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Belmont Head Start Child Development Center
1101 Jamison Avenue SE
Roanoke, VA 24013
(540) 857-4107

Current Inspector: Kelly Ann Campbell (540) 309-2494

Inspection Date: May 6, 2019 and May 7, 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.
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced Monitoring inspection was conducted in the center on May 7, 2019. There were 25 children present in two classrooms. Three staff were supervising the children's activities. A sample of 5 children's records was reviewed. Documentation of the annual fire and health inspections was current. Medications were observed in the center. Complete staff records were reviewed at the administration office on May 6, 2019 for 5 staff. The inspection was conducted from 10:30AM to 1:20PM. Findings were reviewed with the Family Development Specialist at exit. If you have questions, please contact this LI: elaine.moore@dss.virginia.gov Thank you.

Violations:
Standard #: 22VAC40-185-350-E-4
Description: Based on direct observations by the Licensing Inspector, the center failed to ensure staff to child ratios were maintained at all times, (4.) For children from three years to the age of eligibility to attend public school, five years by September 30: one staff member for every 10 children. Evidence: 1. Upon arrival in the center at approximately 10:30AM, the Licensing Inspector observed 12 children grouped in a classroom with one staff supervising the children. The ages of the children ranged from 3 to 5. 2. After lunch, the same group of children and staff member was observed during outdoor play on the fenced playground. Several parents were observed picking up their child from the play area between 12:40 and 12:45PM. The group was in ratio after approximately 12:42PM with the second child being picked up. 3. Two additional staff were observed in the center's office working at the computer.

Plan of Correction: The Education Coordinator and lead teacher will review center procedures to ensure ratios are always met.

Standard #: 22VAC40-185-510-G
Description: Based on reviewed documentation of medication administered by the center, the center had not obtained current written parental authorization prior to administering a medication; 4.) the center failed to administer a prescribed medication in accordance with the prescriber's instructions pertaining to dosage and frequency. Evidence: G. 2. The medication log for child a. noted that an as needed emergency medication was administered on 04/05/19, the authorization by the physician had expired 02/28/19. The parental authorization was signed on August 28, 2018. G. 4. The medication log for child a. indicated a medication was administered on 04/05/19, 2 puffs at 9:36AM and again at 10:00AM by staff A. and B. The dosage and frequency by the prescriber noted 2 puffs every 4 hours as needed. Staff A. indicated that she was not aware the medication was administered later by Staff B. whom is no longer working in the program.

Plan of Correction: The Health Coordinator will review medications in the center and will follow-up with staff. If needed, training will be conducted with staff.

Standard #: 22VAC40-185-510-N
Description: Based on reviewed medications and documentation to administer a medication, the center failed to notify the parent that the medication authorization expired and that the medication needed to be picked up within 14 days or the parent must renew the authorization. Evidence: The long term medication authorization form (Virginia Asthma Action Plan) for child a. signed by the prescribing physician on 02/28/18 expired on 02/28/19. The child's parent signed the form on 08/28/18. At the time of the inspection on 5/7/19, the prescribed medication was observed in the center.

Plan of Correction: The Health Coordinator will review procedures with staff. Addition training will be provided if needed. All medication forms will be reviewed and up to date.

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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