VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Main Street Day Care Center, Inc.
202 North Main Street
Suffolk, VA 23434
(757) 539-3431

Current Inspector: Melinda Popkin (757) 802-5281

Inspection Date: Jan. 30, 2020

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 LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:

The Auvi-Q training is available at http://mat.medhomeplus.org/mat/

Comments:

Licensing Inspector arrived at 10:00 and departed at 11:45 AM to conduct a routine monitoring inspection. At the time of the inspection, there were 94 children ages infant through preschool in care with 15 staff persons. Children were observed participating in circle time, free play, and outdoor play. Violations observed are on the attached violation notice.

Violations:

Standard #:	22VAC40-185-160-A
Description:	Based on review of seven staff records, it was determined that the facility did not ensure that all staff had documentation of a negative tuberculosis (Tb) screening on file no later than 21 days after employment. Evidence: Staff #2 (date of hire 12/10/19) did not have documentation of a negative Tb screening on file.
Plan of Correction:	Staff has been scheduled for a Tb screening at local Health Department.
Standard #:	22VAC40-185-160-C
Description:	Based on review of seven staff records, it was determined that the facility did not ensure that an updated tuberculosis (Tb) screening was obtained every two years from the date of the last screening. Evidence: The following staff had Tb screenings on file more than two years old: - staff #3 (last screening 12/13/17) - staff #5 (last screening 12/20/17)
Plan of Correction:	Staff has been scheduled for a Tb screening at local Health Department.
Standard #:	22VAC40-185-510-A
Description:	Based on a review of medication, it was determined that the facility did not ensure that medication given to a child had written authorization from the parent. Evidence: The medication for child #10 (Proair HFA inhaler) did not have any authorization. This medication was administered 12 times between 3/30/19 and 1/29/20.
Plan of Correction:	To ensure the has written authorization from the parent, an updated medication form been requested. The parent will provide the office authorization from physician ASAP. The center returned the medication to the parent and will not administer meds until form is returned.
Standard #:	22VAC40-185-510-G
Description:	Based on a review of medication, it was determined that the facility did not ensure that medication to be administered to a child had parental authorization. Evidence: The authorization for the medication for child #8 (Auvi-Q) did not include the parent's signature.
Plan of Correction:	Parent signed medication authorization at pickup.
Standard #:	22VAC40-185-510-N
Description:	Based on a review of medication, it was determined that the facility did not ensure that medication was returned to the parents or disposed within 14 day of the expiration of the authorization. Evidence: There was an over-the-counter medication (Little Remedies Gas Drops) for child #7. The authorization was dated 12/10/19, expiring 12/24/19 as there was no physician's signature. The medication was still present at the facility.
Plan of Correction:	Medication was returned to parent and updated medication authorization was requested.
Standard #:	22VAC40-191-60-C-2
Description:	Based on review of seven staff records, it was determined that the facility did not ensure that all staff had a completed search of the central registry on file within 30 days of employment. Evidence: Staff #2 (date of hire 12/10/19) did not have a completed search of the central registry on file.
Plan of Correction:	The request for a search of Central Registry Information was resent. If search results are not received within 2 weeks, then follow up with the DSS Office of Background Investigation to ensure that the request was received.