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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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CDI HS Serving Frederick & Clarke Counties, VA Senseny Rd Center
1481 Senseny Road
Winchester, VA 22602
(540) 869-1558

Current Inspector: Maureen Gallagher-McLeod (540) 430-9259

Inspection Date: Jan. 8, 2019 and Jan. 10, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-191 Background Checks (22VAC40-191)
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Technical Assistance:
We discussed the requirements for hazardous substances and food served to children under age four years. The risk assessments for violations were provided. We talked about the procedure for checking and replacing electric outlet covers in the motor room and gym before each use by head start children.

Thank you for your assistance during the staff record review at the main office on January 8, 2019 from 1:55 PM to 2:40 PM and today's unannounced inspection from 10:20 AM to 2:55 PM. Today, there were forty children, ages three to five years, with six to eight staff. I viewed program activities, equipment, staffing, supervision, interactions with children, posted information, medication, emergency supplies and drill records, nutrition, five records for children, six staff records, staff qualifications, staff training, and indoor areas. The outdoor play area was not viewed due to the weather. You reported no concerns with outdoor conditions. The children enjoyed a variety of activity areas and options for using equipment and materials. Activities were planned according to the theme about buildings. Staff were seen providing adequate supervision during transitions. Let me know if you have any questions. 540/430-9259

Standard #: 22VAC40-185-280-B
Description: Based on observation of the areas used by children in the program, and interviews with staff, there was a hazardous substance accessible to children in the motor room and the cafeteria. Evidence. A pump container of QS Plus Instant Hand Sanitizer was on the metal heat vent, with a height of three feet, in the motor room. Also, there were two containers of the QS Plus Instant Hand Sanitizer on two low tables between the entrance and exit doorways for the food service lines in the cafeteria. There was one pump container of the hand sanitizer on a wall shelf unit at the front entrance wall in the cafeteria. According to the label, the main ingredient of the hand sanitizer was benzethonium chloride. The caution section of the label stated "Keep Out of the Reach of Children".

Plan of Correction: A teacher immediately moved the hand sanitizer in the motor room to a closet. After a conversation with a school custodian who was present in the cafeteria during lunch, it was decided that all hand sanitizers in the cafeteria will be stored in the custodian's locked cart cabinet during meals in the cafeteria. The teaching staff will make sure all hand sanitizers and toxic substances are never in areas children use.

Standard #: 22VAC40-185-560-F-4
Description: Based on observation of the lunch time, and interviews with staff, the center failed to ensure that children three years of age were not offered foods that are considered to be potential choking hazards. Evidence: Children were seen eating whole grapes that were served in plastic containers on their food trays. When questioned, staff indicated that there were two three year old children in each of the three groups (six total). The grapes were not cut for these children and staff indicated that grapes have been served during other lunches during the school year.

Plan of Correction: A teacher immediately requested knives for the teachers to use and the grapes remaining for the three year old children were cut. Also, some whole tomatoes were cut for some children who had them with their salad. The staff will make sure any known choking hazards will be served in a way that reduces the risk for children under age four years.

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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