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HoneyTree Early Learning Center - Hunting Hills
4330 Franklin Road S.W.
Roanoke, VA 24014
(540) 725-3505

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date:

Complaint Related: No

Violations:
Standard #: 22VAC40-185-50-A
Description: Based on the inspector's observations and review of a child's record, the center failed to ensure a child's record was kept in a confidential manner. Evidence: The inspector observed an allergy list posted posted on a wall in the Little Lions II classroom and two Epi-Pens with prescription labels . Child #1 is on the allergy list with allergy list and had a posted Epi-Pens and did not have written permission from the parent to post either. The information is required to kept confidential unless otherwise authorized by the parent.

Plan of Correction: The Epi-Pens were removed by the next program day and permission was obtained to post the child's allergies in the classroom.

Standard #: 22VAC40-185-60-A
Description: Based on the inspector's review of eight of two hundred fourteen children's records, the center failed to ensure a portion of the sample had all of information required by this standard. Evidence #1: The inspector reviewed a sample of children's records and the record for child #6 does not have the physical address for two out of two required emergency contacts.

Plan of Correction: The address for the emergency contact was obtained at the end of the program day. Records will be audited for completeness.

Standard #: 22VAC40-185-280-B
Description: Based on the inspector's observations, the center failed to ensure hazardous substances were kept in a locked place using a safe locking method. Evidence #1: The inspector observed the Little Lions I classroom with toddler age children in care. There was a generic bottle labeled "bleach/water" on the shelf above the diaper changing table. Diaper changing was not taking place during the time of observation and the sanitizer is required to be stored in a locked manner. Evidence #2: The inspector observed Itsy Elephants I with a combined group of infants and toddlers. The Licensing inspector observed a container of odor absorber on a shelf above the diaper changing table. The label stated "keep out of reach of children" and "harmful if swallowed". The item is considered a hazardous substance and is required to be kept in a locked manner.

Plan of Correction: The PD reviewed the requirements for locking items considered to be hazardous substances.

Standard #: 22VAC40-185-340-D
Description: Based on the inspector's observations and review of a sample of six out of twenty-three staff records, the center failed to ensure a grouping of children were in care of a staff member with program leader qualifications. Evidence: The inspector observed Little Lions I classroom and there was one staff member in the classroom. The record for staff that staff member (#6) was reviewed and there was not documentation to substantiate program leader qualifications for the staff member. At least one staff member is required to meet program leader qualifications in each grouping of children.

Plan of Correction: The PD will ensure the staff member is under the supervision of a program leader until PL qualifications are documented in the staff member's record. Staff will not be allowed to be in charge of a group of children without PL qualifications.

Standard #: 22VAC40-185-350-C
Description: Based on the inspector's observations in the lower school age building, the center failed to maintain ratio according to the youngest child in care. Evidence: The inspector observed a group of children in the lower building. The children were seated in the area with booth style seating. The group consisted of one staff member with twelve children. Two children in the group are currently attending Pre-K in the public schools are were not kindergarten eligible this school year. Child #3 has a birth date of 2/8/10 and child #4 has a birth date of 2/12/10. The rationfor preschool age children is one staff member for every ten children.

Plan of Correction: There were sufficient staff in the building to cover the required ratio and staff were not positioned as needed. The Program Director repositioned staff to ensure ratio requirements during the time of the inspection. The PD has reviewed ratio requirements for youngest child in care during the day of the inspection. Ratios will be monitored randomly by the PD or back-up on a regular basis.

Standard #: 22VAC40-185-490-A
Description: Based on the inspector's observations a child was allowed to attend the center with a temperature of over 101 degrees and signs/ symptoms of potential communicable disease. Evidence: The inspector was observing Little Lions I classroom during breakfast. A parent was observed dropping off a child, stated to the teacher the child had a fever this morning and she had been given Motrin, and stated the child had a "virus". The child appeared to have flushed cheeks. The parent left the child in care of the center. The child's temperature was checked within minutes of the parent leaving the center and the child's temperature was 102.8 degrees.

Plan of Correction: The parent of the child was called to pick up the child after the child's temperature was checked. The PD reviewed with staff the requirement and written center policy regarding illness. Children will not be accepted to the program if they appear to be visibly sick and/or if the parent has expressed that the child is not well.

Standard #: 22VAC40-185-510-G
Description: Based on the inspector's observations and review of available records, the center had two, potentially life saving, prescription medications and did not have written authorization from the parent for use. Evidence #1: The inspector observed an Epi-Pen hung on a bulletin board for child #1 in the Little Lions II classroom.. The Epi-Pen was in a bag that is considered to be a safe locking mechanism. The Licensing Inspector reviewed the medication book the facility uses to store medication authorization's and the child's file and there was no written authorization to administer the medication from the parent. Evidence #2: The inspector observed an Epi-Pen hung on a bulletin board for child #1 in the Little Lions II classroom.. The Epi-Pen was in a bag that is considered to be a safe locking mechanism. The Licensing Inspector reviewed the medication book the facility uses to store medication authorization's and the child's file and there was no written authorization to administer the medication from the parent.

Plan of Correction: The authorization form for child #1 was completed and returned to the center during the first day of the inspection. The PD has contacted the parent of child #2 and requested a medication authorization form to be returned on 3/10/14. Medications will not be accepted to the center without proper authorization. Medications and authorizations will be reviewed by MAT certified staff on a weekly basis.

Standard #: 22VAC40-185-520-C
Description: Based on the inspector's review of a sample of diaper ointments in the Little Lions I classroom, the center failed to ensure a homemade diaper ointment/powder had all of the required elements for diaper ointment when used in this manner. Evidence: The inspector observed two separate generic containers with two different children's names and "cornstarch". The containers were not labeled with an expiration date and there was no information in the children's records regarding any special accommodations. This is considered a special accommodation and is required to be documented in the child's record according to standard 22VAC40-185-60-A.

Plan of Correction: The products have been removed and sent home during the first day of the inspection.

Standard #: 22VAC40-191-60-C-2
Description: Based on the inspector's review of a sample of six out of twenty-five staff records, the center failed to ensure a potion of the sample had a search of the central registry within thirty days of employment. Evidence #1: The record for staff member #6 with a hire date of 8/20/14, has the results of the search of the central registry stamped "received" by the agency responsible for processing the request, on 9/17/14 and a final processed date of 10/9/14. Background checks are required to be completed within thirty days of employment unless follow-up is documented. The request for this staff member was not made until the staff member had been employed for almost thirty days. Evidence #2: The record for staff member #3 with a hire date of 2/11/14 does not have the results of the search of the central registry and has been employed for more than thirty days. There was no evidence of a previously sumbmitted CPS request and follow-up with the agency if returned to the center.

Plan of Correction: The corporate office responsible for processing the background checks will be notified of today's violation . Future requests will be made within one week of a staff member's date of hire. Staff member #3 will not have continued employment today and will be rehired later this week with the submission of background checks as required and documentation of any additional required information necessary for rehire.

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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