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Covesville Child Development Center
5527 Covesville Lane
Covesville, VA 22931
(434) 245-9133

Current Inspector: Barbara Workman

Inspection Date: Feb. 24, 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.
22VAC40-80 THE LICENSING PROCESS.
32.1 Report by person other than physician
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
We discussed the requirements for children's records, staff records, daily health observation training and posted information. The risk assessment for violations were provided. We talked about the importance of snow removal on the fire escape stairway for the upstairs classroom. Also, we talked about the arrangements available for extra staffing during diaper changes. I was not able to determine compliance with the resilient surfacing at the outdoor play equipment due to the snow.

Comments:
Thank you for your assistance during the unannounced renewal inspection conducted from 11:55 AM to 5:25 PM. Today, there were eighteen children, toddler and preschool age, with four staff. I viewed program activities, staffing, supervision, interactions with children, equipment, five staff records, staff qualifications, staff training, four records for children, insurance, agency reports, posted information, emergency supplies and drill records, medication, diaper ointment, diapering procedures, daily routines, indoor areas. The children were provided frequent interactions with their teachers and attentive supervision. Staff have planned a variety of learning opportunities for each age group. There have been regular creative art activities. Staff have participated in regular training opportunities during the year. The recommendation for a renewed regular license will be made after a current health inspection report is received. Let me know if you have any questions. 540/332-9173

Violations:
Standard #: 22VAC40-185-150-B
Description: Based on a review of four records for children, and an interview with administrative staff, there were missing physician or designee signatures on two immunization reports and a physical examination report. The computer generated summaries for physical exam information dated May 14, 2014 and August 6, 2014 for child 2 did not include an actual signature or an electronic signature. The initial immunization reports obtained for child 3 and 4 by the enrollment dates of August 11, 2014 did not include a signature by a physician or nurse. The later reports obtained on September 5, 2014 for child 3 and 4 did include the physician's signature.

Plan of Correction: The director talked to the parent of child 2 during today's pick-up and arrangements were made immediately so that a signed school entrance form with the required reports were received by FAX. The director will communicate the need for signed immunization and physical examination reports when parents are enrolling children. The director or assigned staff person who accepts paperwork for new children will review the reports to make sure they include all required information.

Standard #: 22VAC40-185-70-A
Description: Based on a review of five staff records, and an interview with administrative staff, the promotion information was not documented for staff member 2's record. Evidenced: The promotion date and change in position was not written in the file when the staff member started working as a teacher. There was only a sheet with documented qualification training and the original date the staff member started as a teacher's aide.

Plan of Correction: The director added the promotion date and the change for the position title to the staff member's file. The director will use a consistent format for documenting changes with job titles in staff records so that it is clearly written at the time a change occurs.

Standard #: 22VAC40-185-240-D-5
Description: Based on a review of the training records for staff, and an interview with administrative staff, there is not at least one staff member on duty who has obtained current instruction in performing the daily health observation of children during the last two hours of each day. Evidence: One staff with current training works from 7:00 AM to 4:00 PM. Two staff who work either until 5:00 PM or until closing time at 6:00 PM had daily health training that expired January 28, 2015. The administrative staff indicated that training by a local agency would not be available until April 2015.

Plan of Correction: The director will ask a local physician to provide the daily health observation training to two staff and include the required topics for meeting the licensing standards. At least one staff member will take the April course. The director will plan and schedule training for staff in advance of expiration dates and when there are changes with staff coverage.

Standard #: 22VAC40-185-380-A
Description: Based on a review of the posted information, and an interview with administrative staff, there was not a posted daily schedule for the upstairs pre-kindergarten group. Evidence: The classroom did not have the scheduled times for activities and routines posted in the classroom. Staff indicated there were recent re-arrangements in the room and the schedule was not put up again.

Plan of Correction: The program director will work with the teacher to replace the written daily schedule and post this information in the upstairs classroom.

Standard #: 22VAC40-185-550-C
Description: Based on a review of the posted emergency procedures/maps for each floor, and interviews with staff, the upstairs posted emergency map did not include the procedures for shelter-in-place. Evidence: The emergency procedures/map posted on the back of the classroom door only included evacuation procedures.

Plan of Correction: The program director will make another map which will include both the evacuation and the shelter-in-place procedures. The map will be posted in the upstairs classroom where it can be viewed at all times.

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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