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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: June 6, 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(17) License & Registration Procedures
63.2 Facilities & Programs.

Technical Assistance:
We discussed the requirements for infant formula records, medication and background checks for staff. The risk assessments for violations were provided. Also, we talked about staff positioning on the playground to ensure supervision, and placement of infant's supplies during diaper changes.

Comments:
Thank you for your assistance during the unannounced renewal inspection conducted from 10:22 AM to 5:00 PM. Today, there were seventy-nine children, ages infancy through nine years, with thirteen to fourteen staff. I viewed program activities, equipment, daily routines, staffing, supervision, interactions with children, infant care and records, diapering procedures, nutrition, food service, agency inspection reports, insurance, injury records, updated/annual reviews of procedures, medication, emergency supplies and drill records, seven records for children, nine staff records, staff qualifications, staff training, background checks for representatives of the business, posted information, indoor and outdoor areas. There was a large selection of age appropriate toys, equipment and materials available for each group of children. Staff provided frequent interactions with the children and responded to individual children's needs for care and comfort. The staff have participated in regular training opportunities. The children were greeted upon arrival and teachers oversaw departures. Issuance of a renewed license will be recommended. Let me know if you need any assistance. 540/430-9259

Violations:
Standard #: 22VAC40-185-510-E
Description: Based on a review of medication for four children, and interviews with staff, the center did not ensure that prescription medication for one child was labeled as required with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: A plastic container with emergency medication for child 4 only had the child's name written on it and was not in the original container with the prescription label.

Plan of Correction: The parent was immediately contacted and arrangements will be made to obtain a container with the prescription label for child 4. The executive director will review medication requirements with M.A.T. certified staff who accept medication from parents to make sure they understand the requirements for medication.

Standard #: 22VAC40-185-570-C
Description: Based on a review of formula feeding records for infants, and interviews with staff, there was required information missing for three children's records. Evidence: Child 1F had a feeding schedule record for feeding whole milk and no written information for commercial formula. However, there was a container of emergency formula stored at the center and the infant teacher indicated that they feed child 1F infant formula from bottles. Chid 2F had a feeding schedule record for breast milk. However, the infant teacher indicated that they feed a mix of breast milk and commercial formula to child 2F and the brand of formula and feeding times/amounts were not added to the record. The feeding schedule record for child 3F only stated "formula" and "breast milk" and did not include the brand of commercial formula, times and amounts. The staff indicated that feeding schedules are posted on a wipe board in the room and not maintained as part of individual records.

Plan of Correction: Based on a review of formula feeding records for infants, and interviews with staff, there was required information missing for three children's records. Evidence: Child 1F had a feeding schedule record for feeding whole milk and no written information for commercial formula. However, there was a container of emergency formula stored at the center and the infant teacher indicated that they feed child 1F infant formula from bottles. Chid 2F had a feeding schedule record for breast milk. However, the infant teacher indicated that they feed a mix of breast milk and commercial formula to child 2F and the brand of formula and feeding times/amounts were not added to the record. The feeding schedule record for child 3F only stated "formula" and "breast milk" and did not include the brand of commercial formula, times and amounts. The staff indicated that feeding schedules are posted on a wipe board in the room and not maintained as part of individual records.

Standard #: 22VAC40-191-60-C-2
Description: Based on a review of nine records for staff, and an interview with administrative staff, the center failed to obtain a Virginia central registry finding for two staff within thirty days of employment. Evidence: Staff member 8 began work on March 12, 2019 and there were only criminal history record checks obtained for the record. Staff member 9 began work on February 26, 2019 and there were only criminal history record checks obtained for the record. A second type of criminal history check had been obtained instead of the central registry finding for each.

Plan of Correction: The executive director immediately provided the request forms for the Virginia central registry checks to staff member 8 and 9. The center administration will make sure the findings are obtained, viewed and maintained in the file. The executive director will make sure all types of required background checks are obtained within the required time frames when new staff are employed.

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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