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HoneyTree Early Learning Center - Hunting Hills
4330 Franklin Road S.W.
Roanoke, VA 24014
(540) 725-3505

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: Sept. 24, 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.
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 8:30am and concluded at 5:00pm. There were eighty-one children present with fourteen staff members. During the inspection seven out of thirty-four staff records were reviewed, six out of one hundred twenty-four children's records were reviewed, arrival of children was observed, all classrooms in both buildings were observed, diapering was observed, hand washing was observed, medication was viewed, emergency supplies were viewed, nap time was observed, upper and lower playgrounds were viewed, a van used for afternoon transportation was viewed (HTCCC19), and some policies and procedures were viewed. An Acknowledgement of Inspection form was issued the day of the inspection and findings were reviewed with the Program Director. The Violation Notice was issued on 10/1/15 and the center has reserved the right to conduct a ten day review and prepare plans of corrections with dates to be corrected. The completed Violation Notice is due back to licensing no later than the close of business day on 10/12/15. Thank you for your time, please contact me at 309-2051 if you have any questions.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on the inspector's review of sample of six out of one hundred twenty-four children's records, the center failed to ensure a portion of the records had immunizations records before the child attended the center. Evidence : The record for child #2 had a documented start date of 12/1/14. The immunization record in the child's file was dated 5/26/15. Immunization records are required before a child can attend the center.

Plan of Correction: An audit of children's records files will be conducted to ensure completeness. Children will not be allowed to enroll without proper paperwork.

Standard #: 22VAC40-185-140-A
Description: Based on the inspector's review of a sample of six out of one hundred twenty four children's records, the center failed to ensure a portion of the records had evidence of the the completion of a physical exam within thirty days of attendance. Evidence #1: Child #2 had a documented start date of 12/1/14 and the physical was signed and dated 5/26/15. A physical exam is required within thirty days of starting care at a center. Evidence #2: Child #3 had a documented start date of 8/13/12 and there was no evidence of a physical exam. There was no documented withdrawal date and the child was reported to be actively attending the center.

Plan of Correction: An audit of children's files will be conducted to ensure completeness. The PD will request the missing document from the parent.

Standard #: 22VAC40-185-150-B
Description: Based on the inspector's review of a sample of six out of one hundred twenty-four children's records, the center failed to ensure immunization records were signed by a physician, his designee, or a health department official. Evidence: The record for child #3 with a start date of 8/13/12 had two immunization records dated 4/15/13 and 1/27/12. Neither of the immunizations records were signed in any manner.

Plan of Correction: An audit of the children's files will be conducted to ensure completeness. All immunizations will be reviewed upon receipt to make sure they are acceptable.

Standard #: 22VAC40-185-70-A
Description: Based on the inspector's review of seven out of thirty-four staff records the center failed to ensure a portion of the records contained all of the required information. Evidence #1: The record for staff member #1 with a start date of 3/18/15 had one out of two required reference checks conducted by phone and there was no signature of the person checking the reference. Evidence #2: The record for staff member #2 with a start date of 5/18/15 had two out of two out of two required reference checks conducted by phone and there was no signature of the person checking the reference. Evidence #3: The record for staff member #7 with a start date of 9/16/15 does not have documentation of a job title, two out of two required reference checks, name, address, verification of age requirement, and written information demonstrating the completion of orientation training.

Plan of Correction: An audit of staff files will be conducted to ensure completeness. All staff conducting reference checks will be reminded to sign the form. The HR director will be reminded to provide centers with complete files for company floaters.

Standard #: 22VAC40-185-190-A
Description: Based on the inspector's review of the Program Director's qualifications, the center failed to demonstrate the individual had documented required qualifications for the position as outlined by this standard. Evidence: The inspector reviewed the staff record for staff member #1 who is the Program Director for the center. There was not sufficient documentation to substantiate programmatic experience and education requirements for the position of Program Director for this staff member.

Plan of Correction: The PD will obtain a copy of her college transcripts to provide proof of qualifications

Standard #: 22VAC40-185-280-B
Description: Based on the inspector's observations, the center failed to ensure hazardous substances were kept in a locked manner. Evidence #1: The inspector observed Itsy Elephants I classroom with children ages eleven through seventeen months of age. There was a bottle of bleach/water and air freshener observed on the bottom shelf of an unlocked cabinet. Both items are considered to be hazardous substances and are required to be locked. The back label of the air freshener stated "caution keep out of reach of children" and included first aid instructions.

Plan of Correction: The chemicals were locked at the time of inspection. Staff will be reminded to keep hazardous substances locked and out of reach of children.

Standard #: 22VAC40-185-340-D
Description: Based on the inspector's observations and review of a sample of seven out of thirty-four staff records, the center failed to ensure a program lead was present with a group of children. Evidence: The inspector observed staff member #3 in Itsy Elephants I as the only staff member for the classroom. There was no documentation to substantiate program lead qualifications to include required programmatic experience and education or training.

Plan of Correction: The staff member will receive the necessary training in order to be Program Lead qualified. A Program Lead qualified staff member will be substituted in the Itsy Elephants I classroom.

Standard #: 22VAC40-185-420-E-3
Description: Based on the inspector's review of six out of one hundred twenty four children's records, the center failed to ensure a child's required information was reviewed by the parent on an annual basis. Evidence: The record for child #4 with a start date of 9/19/13 has a documented review by the parent of the child's required information annual review of required information 12/26/13. The required information has not been reviewed on an annual basis as required by the standard.

Plan of Correction: The PD will make sure that annual updates are conducted and copies are placed in each child's file.

Standard #: 22VAC40-185-500-B
Description: Based on the inspector's observations in two classrooms with infant aged children, the center failed to ensure the soiled diaper storage container was operable by foot and allowed for diapers to be disposed of in a hands free manner. Evidence #1: The inspector attempted to use the foot pedal for trash can used for the disposal of soiled diapers in the Tiny Tigers II classroom with infant aged children and the lid would not engage with the use of the foot pedal. The trash can was not operable in a hands free manner as required by the standard. Evidence #2: The inspector attempted to use the foot pedal for trash can used for the disposal of soiled diapers in the Itsy Elephants I classroom with infant aged children and the lid would not engage with the use of the foot pedal. The trash can was not operable in a hands free manner as required by the standard.

Plan of Correction: The PD will purchase new foot operated containers for each classroom. Staff will be reminded to notify the PD when containers become inoperable.

Standard #: 22VAC40-185-510-D
Description: Based on the inspector's review of two medications present at the facility, the center failed to ensure one of the medications had an authorization to administer the medication was available to staff. Evidence: The inspector observed children's liquid allergy medication and there was no written authorization from the parent to include duration or length of time the medication was to be administered. There was a note with instructions for dosage. There was no evidence to substantiate that the medication was to stored at the center and not to be administered by center staff.

Plan of Correction: All MAT staff will be reminded to obtain all required documentation when receiving medication from parents. The child is on vacation this week so it will be returned to the parent upon their return to the center until new paperwork is obtained.

Standard #: 22VAC40-185-550-H
Description: Based on the inspector's observations when the inspector boarded a van before it left for an afternoon pick up, and the center failed to ensure there was a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business (such as field trips, pickup/drop off of children to or from schools, etc.). This document must be kept in vehicles that centers use to transport children to and from the center. Evidence: The inspector boarded van HTCC 19 and requested to view the van's emergency document and the document was not able to be located on the vehicle. The van left in order to pick up children from school.

Plan of Correction: The van notebook for HTCC 19 will be placed on the vehicle before it picks up anymore children. Drivers will be reminded of required information that they should maintain on their vehicles.

Standard #: 22VAC40-185-560-G
Description: Based on the inspector's observations and staff interview, the center failed to ensure food brought from home was dated and labeled with the child's name. Evidence: The inspector observed the kitchen area connecting the Itsy Elephants I classroom and Itsy Elephants II classroom. There were several bottles and two sippy cups sitting on a counter and all of them contained what appeared to be milk or formula. One of the sippy cups did not have a name or date and when the inspector asked a staff member about the sippy cup, the staff memberstated it was brought in by a parent and she had not have a chance to label it.

Plan of Correction: Staff will be reminded to label and date all food/sippy cups brought from home.

Standard #: 22VAC40-191-60-B
Description: Based on the inspector's review of seven out of thirty-four staff records, the center failed to ensure a staff member had completed a sworn statement before employment. Evidence: Staff member #7 with a documented start date of 9/16/15 did not have evidence of the completion of a sworn statement and was observed on duty during the day of the inspection.

Plan of Correction: An audit of staff files will be conducted to ensure completeness. The HR director will be reminded to provide center's with complete file on all company floaters.

Standard #: 22VAC40-191-60-C-2
Description: Based on the inspector's review of a sample of seven out of thirty four staff records, the center failed to ensure a record had a search of central registry within thirty days of employment. Evidence: The record for staff member #2 with a start date of 6/22/15 had a completed CPS check dated 8/19/15. The request was stamped received by the agency responsible for processing the background check on 7/15/15. The required background check was not completed within thirty days as required by the standard.

Plan of Correction: An audit of staff files will be conducted to ensure completeness. The HR Director will be reminded to process CPS requests in a more timely manner.

Standard #: 22VAC40-80-120-E-2
Description: Based on the inspector's observations in the lower building, the results of the most recently issued violation notice was not posted. Evidence: The inspector observed a violation notice placed on top of ledge as you enter the building. This violation notice was dated 3/9/15 and 3/10/15 and was not the most recently issued violation notice. The results of the most recent inspection was a complaint inspection conducted and a violation notice was issued on 8/31/15.

Plan of Correction: The center's new PD was made aware that the Violation Notice must be posted in both buildings. A copy of this inspection will be posted.

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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