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CDI HS Serving Frederick & Clarke Counties, VA Poux Center
444 Shady Elm Road
Winchester, VA 22602
(540) 869-1558

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

Inspection Date: Oct. 8, 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.
22VAC40-80 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 immunization reports, posted emergency procedures/maps, and criminal record checks. The risk assessments for violations were provided.

Also, we reviewed requirements for documenting injury treatments and playground maintenance.

Comments:
Thank you for your assistance during today's unannounced monitoring inspection conducted from 10:19 AM to 1:35 PM. Today, there were twenty-five children, ages three to five years, with four to five staff. I viewed program activities, daily routines, equipment, staffing, supervision, interactions with children, posted information, medication, injury records, agency inspections, five records for children, five staff records, staff qualifications, staff training, nutrition, menu, diapering procedures, indoor and outdoor areas. The children have enjoyed group activities and have been learning about colors. A variety of age appropriate equipment and materials have been available in the classrooms and outside. Active play was enjoyed in the indoor space used for gross motor experiences. The teachers were observed providing frequent interactions with children and attending to children's individual needs.

Let me know if you need any assistance. 540/430-9259

Violations:
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 ensure that all immunization reports included required information. Evidence: The the immunization information for child 2 was a list of vaccine dates and did not include a signature by a physician or designee.

Plan of Correction: An administrative staff person will arrange to obtain a copy of an immunization report that includes a signature by a health care provider. Listed dates for immunizations will not be accepted as a complete record for enrollment.

Standard #: 22VAC40-185-550-C
Description: Based on a review of the posted emergency procedures/maps, and an interview with administrative staff, the center failed to include all required procedures. Evidence: The posted maps in the two classrooms did not include shelter-in-place procedures. Only the evacuation routes were designated on the maps. Staff confirmed the maps were redone since the last school year.

Plan of Correction: The shelter-in-place location for tornado warnings was immediately added to the maps.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on a review of five records for staff, and an interview with administrative staff, the center failed to ensure that the fingerprint results and criminal record findings were received prior to initial employment of staff. Evidence: Staff member began work on August 19, 2019. The file included information about a fingerprint appointment on August 16, 2019. However, the results of the criminal record check was dated September 12 2019.

Plan of Correction: The administrative staff will use a tracking system during the hiring process to make sure there is follow-up to obtaining the criminal record findings after staff submit to fingerprints so that the required background check is obtained prior to initial employment.

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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