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Mile High Kids & Community Dev. , Inc. Head Start: Twin Canal
1484 Drawbridge Circle
Virginia beach, VA 23453
(757) 383-6983

Current Inspector: Trisha Brown (757) 404-2601

Inspection Date: Jan. 30, 2015

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.

Technical Assistance:
Today the following topics were discussed with the contact teacher, the family service staff and the classroom assistant; - When menu substitutions are served the changes must be posted in the center - Ensuring that all needed materials to handle emergency illnesses as children will suddenly become ill is important when caring for preschool c. The need to properly clean and disinfect surfaces and items contaminated with bodily fluids will require particular cleaning compounds. - Equipment and materials available in the classroom should be complete with all needed parts. If all the pieces are not available consider removing that item until is equipped for use. The sand table can hold a number of substances other than sand. Please remember to practice evacuation drills each month and 2 shelter-in-place drills each year. Upon receipt of the inspection documentation, the licensee must develop a plan of correction for each violation. The plan of correction must include the following: ? The steps to correct noncompliance with the standard(s); ? Measures to prevent reoccurrence of noncompliance; ? Person(s) responsible for implementation and monitoring of preventive measure(s); ? Date by which noncompliance will be corrected. The licensee will have ten calendar days from receipt of the inspection documentation to complete the section titled Plan of Correction, sign each page of the documentation and return it to the Licensing Office as soon as possible. The licensee should retain a copy to be posted at the facility (Supplemental Information is not to be posted due to confidentiality). Results of the inspection documentation are subject to public disclosure and will be posted on the VDSS web site within 15 calendar days, regardless of whether the Plan of Correction section is completed.

Comments:
An unannounced inspection of the facility and records was conducted today from 8:45am through 10:45am. There were 11 children in care with three staff. Interviews were conducted with children and staff present. Three children?s records were reviewed. Staff records are stored at a central location. Children were observed in teacher and self-directed activities including rest room routines,breakfast, music and movement story/circle time and center play activities. Any repeat violations and or areas of non-compliance are identified on the violation notice.

Violations:
Standard #: 22VAC40-185-280-B
Description: Based on observation and interview the center failed to ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. If a key is used, the key shall not be accessible to the children. Evidence: 1 - The storage/teacher closet in the classroom contains bleach, sanitizer and other chemical cleansers on the bottom shelf. 2 - The key used to unlock the door to closet was hanging on a length of yarn next to the door lock. The length of yarn is long enough that the key may be used to unlock the door with out removing the key from the hook on which length of yarn is hung. 3 - In the hanging position the key is within reach of children in care today. 4 - Upon entering the classroom the key was hanging within reach of children. 5 - Staff 1, 2 and 3 where shown that the key was accessible while in the hanging position. 6 - When shown that the key needed to hung on the hook by the key ring loop and not the length of yarn, staff 1 stated that she knew that. Staff 1 then demonstrated for staff 2 and 3 how the key should be hung on the hook in the future.q

Plan of Correction: Corrected during the inspection. Center management will ensure that all staff are properly trained in the proper method for hanging the key on the hook rather than allowing the key hang from the length of yarn that is attached to key. Center staff will each monitor the closet door throughout the day to ensure that the key is properly hung on the hook.

Standard #: 22VAC40-185-510-E
Description: Based on observation and interview the center failed to ensure that the child's name in on the medication. Evidence: 1 - A canister of Albuterol is present in the center. However, the canister is not labeled with a child's name. 2 - The canister of Albuterol is not in a prescription labeled box. 3 - There is not a prescription label attached to the canister of medication or the plastic applicator. 4 - Staff 3 confirmed that that the canister was not labeled with the child's name.

Plan of Correction: Corrected during the inspection. Center management will ensure that all medications are either in the prescription labeled container or the child's name will be written on the medication container.

Standard #: 22VAC40-185-510-J
Description: Based on observation, review of authorization documentation and interview the center failed to ensure that medication, except for those prescriptions designated otherwise by written physician's orders, including refrigerated medication and staff's personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1 - When asked staff 1 and 3 indicated that the one medication in the center, an inhaler, was stored on an open shelf over the teachers desk in the classroom. This is an unlocked location. 2 - Staff 1 and 3 explained that they were instructed that the medication was an emergency medication and therefore needed to stored in an unlocked location for easy access. 3 - The doctor's orders for the medication do not indicate that the medication must be kept in an unlocked place. 4 - The doctor's orders describe the child's need for the inhaler as "mild." 5 - Upon review of the doctor's orders and the licensing standard staff 1 and 3 confirm that medication was stored in unlocked location. However, it should be stored in a locked location as the doctor's orders do not state that the medication should be stored in an unlocked location.

Plan of Correction: Corrected during the inspection. Center management will ensure that unless doctor's orders state otherwise, all medications will be stored in a locked location.

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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