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Honeytree Early Learning Centers - Riverwalk
1824 Jefferson Street, S.E.
Roanoke, VA 24014
(540) 343-5905

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: May 6, 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.
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:
Today's visit was a routine monitoring inspection. The inspection began at 8:40am and concluded at 5:00pm. There were one hundred thirty-two children observed in care with nineteen staff members during the time of the inspection. The following was observed or reviewed during the time of the inspection: nine out of thirty-two staff records were reviewed, five out of one hundred fifty-four children's records were reviewed, both out door playgrounds, outdoor time, diapering, infant care, all ten classrooms observed to ensure ratios, lunch time, nap time, emergency supplies were viewed, and some policies and procedures were reviewed. Thank you for your time, please call my office if you have any questions. The center has reserved the right to review the Violation Notice. The VN is due in the licensing office within ten days (5/16/15).

Violations:
Standard #: 22VAC40-185-130-B
Description: Based on the inspector's review of five out of one hundred fifty-five children's records, the center failed to ensure immunization records were updated every six months for children under the age of two years. Evidence #1: The record for child #4 has a birth date of 5/20/13 and the most recent immunization record is dated 7/29/13. The child is currently under the age of two years and the most recent immunization record is more than eight months old. Evidence #2: The record for child #5 has a birth date of 9/4/13 and the most recent immunization record is dated 9/9/14. the child is currently under the age of two years and the most recent immunization record is more than seven months old.

Plan of Correction: The PD will notify the parents and request an copy of the children's most recent immunization record. The records for children under the age of two will be audited to ensure the immunization records are up to date.

Standard #: 22VAC40-185-270-A
Description: Based on the inspector's observations, the center failed to ensure unsafe conditions did not exist at the center regarding the potential for emergency evacuation away from the building. Evidence: The inspector observed the outdoor play area and the gates that would allow access to areas away from the center were locked using chains and padlocks. This could potentially prohibit or slow the ability to get children aout of the area and away from the building in the event of an emergency.

Plan of Correction: The PD removed the padlocks from the gates dring the time of the inspection. The gates will not be locked when the center is open and children are in care.

Standard #: 22VAC40-185-340-D
Description: Based on the inspector's observations and review of a sample of nine out of thirty-two staff records, the center failed to ensure a program leader was present in each grouping of children. Evidence #1: The record for staff member #1 has a title of program leader and was acting as the program leader for the Red Bears I classroom during the day of the inspection. The record does not include documentation to substantiate the education or training requirements for the program lead position. Evidence #2: The record for staff member #2 has a title of program leader and was acting as the program leader for the Purple Ponies II classroom during the day of the inspection. The record does not include documentation to substantiate the education or training requirements and programmatic experience for the program lead position.

Plan of Correction: The PD will obtain the necessary documentation for staff member #1 PL qualifications. This staff member was screened carefully at time of hire and documentation may be located at the corporate office. A PL qualified individual will be placed in the Purple Ponies II classroom until staff member #2 is fully PL qualified.

Standard #: 22VAC40-185-420-E-3
Description: Based on the inspector's review of five out of one hundred fifty-four children's records, the center failed to ensure the required information was reviewed by the parent annually. Evidence #1: The record for child #4 indicates a start date of 8/12/13 and the most recent documented annual review of required information was dated 10/28/13. The review of the required information by the parent has not taken place for more than a year. Evidence #2: The record for child #5 indicates a start date of 11/18/13 and there is no documentation of an annual review of required information conducted by the parent.

Plan of Correction: The PD will request and document a review of required information with each of the children's parent. The children's records for the center will be audited to ensure annual reviews have taken place.

Standard #: 22VAC40-185-500-B
Description: Based on the inspector's observations in the Purple Ponies II classroom, the center failed to ensure a disposable diaper was disposed of in a storage system that is either foot operated or used in such a manner that neither the staff member's hand not he diaper touch the exterior surface of the storage system and sanitizing the diapering surface did not take place between diaper changes.. Evidence #1: The inspector observed a back to back diaper change in the Purple Ponies II classroom. A staff member completed one diaper change and lifted the lid of the storage system to dispose of the diaper. The diaper was not disposed of in a hands free manner as required by the standard. The inspector attempted to use the foot pedal of the storage system and the lid ws not secure in a manner that allowed it to operate by foot. Evidence #2: The inspector observed a back to back diaper change in the Purple Ponies II classroom. The staff member completed one diaper change and sprayed the surface with soap and water solution and wiped it off the diaper changing surface. A barrier was not observed in use during diaper changing. Sanitizer was not applied before the second diaper change took place.

Plan of Correction: The PD will have a staff member provide mentoring to the staff and continue to train both staff members present in the classroom during the time of the inspection regarding proper diaper changing procedures.

Standard #: 22VAC40-185-560-G
Description: Based on the the inspector's observations in the Purple Ponies II classroom, the center failed to ensure a sippy cup containing milk, and was brought from home, was not dated and labeled with the owner's name as required by the standard. Evidence #1: The inspector observed a sippy cup in a child's cup with containing milk. The cup was not dated or labeled with the child's name and the inspector confirmed through a staff interview the cup was brought from home. Evidence #2: The inspector observed a microwavable meal in a cubby of the Purple Ponies I classroom. The inspector confirmed that the meal was brought from home and was for dinner for the child. The item was not labeled with the child's name or dated as required by this standard.

Plan of Correction: The PD will remind all staff food from home must be dated and labeled with the child's name.

Standard #: 22VAC40-185-560-N
Description: Based on the inspector's observations in the Red Bears I classroom, the inspector observed a child eating while walking around. Evidence: The inspector observed in the Red Bears I classroom a child was observed walking while eating a roll. The inspector observed this for approximately three minutes then intervened and ask a staff member to have the child sit while eating. Two staff member were present in the classroom.

Plan of Correction: The PD will remind all staff that at no times are children allowed to eat or drink while walking. Staff will be instructed have the children remain seated until all food is removed from the tables.

Standard #: 22VAC40-185-570-A
Description: Based on the inspector's observations in the Little Lambs II infant classroom, the center failed to ensure safety straps were in use for an infant seated in a high chair as required by the standard. Evidence: The inspector observed an infant seated in a high chair and the safety straps were not fasted. The high chair was equipped with safety straps.

Plan of Correction: The PD will review with staff the requirement to use safety straps when children are placed in high chairs, infant carriers, and feeding tables.

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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