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Marmion Head Start Child Development Center
1114 Grayson Avenue NW
Roanoke, VA 24017
(540) 345-1194

Current Inspector: Jensen Mellnick (540) 309-2051

Inspection Date: April 28, 2015

Complaint Related: No

Areas Reviewed:

An unannounced monitoring inspection was conducted during the afternoon program on April 28, 2015. Thirty-five (35) children are enrolled in the Center, all children were present on the date of the inspection. The children's ages ranged from three to five years. Upon arrival to the Center, the LI observed a group of children as they played outdoors on the playground. The two classrooms had combined for the afternoon program, three staff members were supervising the children's activities. After outdoor play, the children were also observed in a classroom seated at a table coloring and preparing for dismissal. Dismissal activities were also observed by the LI. Documentation of the annual fire and health inspections was reviewed and noted as current. Reminder: a practiced evacuation emergency drill is due for the month of April. A sample of five (5) children's records was reviewed. Medications for two children were observed in the Center. An inspection of one classroom and the outdoor playground was conducted. Findings of the inspection were reviewed upon the LI's exit. If you have any questions, please call (540)204-9625. The inspection was conducted from approximately 3:35 to 5:15PM. Thank you for your cooperation during the inspection.

Standard #: 22VAC40-185-140-A
Description: Based on the LI's sample review of children's records, the Center failed to obtain documentation of a physical examination by or under the direction of a physician for a child enrolled over 30 days. Evidence: The LI reviewed five of 35 children's records. One of five records (child #3) did not have documentation of a completed physical examination. The child entered care on 02/23/15.

Plan of Correction: The responsible staff member has requested a copy of the child's physical from the appropriate out-of-state entity. Follow-up contact will be made; the parent has also scheduled an appointment for the child to be seen by a local medical group. Documentation of the physical examination will be maintained in the child's record.

Standard #: 22VAC40-185-510-G
Description: Based on the LI's review of prescribed medications and documentation, the Center failed to obtain written authorization from the child's parent or guardian. Evidence: The LI reviewed medications and written authorizations to administer for two children. The written authorization for child a. was was not signed by the child's parent, the authorization was signed by the child's physician for long-term use. The prescribed medication was to be administered on an as-need PRN basis for asthma symptoms and was stored at the Center.

Plan of Correction: The responsible staff member will review the authorization form with the child's parent and will obtain the parent's signature. Medication forms will be reviewed on-going.

Standard #: 22VAC40-185-550-M
Description: Based on the LI's review of the Center's written records of children's minor injuries, the Center failed to complete all information as required by this Standard M.1. - 8. Evidence: The LI reviewed multiple written minor injury reports, a report for child c. did not indicate the date and time when parents were notified of the minor injury.

Plan of Correction: All staff will review the Center's policies on written reports for minor injuries. The reports will be reviewed on-going to ensure all information is completed on the day of occurrence.

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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