VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Connections Child Care & Learning Center
125 Mall Road
Covington, VA 24426
(540) 962-0051

Current Inspector: Kelly Campbell (540) 309-2494

Inspection Date:

Complaint Related: No

Violations:

Standard #:	8VAC20-780-150-B
Description:	Based on review of five children?s records, the center failed to ensure that all immunizations were signed by a physician or a physician?s designee. Evidence: Children # 2, 4 and 5 did not have a physician signature or designee on the immunization record.
Plan of Correction:	In the future all immunizations will be have the required signatures.
Standard #:	8VAC20-780-60-A
Description:	REPEAT VIOLATION Based on review of five children?s records, the center failed to ensure that all records were complete per the standard. Evidence: 1.The record for Child # 1 was missing the address for one of the two emergency contacts. The enrollment date of child # 1 was 01/03/2023. 2. The record for Child # 2 was missing documentation of allergies and action to take. The enrollment date was 10/25/2022. 3. Children # 4 did not have the DOB for the child, sex of the child, both parent?s work information, Physician?s contact information, addresses for the two required emergency contacts, chronic physical problems an allergies and action to take and previous childcare or school. The enrollment date was 01/03/2023. 4. Children # 5 did not have both parent?s work information, addresses for the two required emergency contacts, chronic physical problems an allergies and action to take and previous child care or school. The enrollment date was 12/7/2022.
Plan of Correction:	The director will have parent to complete the model form to ensure that all items are obtained from each parent. The completed form will be added to the computer system as an attachment.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the center failed to ensure that all chemicals were locked using a safe locking method that prevents access by children. Evidence: In a basket in the infant room, there was a container of cleaning chemical behind the diapering area. The chemicals were not in a locking mechanism that would prevent entry. There was a gate that was approximately 2 1/2 feet high around the diapering area. The chemicals were still accessible to staff and was not locked in a way that would prevent entry.
Plan of Correction:	The infant room will change the storage of the chemicals to ensure that all chemicals as are locked when not in use.
Standard #:	8VAC20-780-510-P
Description:	Based on review of medications and authorizations, the center failed to ensure that all medications were returned to the parent or guardian within 14 days after the authorization expired or disposed of by the center. Evidence: Medication authorization for Child # 2 expired 14 days after 11/7/2022. As of 04/03/2023, the medication had not been returned to the parent or disposed of by the center.
Plan of Correction:	The center will send the medication home with the child and will ensure that all timeframes are followed.
Standard #:	8VAC20-780-520-A
Description:	Based on observation of the nonprescription drugs, the center failed to ensure that all nonprescription drugs are used in accordance with the manufacturer?s recommendations. Evidence: Child # 2 that was 12 months old had non-prescription Infant pain reliever at the center and was administered to the child on 11/17/2022, and 02/20/2023. The manufacturer?s recommendation is for children under the age of 2 years to consult a physician to administer.
Plan of Correction:	In the future all MAT trained staff will look at the manufacturing directions prior to accepting a medication for a child.