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Mill Creek Child Care Center
11475 Lee Highway
Fincastle, VA 24090
(540) 992-2232

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: April 10, 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.
22VAC40-80 SANCTIONS.
22VAC40-80 HEARINGS PROCEDURES.
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)

Comments:
An unannounced Renewal inspection was conducted in the Center on April 10, 2015. Upon arrival to the Center, the LI verified 24 children were present and in care. Upon arrival to the center, the LI observed two classrooms (17 children) on the outdoor playground. Another classroom of seven children were in their classroom. A group of 25 school-age children were in care and were away from the Center on a field trip to a local community park. The total census on the inspection date was 49 children. The children's ages ranged from 2 to 11 years. Five staff members were supervising the children's activities. Reportedly, 96 children are currently enrolled in the program. The LI observed the children during free play. The LI also observed the preschool-age children during the lunch meal. After lunch, the three groups had scheduled rest/nap time. The school-age children arrived back to the center for lunch. Dismissal at the end of the program day was observed. A sample of records was reviewed, 2 staff and five children's. The Director reported medications are not currently administered by staff. As reported, several staff are scheduled to attend a medication administration class (MAT). Documentation of the Center's annual fire and health inspections was reviewed and are current. Documentation of the practiced emergency drills was reviewed. A physical plant inspection of each classroom and areas used by the children was conducted. The findings of the inspection were reviewed with the PD at the exit and the Acknowledgment Form was left for posting. The on-site inspection was conducted from approximately 11:20AM to 5:30PM. If you have any questions, please call (540)204-9625. Thank you.

Violations:
Standard #: 22VAC40-185-290-3
Description: Based on observations of the LI, not all electrical outlets were covered with protective covers in areas used by children of preschool age or younger. Evidence: The LI observed children in the fellowship hall during the lunch meal. Multiple electric outlets were not covered.

Plan of Correction: Upon inspection, Staff put protective covers on all electric outlets in the fellowship hall. Areas used by preschool age children will be monitored on-going to ensure protective covers are over all outlets.

Standard #: 22VAC40-185-340-F
Description: Based on observations of the LI, children under 10 years of age were not always within actual sight and sound supervision of staff. Evidence: The LI observed a staff member leave the preschool classroom without sight supervision of all children for a very brief time period while she attended to a child in the bathroom across the hall. The staff member was observed standing in the doorway of the classroom listening for the child and then left the classroom to assist the child in the rest room which left the classroom without staff sight supervision.

Plan of Correction: The Center has put a plan in place when taking children to the bathroom. We have discussed with all our staff that if a child has to go to the bathroom and there is no other staff member in the office, the teacher will take the whole group across the hall with her to wait in the classroom adjoining the bathroom while the child uses the bathroom. If staff is in the office, the teacher will ask that person to take the child. We also talked about doing more scheduled bath room breaks in the mornings and afternoons, so that there would not be as many individual trips needed.

Standard #: 22VAC40-185-540-C
Description: Based on the LI's review of the Center's first aid kit, all required items were not supplied in the kit. Evidence: A first aid instructional manual was not supplied in the Center's second floor first aid kit.

Plan of Correction: The Director put an instructional manual in the first aid kit. First aid kits will be monitored on-going to ensure all items are in supply.

Standard #: 22VAC40-185-550-D
Description: Based on staff interview and reviewed documentation, the center did not conduct a monthly practice evacuation drill. Evidence: The LI reviewed documentation of the center's practiced emergency drills. There was no documentation to verify a drill was conducted in the month of March, 2015. Staff verified an evacuation drill was not conducted in March.

Plan of Correction: The Director will ensure Center evacuation drills are conducted monthly. Documentation of the drills will be maintained for review. Two drills will be conducted in April, on the dates of April 23 and April 29th.

Standard #: 22VAC40-185-580-I
Description: Based on the LI's observations, a schedule of the field trip's events and locations was not posted and visible at the center site. Evidence: On the date of the inspection, staff and school-age children were out of the center on a field trip. The Center did not have a schedule of the field trip posted. Staff reported the group was visiting a local community park.

Plan of Correction: Prior to leaving the Center on a field trip, the Director will ensure a schedule of the day's event is posted on the front door listing where we are going, the date, when we are departing from the Center and the expected arrival time back to the Center.

Standard #: 22VAC40-191-60-C-1
Description: Based on a sample review of 2 staff records, the Center had not obtained a verified criminal history record report within 30 days of employment or volunteer service. Evidence: One of two reviewed records by the LI did not contain documentation to verify a criminal history record report was submitted and verified. Staff #1 has been employed by the Center on a part-time/substitute basis for over 1 year and was working as a substitute Program Leader in a classroom on the inspection date.

Plan of Correction: Staff #1 will not be scheduled to work in the Center until verification of the criminal record report is on file. The Director will submit the request to the VA State Police by 04/23/2015.

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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