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HoneyTree Early Learning Center - Hunting Hills
4330 Franklin Road S.W.
Roanoke, VA 24014
(540) 725-3505

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: Nov. 7, 2018

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.
22VAC40-191 Background Checks (22VAC40-191)
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
63.2 Facilities & Programs.

Comments:
The licensing inspector conducted an unannounced monitoring inspection, at which play groups, outdoor time, activities, music, personal hygiene, lunch time, and rest time were observed. Children were observed; and staff and children files and other documentation were reviewed. Fifty-seven (57) children, aged 2 months-4 years, were found to be in care with 10 staff, kitchen staff, and administrative staff. Previous violations were reviewed, and had been corrected. There were 7 violations, in 6 different areas, of the standards cited during this inspection. Please contact me if you need further assistance. Thank you for your cooperation. This inspection began at 9:15am and concluded at 1pm.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on review of the children files the facility failed to maintain compliance with this standard as required relating to emergency contact information. Evidence: Child file #5 did not have phone numbers for the listed emergency contacts as required.

Plan of Correction: The phone numbers will be obtained from the parent and recorded in the file as required. Files will be updated by administration and corrections/updates will be made to ensure continued compliance.

Standard #: 22VAC40-185-240-D-4
Description: Based on review of documentation and consultation with staff the facility to maintain compliance with this standard as required relating to medication administration . Evidence: There are only 2 staff currently trained in MAT. Daily between 4:15pm-5pm there is no staff on site who is trained in MAT, and there is a child present during that time who has an emergency medication (albuterol) that is administered frequently, and was administered during the inspection.

Plan of Correction: We are working towards getting more staff MAT trained. Schedules will be adjusted to accommodate this if at all possible until more staff become certified. Also other certified staff will be used, from other locations, to fill the void in the interim to ensure compliance.

Standard #: 22VAC40-185-270-A
Description: Based on observations the facility failed to maintian complaince with this standrd as required relating to cleanliness of the air return vents. Evidence: In both 2 year old classes the wall vents were dirty with dust build up, and had debris visible behind the vent in the duct as well.

Plan of Correction: A maintenance request has been made to take care of this issue. These areas and others will continually be monitored for cleanliness and compliance moving forward.

Standard #: 22VAC40-185-350-F
Description: Based on observations and review of documentation the facility failed to maintain compliance with this standard as required relating to moving up of children and corresponding documentation. Evidence: Child #6, who is not yet 2, was in the 2 year old classroom with the 1 staff to 8 children ratio during this inspection (11/7/18), on 11/5/18, and on 11/6/18. There was no documentation of the required early move-up forms/assessment in the file or available as required. There were 7 children in care with 1 staff in this classroom during the inspection. The required ratio would have been 1 staff to 5 children due to the age of child #6, and lack of required documentation to be in that classroom.

Plan of Correction: The required forms and assessments will be completed so that hte child may be in the 2 year old class moving forward. In the future, this will be obtained for any child who will need to move up a bit early for developmental reasons.

Standard #: 22VAC40-185-500-B
Description: Based on observations the facility failed to maintain compliance with this standard as required relating to diaper disposal. Evidence: In the 2 year old class room (#1) there was no liner in the foot pedaled diaper disposal can when the LI inspected the classroom. There was a dirty diaper wrapped up in gloves sitting on the shelf above the toilet. When the LI was in the class room again, the children were coming back inside from outdoor play, and the teacher then placed the liner in the can. The second 2 year old classroom had a lined foot pedaled diaper disposal can, but the foot pedal when pressed did not open the lid as required.

Plan of Correction: Staff will be reminded of the morning routines of checking their rooms for compliance and correcting any issues they observe. They will also be reminded that if something is not working properly, to inform the office so the item can be fixed or replaced for compliance.

Standard #: 22VAC40-185-550-D
Description: Based on review of documentation the facility failed to maintain compliance with this standard as required relating to monthly emergency drills. Evidence: There was no documentation of practiced monthly escape drills for September and October 2018 as required.

Plan of Correction: Drills will be conducted monthly and documented to maintain compliance.

Standard #: 22VAC40-185-560-F
Description: Based on observations the facility failed to maintain compliance with this standard as required relating to posting of the menu. Evidence: The posted menu observed during the inspection was for October 2018, not for the current month of November 2018.

Plan of Correction: The corrected menu was copied and posted in place of the old menu during the inspection. The kitchen staff will ensure that the menu is posted for the correct month moving forward for compliance.

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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