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Cheriton Migrant Head Start Center
22198 South Bayside Road
PO Box 1060
Cheriton, VA 23316
(757) 331-4897

Current Inspector: Emily Walsh (757) 404-2575

Inspection Date: Aug. 7, 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.
22VAC40-191 Background Checks (22VAC40-191)

Comments:
The inspector arrived at 2:20 PM and departed at 4:40 PM. Thirty-five children are currently enrolled. Afternoon activities in all open classrooms were observed. Food service were observed. All classrooms and the outdoor play areas were inspected. A sampling of eight staff records and four children's records were reviewed. Medication administration and written injury records were reviewed. An exit meeting to review the Acknowledgement Form was held with the Program Director prior to concluding the inspection. Upon receipt of the inspection notices, the facility must develop a plan of correction for each violation cited. The plan of correction must include the following: - The steps taken to correct the noncompliance with the standards (violations); - Measures to prevent reoccurrence of noncompliance; - Person(s) responsible for implementation and monitoring of preventive measures(s); - Date by which noncompliance will be corrected. The facility has ten calendar days from receipt of the inspection notices to complete the sections titled Plan of Correction and Date to be Corrected, sign and date the pages where indicated and return the inspection notices to the Licensing Office. A copy is to be retained to be posted at the facility. (NOTE: Supplemental Information is not to be posted due to confidentiality). Results of the inspection notices are subject to public disclosure and will be posted on the VDSS web site within 15 calendar days, regardless of whether the Plan of Correction section has been completed. If a facility disagrees with a violation(s), the facility has 15 calendar days from receipt of the inspection notices to initiate a written request for a First Step Review. Please contact the inspector if there are any questions.

Violations:
Standard #: 22VAC40-185-330-B
Description: Based upon observation and measurement, the facility has not ensured that when playground equipment is provided, the resilient surfacing is under climbing apparatus to create a fall zone that encompasses sufficient area to include the child's trajectory in the event of a fall while using the equipment. Evidence: The enclosure used to keep the resilient surfacing in place under and around the small climbing apparatus on the toddler playground is on 2 1/2 feet from the base of the climbing structure. The required fall zone for the apparatus is at least six feet of unobstructed resilient surfacing around the entire climbing structure.

Plan of Correction: The facility responded with the following: The fall zone will be measured, and the playground equipment will be repositioned to meet VA Standard 22VAC 40-185-(4)-330.B.

Standard #: 22VAC40-185-510-C
Description: Based upon review of the medication accepted by the facility for administration to children, the facility's procedures do not ensure that long-term prescription drug use and over-the-counter medication is allowed only with written authorization from the child's physician. Evidence: The facility has stored an inhaler for child #7 with parent authorization for the medication to be administered as needed until 10/31/2015. The facility was unable to provide written authorization from the child's physician for the administration of the inhaler medication.

Plan of Correction: The facility responded with the following: Written authorization for child #7 has been obtained from the child's physician. All future medication must be accompanied by written physician authorization prior to being accepted by the facility.

Standard #: 22VAC40-185-540-C
Description: The facility has not ensured that the first aid kit/supplies kept in the infant building include all required supplies. Evidence: The main first aid kit for the infant building was not in the infant building during the inspection. The first aid supplies that were available in the infant building did not include a thermometer, scissors, tweezers, adhesive tape, triangular bandages, a first aid manual and an ice pack or cooling agent.

Plan of Correction: The facility responded with the following: The first aid kit for the Infant Building had been removed to replenish the supplies. The kit was put back in the infant building and will not be removed in the future.

Standard #: 22VAC40-185-550-M
Description: Based upon review of the written records of children's injuries, the facility has not ensured that they maintain a written record to include the date, time and how the parent was notified of the injury. Evidence: 1. An injury record dated 7/21/15 for child #5 does not have recorded the date, time and how the parent was notified of the injury. 2. An injury record dated 7/22/15 for child #6 does not have recorded the date, time and how the parent was notified of the injury.

Plan of Correction: The facility responded with the following: The two injury records were updated with the date, time, and how the parent was notified. A new injury record form is now in place that includes space for the required information.

Standard #: 22VAC40-185-570-I
Description: the facility has not ensured that there is a one day's emergency supply of disposable bottles and nipples maintained at the facility. Evidence: The bottles and nipples in the facility's emergency kit were not disposable bottles and nipples.

Plan of Correction: The facility responded with the following: Disposable bottles and nipples have been purchased and will be placed in the emergency kit.

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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