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Community Child Care, Incorporated
32 Park Boulevard
Staunton, VA 24401
(540) 886-7372

Current Inspector: Julie R. Kunowsky (540) 430-9256

Inspection Date: April 16, 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.
63.2 General Provisions.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
A supplemental page was provided.

Comments:
Thank you for your time and assistance with the unannounced monitoring inspection conducted April 16, 2015. The on-site visit was from 10:45 a.m. to 2:40 p.m. On this date, at the time of arrival, there were thirty-two (32) children in two classrooms and in the care of four (4) staff members. Two additional staff members were available to assist, if needed. The total enrollment for the program was sixty-eight (68) children. The exceptions to compliance were noted on the violation notice. The risk ratings for the violations are listed on the Supplemental Page. There were nine (9) staff members' records reviewed and five (5) children's records reviewed. There were six staff members and three children interviewed during the visit. There were no medications being administered during the time of the visit. Lunch was observed to meet the USDA guidelines and consisted of fish sticks, broccoli, applesauce and milk. Outdoor play, choice time, circle time, art activities, hand washing and bathroom procedures, diaper changing procedures, lunch, and nap time were observed during the visit. Please contact me if you have questions concerning this inspection, the licensing standards, and/or if I may be of assistance to you (540) 332-9166.

Violations:
Standard #: 22VAC40-185-330-B
Description: Based on observation, measurements taken, and verification from the director, the center failed to keep the required amount of resilient surfacing in the fall zones surrounding two pieces of play equipment. Evidence: Both playgrounds were observed during the inspection on 04/16/2015. 1. On the swing-side playground, there were three areas in the fall zones around both of the gray climbing structures where the mulch measured between two and three inches. 2. The children were observed to be playing on both structures.

Plan of Correction: The director directed the staff to keep the children off of both climbing structures, until the mulch could be tilled and more could be purchased and spread in the fall zones of the equipment. The director took care of this on 04/19/2015 and there is at least six inches of mulch around both pieces of equipment.

Standard #: 22VAC40-185-500-A
Description: Based on classroom observations and discussion with staff, the staff in one classroom failed to have the children wash their hands after eating a meal. One staff member failed to wash the hands of one child after changing the child's diaper. Evidence: Two classrooms were observed during the 04/16/2015 visit. 1. In Classroom # 2, the staff did not have the children wash their hands when they left the table after lunch. The children went from the table over to their cots for rest time. 2. Diaper changing procedures were observed in Classroom # 2 and after changing one child's diaper, Staff Member H did not wash the child's hands.

Plan of Correction: Hand washing procedures were discussed and the administration spoke with the staff members about this on 04/16/2015. The director will ensure that all staff members have all children wash their hands before and after eating and after being diapered or using the rest room.

Standard #: 22VAC40-185-500-B
Description: Based on classroom observation and verification with staff, the diapering surfacing was not cleaned with a soap and water solution after changing a diaper. Evidence: Diapering procedures were observed during the 04/16/2015 inspection in Classroom # 2. 1. After one child was diapered, Staff Member H failed to clean the changing pad with soap and water. 2. After spraying the bleach solution on the changing table, Staff Member H immediately used a cloth rag to wipe the surface of the table. She did not allow the bleach solution to remain on the surface for two minutes to allow it to be properly sanitized nor did she use disposable towels to wipe the surface.

Plan of Correction: A training of correct diaper changing procedures was provided by the administration to the staff members on 04/16/2015. The director will ensure that all staff members use correct procedures each and every time they diaper a child.

Standard #: 22VAC40-191-40-D-1-B
Description: Based on staff record review and verification from the director, there was one staff member that did not have a completed background check on file within 30 days of employment. Evidence: There were nine staff members' records reviewed during the inspection on 04/16/2015. 1. The record for Staff Member I did not contain a completed Criminal History Record Check. The date of hire for Staff Member I was 01/20/2014.

Plan of Correction: The director will send off for a new Criminal History Record Check as soon as possible. In the future, she will ensure that the requests for all background checks are mailed as soon as an employee is hired to ensure they are returned within 30 days. If they have not been returned by that time, she will follow up with the requests to ensure they had been received.

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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