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Generations Crossing
3765 Taylor Spring Lane
Rockingham, VA 22801
(540) 434-4901

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

Inspection Date: Jan. 28, 2019

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.
22VAC40-80 THE LICENSING PROCESS.
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 updating immunization records. Also, we talked about the requirements for documenting parent notification of injuries, hand washing routines when diapering children, and infant records when children are fed formula.

Comments:
Thank you for your assistance during today's unannounced monitoring inspection conducted from 9:57 AM to 5:00 PM. Today, there were sixty-seven children, ages infancy through five years, in care during the day with twelve staff. It was reported that two school age children received supervision before school this morning. Fourteen children attended after school activities with one staff member. I viewed program activities, daily routines, infant care and records, staffing, supervision, interactions with children, posted information, equipment, nutrition, meals/snacks, medication, diapering procedures, six records for children, injury records, emergency supplies and drill records, eleven staff records, staff qualifications, staff training, agency inspection reports, insurance, indoor and outdoor areas. The children have enjoyed a variety of age appropriate toys and play equipment. Regular activities have included art, stories, group discussions, music, and activity time with the adult center. Staff were observed providing frequent interactions with children and responding to individual needs for care and attention. Organized record keeping systems have been utilized. Let me know if you have any questions. 540/430-9259

Violations:
Standard #: 22VAC40-185-130-C
Description: Based on a review of six records for children, and an interview with administrative staff, the center failed to obtain documentation of additional immunizations at least once between one child's fourth and sixth birthday. Evidence: Child 6 became six years old earlier in January 2019 and the last updated immunization record was obtained on August 24, 2016.

Plan of Correction: The executive director immediately contacted the parent and an updated immunization report from the health care provider was received by FAX this afternoon on January 28, 2019. Administrative staff will review the other records of school age children to make sure all required updated immunization records were obtained for each file. Administrative staff will request the updated immunization records as children prepare for kindergarten.

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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