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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: Aug. 14, 2015

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was conducted on 08/14/2015 from 11:15am - 1:10pm. During the inspection there were 95children ages four months to twelve years old in care with 22 staff. A tour of the facility was conducted and children were observed in a variety of activities in the classrooms, playing outside, and eating lunch. Records were reviewed for five children and five staff. Medication, emergency procedures, and emergency supplies were reviewed. Areas of non-compliance are identified on the violation notice, and were discussed during the exit interview. 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-B
Description: Based on a review of five children's records, it was determined that the facility did not ensure that they obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The record for child #2 (date of birth 1/25/12) contained an immunization record that was dated 11/14/12. 2. The record for child #3 (date of birth 7/4/13) contained an immunization record that was dated 1/9/15. 3. Staff #6 (Assistant Director) reviewed the records for child #2 and child #3, and confirmed that an updated immunization had not been received for child #2 or child #3.

Plan of Correction: The parents of child #2 and child #3 were notified updated records were needed and immunizations records for both children have been provided.

Standard #: 22VAC40-185-160-C
Description: Based on a review of five 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 #1 had documentation of a TB screening dated 3/15/13. 2. The record for staff #2 had documentation of a TB screening dated 1/26/12. 3. The record for staff #3 had documentation of a TB screening dated 3/29/12. 4. The record for staff #4 had documentation of a TB screening dated 7/1/11. 5. Staff #6 (Assistant Director) confirmed that an updated TB screening had not been received for staff #1, staff #2, staff #3 and staff #4.

Plan of Correction: Ensure staff #1, staff #2, staff #3, and staff #4 receive TB results 8/24 - 8/26 and update every 2 years as required.

Standard #: 22VAC40-185-510-N
Description: Based on a review of medication stored at the facility, it was determined that the facility did not ensure that when an authorization for medication expires, the medication is picked up within 14 days or the medication is disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Evidence: 1. There was an Albuterol inhaler for child #6 that had an expired medication authorization. 2. There was an Albuterol inhaler for child #7 that had an expired medication authorization. 3. There was an Epi-pen for child #8 that had an expired medication authorization. 4. Staff #6 (Assistant Director) confirmed that the medication authorizations for child #6, child #7, and child #8 had all been expired for more than 14 days and the medication was still at the facility.

Plan of Correction: The parents of both child #6 and child #8 took the medication home on 8/18/15. The parent of child #7 provied an updated medication authorization form.

Standard #: 22VAC40-185-560-G
Description: Based on observation, it was determiend that the facility did not ensure that food brought from home was labeled with the child's name and date. Evidence: 1. There were 19 lunch boxes in the School Age classroom that was not labeled with the date. 2. Staff #2 (Program Director) confirmed that the lunch boxes in the School Age classroom were not labeled with the date.

Plan of Correction: School Age staff will ensure all lunches brought from home will be labeled with the child's name and date. Retrained on bag lunch protocol.

Standard #: 22VAC40-191-40-D-1-C
Description: Based on a review of five staff records, it was determined that the facility did not ensure that staff provide a sworn statement or affirmation, search of central registry and criminal history record check before three years since the last sworn statement or affirmation, search of central registry and criminal history record check. Evidence: 1. The record for staff #2 (date of hire 5/19/93) contained a sworn statement or affirmation dated 6/28/12. 2. The record for staff #3 (date of hire 1/3/06) contained a search of central registry dated 5/30/12, and a criminal history record check dated 6/7/12. 3. The record for staff #4 (date of hire 6/20/11) contained a search of central registry dated 7/6/11, and a criminal history record check dated 7/7/11. 4. Staff #6 (Assistant Director) checked the records for staff #2, staff #3, and staff #4 and confirmed that the required documents had not been updated.

Plan of Correction: Staff #2's record now contains a sworn statement of affirmation dated 8/21/15. Staff #3 and staff #4 will have an updated search of the central registry and criminal history record check dated 8/21/15.

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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