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Main Street Day Care
202 North Main Street
Suffolk, VA 23434
(757) 539-3431

Current Inspector: Melinda Popkin (757) 802-5281

Inspection Date: May 4, 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.
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
22VAC40-185-(2)-130 - (Updated Immunizations)

Comments:
An unannounced monitoring inspection was conducted on 5/4/15 from 9:05 - 11:20am. During the inspection there were 88 children ages four months to five years old in care with 19 staff. A tour of the facility was conducted and children were observed in a variety of activities in the classrooms including using the reading, arts and crafts, playing with blocks and puzzles, and sensory activities. Children were also observed during outside play. Records were reviewed for seven children and three staff. Medication, emergency procedures and emergency supplies were reviewed. Areas of non-compliance are identified on the violation notice, and were discussed at the exit meeting. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 10 calendar days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word ?corrected? is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s).

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on a review of seven children's records, it was determined that the facility did not ensure that there was documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record for child #6 (date of enrollment 10/6/15) did not contain documentation of a record of immunization. 2. Staff #2 (Assistant Program Director) confirmed that the immunization had not been received for child #6.

Plan of Correction: The Assistant Director will contact each parent immediately to ensure that there will be documentation of a record of immunization.

Standard #: 22VAC40-185-140-A
Description: Based on a review of seven children's records, it was determined that the facility did not ensure that each child in attendance had a completed physical within one month of attendance. Evidence: 1. The record for child#6 (date of enrollment 10/6/15) did not contain documentation of a physical examination. 2. Staff #2 (Assistant Program Director) confirmed that the physical had not been received for child #6.

Plan of Correction: The Assistant Director will contact each parent to ensure that a physical is done and documentation is received and on file.

Standard #: 22VAC40-185-160-C
Description: Based on a review of three staff records, it was determined that the facility did not ensure that staff resubmit updated TB results every 2 years. Evidence: 1. The record for staff #2 had documentation of a TB screening dated 8/25/12. 2. Staff #1 (Program Director) confirmed that an updated TB screening had not been received for staff #2.

Plan of Correction: The Program director will ensure all staff have updated TB results. Staff 32 will receive her test 5/11/15.

Standard #: 22VAC40-185-280-B
Description: Based on observation, it was determined that the facility did not ensure that all hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There was a spray bottle of disinfectant cleaner on the cubbies by the diaper changing table in the Infant room. 2. Staff #1 (Program Director) confirmed that the disinfectant cleaner was not being stored in a locked place.

Plan of Correction: Child #8's medication was discarded on 5/4/15. Child #9's parent signed the medication authorization form on 5/8/15. Child #10's long term medication authorization form was resubmitted to the parent for authorization. The center will follow policy to prevent outdated , expired medication.

Standard #: 22VAC40-185-510-C
Description: Based on observation, interviews and a review of documentation, it was determined that the facility did not follow their policies for medication to prevent the use of outdated medication, procedures to ensure required parent and physician authorizations are obtained to include the duration of the authorizations. Evidence: 1. The medication for child #8 had an expiration date of January 2015. 2. The long term medication authorization for child #9 had a signature from the physician, but the parent failed to sign the authorization. 3. The long term medication authorization for child #10 expired on 4/22/15. 4. Staff #2 (Assistant Program Director) confirmed the facility failed to follow their own policies for medication.

Plan of Correction: The center will purchase a lock or lock box for all hazardous substance to keep up and out of reach of the children.

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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