VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Valley Health Child Care Center
1842 & 1846 Amherst Street
Winchester, VA 22601
(540) 536-8815

Current Inspector: Amy Tomblin (804) 629-3923

Inspection Date: May 18, 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 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

8VAC20-780-520-C-4 8VAC20-780-500-A-1 8VAC20-780-560-F-5

Comments:

An unannounced monitoring inspection was conducted on 05/18/2023 from 9:45 a.m. to 2:45 p.m. There were 84 children present, ranging in ages from four months old to five years old with 21 staff supervising. 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 nine child records and 11 staff records were reviewed. 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. If you have any questions or concerns, please contact the Licensing Inspector at (804) 629-3923.

Violations:

Standard #:	8VAC20-780-130-E
Description:	Based on review of records and interview, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #8?s birthdate is 02/07/2021. Child #8?s start date was 05/04/2021. The vaccinations on file were dated 04/30/2021, 03/11/2022 and 06/20/2022. 2. Staff #10 confirmed that the center did not obtain documentation of additional immunization once every six months for Child #8.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-380-A
Description:	Based on observation and interview, the center failed to ensure that there was a daily schedule posted for toddlers and preschoolers. Evidence: 1. In the Pathfinders 2 classroom, there was no daily schedule posted. Staff #11 and #12 confirmed there was no daily schedule posted and that the age of the children were 19 months to 2 years old. 2. In the Trailblazers 2 classroom, there was no daily schedule posted. Staff #13 confirmed that there was no daily schedule posted and that the ages of the children were four to five years old. 3. In the Creators 3 classroom, there was no daily schedule posted. Staff #14 confirmed that there was no daily schedule posted and that the ages of the children were three to four years old.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-520-A
Description:	Based on observation and interview, the center kept over-the-counter skin products past their expiration date. Evidence: 1. In the Adventure 2?s classroom, there was one container of Up and Up Brand Diaper Rash Paste labeled for Child #6 which had an expiration date of 1/2023. Staff #2 confirmed that the medication was expired. 2. In the Adventure 2?s classroom, there was one container of Desitin Multipurpose Ointment which had expired. Staff #2 confirmed that the medication was expired. 2. In the Adventure 2?s classrooms, there was Benadryl labelled for Child #10 which had and expiration date of 4/2023. Staff #2 confirmed that the medication was expired. 3. In the Pathfinder 2 classroom, there was Babyganics Sunscreen (SPF 50+) which was labelled for center use that had an expiration date of 09/2022. Staff #12 confirmed that the medication was expired.
Plan of Correction:	Not available online. Contact Inspector for more information.