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Mini-World Child Care Center, Inc. - Botetourt
3199 Read Mountain Road
Roanoke, VA 24019
(540) 992-6651

Current Inspector: Julia Kimbrough (276) 608-4267

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)
63.2 Facilities & Programs.

Comments:
An unannounced monitoring inspection was conducted in the center on January 28 and concluded on January 29, 2019. The Licensing Inspector arrived to the center at approximately 1:15PM on January 28th. There were 85 children present during the inspection. The children were separated in 6 groups (classrooms) according to their age. This Licensing Inspector observed several groups in the lunch room during afternoon snack, several groups of children were observed on the outdoor playgrounds and the school-age children were observed in their classrooms. A sample of 8 children's records was reviewed. A sample of 5 staff records was also reviewed. Medications were observed in the center. Documentation of the center's annual fire and health inspections was current. The center was clean and organized. Each classroom was equipped with age appropriate materials. The children's art work was displayed in the preschool room. Findings of the inspection were reviewed with the Program Director at exit. If you have any questions, please call this LI at (540)309-2310 or e-mail: elaine.moore@dss.virginia.gov. Thank you.

Violations:
Standard #: 22VAC40-185-510-E
Description: Based on a review of medications, the center failed to ensure medications were labeled with the dosage amount. Evidence: Over-the-counter medications and the parental written authorizations for two children did not identify the dosage amount (children a. over-the-counter medication) (child c. a prescribed medication and an over-the-counter medication).

Plan of Correction: The Program Director will contact each parent for a review of the authorizations and medications. The PD will ensure the documentation is complete and the medication is labeled with the dosage amount.

Standard #: 22VAC40-185-510-G
Description: Based on a review of medication and documentation of the administration record, the Center failed to administer a prescribed medication in accordance with the prescriber's instructions pertaining to dosage, frequency, and manner of administration. Evidence: The LI reviewed a medication for child e. and the child's medication administration record (MAR). The MAR indicated the medication was administered every 4 hours on the following dates (12/14/18 @11:15am and 3:15pm; 2 puffs), (01/15/19 @ 10:20am and 2:20pm; 2puffs) and (01/17/19 @ 10:10 am and 2:02pm, 2puffs). The record noted that the parent had requested the medication to be given scheduled every 4 hours, no conditions or symptoms were noted on the MAR. The pharmacy label on the prescribed medication indicated that the medication was to be administered 2 puffs every 6 hours, as needed for asthma-like symptoms.

Plan of Correction: The Program Director will review the center's medication policies with all medication administration trained staff. The Staff will follow physician orders for all medications. The parent will be contacted to be informed that the Center will follow physician's orders for administration, and if a change is requested, a new physician's order must be in the center prior to the administration of the medication.

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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