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Horizons Hampton Roads @ Portsmouth Regional School
7336 Granby Street
Norfolk, VA 23505
(757) 412-0249

Current Inspector: Emily Walsh (757) 404-2575

Inspection Date: July 20, 2017

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 from 9am ? 12:30pm. There were 100 children in care with eight staff ages five to 12 years old. Children and staff records were reviewed. Children were observed in teacher and self-directed activities including breakfast, transitions to swimming classes, restroom routines, hand washing and lunch. Violations regarding medication policies, program leader qualifications, personal items and over the counter medication were observed and appear on the violation notice.

Violations:
Standard #: 22VAC40-185-40-E
Description: Based on observation and interview the center failed to maintain compliance with the standards and the center?s own policies and procedures that are required by these standards. Evidence: The center?s policies and procedures state: - A ?Physician?s Request for Administration of Medication?, if required, must be completed by the ordering MD, signed by a parent/guardian, and on file at the HHR school site. - Medication must be brought to school by the parent/guardian in a container, appropriately labeled by a pharmacy. - Duration of order must be specified by the ordering physician. However, one of eight medications and over the counter skin care products reviewed did not have documentation to show that the center?s policies are being followed. 1 ? The medication authorization for child 1 expired 2/2017, the prescription for the medication expired 1/24/2017 and the doctor?s orders for administration of the medication was dated 6/2016. 2 ? The physicians? names on the medication, authorization, and orders are three different names. 3 ? Staff 1 stated that child 1 brought the medication to school in her backpack.

Plan of Correction: Center management contacted the parent and informed that if they did not come in and pick up the medication it would be discarded. Center management will remind and retrain all staff regarding center polices on medication administration.

Standard #: 22VAC40-185-340-D
Description: Based on observation and record review the center failed to ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Evidence: 1 - Staff 4 stated that he was the program leader of the 7th grade classroom. There were eight children present including two, 12 year old children. 2 - Review of the record for staff 4 does not contain documentation to support the qualification of a program leader.

Plan of Correction: A teacher called in sick this morning. The site director called looking for subs. Failing to find a sub she assigned a staff 4 who is a college graduate with some education/child care credits and experience, to supervise the class. between meals and group activities the only time he was the lead supervisor was between 10 and 11:30am. This is a 7th grade class with 2 children who are 12 years old. The rest of the day they are in the presence of certified teachers.

Standard #: 22VAC40-185-430-I
Description: Based on observation and interview the center failed to ensure that personal articles when used they are individually assigned. Evidence: 1 - There are two containers of deodorant in the 3rd grade locked bag that are not labeled with the owner's names. 2 - Staff 2 and 3 confirmed that the deodorant is not labeled with the owner's names.

Plan of Correction: Corrected during the inspection. Center management will remind and retrain all staff regarding the need for all personal items to be labeled with the owner's name.

Standard #: 22VAC40-185-520-B
Description: Based on medication review and interview the center failed to ensure that sunscreen is labeled with the child's name. Evidence: 1 - One spray container of banana boat sunscreen was not labeled with the owner's name. 2 - Staff 2 and 3 confirmed that the sunscreen did not have the owner's name written on the container.

Plan of Correction: Corrected during inspection. Going forward center management will remind and retrain all staff of the necessity for writing the owner's name on each container of sunscreen.

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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