tripping hazard for the children.
Plan of Correction:	I throw the seesaw in the dumpster. Date corrected: 3/1/2023 I told the daycare board that the PCP pipe needed to be replaced and we need more rocks to cover the ground covering. Date told board 3/2/2023 [sic]
Standard #:	8VAC20-780-280-B
Description:	Based on observation the center failed to ensure that Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: Located in the three year old classroom on top of the cubbies was two cans of Lysol disinfectant spray, not locked.
Plan of Correction:	I told the three-year-old teacher about the Lysol not being locked up. She immediately went and put it in her cabinet and locked it. I told her, she had to keep all cleaners lock up. [sic]
Standard #:	8VAC20-780-500-C
Description:	Based on observation the center failed to ensure that toilet (potty) chairs shall be emptied promptly and cleaned and sanitized after each use. Evidence: Located in the girls bathroom were two toilet (potty) chairs. One chair had urine in it, a class came in to use the toilet (potty) chairs. The one had not been emptied promptly, cleaned or sanitized after each use.
Plan of Correction:	I talked with my staff about the bathroom rules. I told all of them that the potty must be empty, cleaned, and sanitized after each use. [sic]
Standard #:	8VAC20-780-510-B
Description:	Based on record reviews the center failed to ensure that prescription and non-prescription medication shall be given to a child only with written authorization from the parent. Evidence: Child #5 had a non-prescription medication at the center. There was no written authorization by the parent for the medication.
Plan of Correction:	I told parent of child 5 we could not give this non-prescription medication without medication form signed by her. I sent the medication and a form home with her that evening. She returned the next day with the form signed and medication.
Standard #:	8VAC20-780-510-E
Description:	Based on record reviews the center failed to ensure that non-prescription medication, be consistent with the manufacturer's instructions for age, duration and dosage. Also, Duration of the parent's authorization of medication shall expire or be renewed after 10 work days. Evidence: 1. Child #2, 3 & 4 all under the age of two years had non-prescription medications at the center for oral pain relief. The manufacturer's instructions stated that for children under two years of age a doctor needs to authorize administration. There are no doctors authorizations on file. 2. Child #1 has a medication authorization dated 1/31/23, the medication has been administered daily since then. Child #2 has a medication authorization dated that was signed 1/24/23 and was administered on that date. Child #3 has a medication authorization dated 1/8/23 and no medication has been administered. Child #4 has a medication authorization dated 2/9/23 and was administered on that date.
Plan of Correction:	Child 1-I sent all non-prescription medication home. I told the parent I could not give this until I had a doctor's note stating I could administer to him because of his age. Child 2-The other parent I told her we needed a doctor's note the give her drops to her daily. Child 3 - I sent the medication home. Child 4- I sent the medication home. [sic]
Standard #:	8VAC20-780-510-P
Description:	Based on record reviews and interviews the center failed to ensure that when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Evidence: Child #1 has a signed authorization dated 1/31/23, child #2 has a signed authorization dated 1/24/23, child #3 has a signed authorization dated 1/8/23, and child #4 has a signed authorization dated 2/9/23. All four of these medications are at the center.
Plan of Correction:	I sent all medications home. The MAT certified staff and I will be watching more closely to the dates on the forms and sending home or disposing of these medications. [sic]