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Community Care and Learning Center
189 East Lee Highway
New market, VA 22844
(540) 740-2804

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

Inspection Date: July 18, 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(17) License & Registration Procedures
63.2 Facilities & Programs.

Technical Assistance:
We discussed the requirements for posting information, children's immunization and physical examination records, diaper disposal, verification of age and identity, orientation training records, hand washing, and insect repellent. The risk assessments for violations were provided. We reviewed requirements for storage of air freshener sprays, resilient surfacing and fall zones, climbing equipment height, labeling of sunscreen and insect repellent containers, and emergency drill frequency. Also, we talked about some of the subsidy health and safety requirements. You were encouraged to review the licensing standards and subsidy requirements. Monthly training is offered at the Valley Licensing Office.

Comments:
Thank you for your assistance during the unannounced inspection conducted from 10:25 AM to 5:00 PM. Today, there were two preschool children supervised by one to three staff. I viewed program activities, daily routines, staffing, supervision, interactions with children, equipment, posted information, sunscreen, insect repellent, menu, nutrition, three records for staff, staff qualifications, staff training, five records for children, emergency supplies and drill records, indoor and outdoor areas. The children have been provided regular outside activities, weather permitting. They have gone outside earlier in the morning during the hot weather. A variety of choices for play and use of learning materials were available at various interest areas. Staff provided adequate supervision and frequent interactions with individual children. It is important to make sure staff know the minimum standards and all applicable requirements. As a reminder, maintaining compliance with the minimum standards is the responsibility of the licensee. Let me know if you need any assistance. 540/430-9259

Violations:
Standard #: 22VAC40-185-140-A
Description: Based on a review of five records for children, and an interview with administrative staff, the center failed to obtain physical examination records for two children either prior to attendance or within one month after initial attendance. Evidence: Child 2 and 3 began attendance on June 10, 2019 and there were only immunization reports in each child's file.

Plan of Correction: The administrator immediately called the children's parent and left a message regarding the need to provide the physical examination records. The information will be obtained and viewed before filing. In the future, if a physical examination record is not provided by parents by the first day of attendance, then the administrative staff will use a reminder system for obtaining the required records within the first month of attendance.

Standard #: 22VAC40-185-150-B
Description: Based on a review of five records for children, and an interview with administrative staff, the center failed to obtain all information for an immunization report for one child. Evidence: The immunization information obtained for child 5 when she enrolled to start on June 19, 2019 did not include a signature by a physician or the physician's designee. It was a printed school system record of immunization dates.

Plan of Correction: The administrator is contacting the parent today and requesting a signed immunization report from the health care provider. In the future, the administrative staff who accept enrollment records from parent will make sure the immunization records include all required information.

Standard #: 22VAC40-185-40-G
Description: Based on a review of five records for children, and an interview with administrative staff, the center failed to meet the proof of child identity and age requirements for two enrolled children as stated in the Code of Virginia. Evidence: There was no documentation in the files of child 1 and 2 that an acceptable form of proof of age and identity was viewed and documented or a copy of the document viewed, such as a birth certificate or hospital letter, was obtained for the record.

Plan of Correction: The administrator immediately began contacting parents about the need to view a birth certificate or hospital letter. The allowed form of proof of age and identity will be documented as required or a copy obtained within the next seven business days or a notification to the proper law enforcement agency will be made and documented as required by state law.

Standard #: 22VAC40-185-70-A
Description: Based on a review of staff records, and interviews with administrative staff, the center failed to include all required information in three staff records. Evidence: Written information to demonstrate that the orientation training required by the job position was not completed on the orientation checklist forms for staff member 1, 2 and 3. There were only signatures at the end of the forms and no dates of training written with the listed required topics.

Plan of Correction: The administrator will complete the documentation, including dates, on each of the orientation training checklist forms. The administrative staff will make sure all required documentation is completed at the time of orientation for new staff.

Standard #: 22VAC40-185-380-A
Description: Based on observation of the posted information, and an interview with administrative staff, the center did not have a posted daily schedule that allows for flexibility as children's needs require. Evidence: A generic daily schedule with times for snacks, lunch, nap, indoor and outside activities was not seen at the bulletin board near the entrance. When asked, staff indicated the planned activities for the week was by the entrance on a shelf. The daily schedule was in the office with records.

Plan of Correction: The administrator immediately made a copy of the daily schedule and posted it on the bulletin board.

Standard #: 22VAC40-185-500-A
Description: Based on observation of the lunch routine, and interviews with staff, there was not a hand washing routine for children after they ate snacks and meals. Evidence: Two children who stopped eating lunch left the table where they were seated and each went to an activity area of their choice. Child 1 was observed in the book area sitting and reading a book. Child 2 went to the block area and was playing with materials from a car mechanic play kit. When questioned, staff indicated that hand washing has been conducted before lunch and snack time and not after children finish eating.

Plan of Correction: After the discussion about hand washing requirements, the children were brought to the sink to wash hands. The staff who supervise children will make sure children go directly to the sink to wash hands after they eat and before using center materials and equipment.

Standard #: 22VAC40-185-500-B
Description: Based on a review of the diapering procedures, and interviews with staff, the center failed to ensure that the diapers have a disposal system in a container where the diapers have always been disposed in a leakproof or plastic-lined storage system with a lid that is foot operated and staff's hands have had no contact with the exterior surface Evidence: Staff indicated that "pull-up" style diapers removed from child 1 have been dropped into the open container next to the bathroom sink where children and staff dispose of used paper towels. At times, the diaper has been put in a plastic bag first. After nap time today, it was disposed of in the open container without any containment in a plastic bag before disposal.

Plan of Correction: The administrator will purchase a step-on disposal container and make sure staff know to use it with a disposal lining and always open and close the lid using the foot pedal.

Standard #: 22VAC40-185-520-D
Description: Based on a review of sunscreen and insect repellent, and an interview with administrative staff, when insect repellent was used, the center failed to keep a record that included the child's name, date of use, and frequency of application. Evidence: An Avon Skin-So-Soft container was labelled as both sunscreen and insect repellent. Administrative staff said it had been applied to child 1 in attendance at the center since June 10, 2019. There was not a log form with documentation for each application.

Plan of Correction: The administrator will make sure form for documentation of each use of the inspect repellent is available for staff who apply insect repellent brought from home.

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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