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Children of America Deacon Road
2 South Pointe Lane
Suite 105
Fredericksburg, VA 22405
(540) 373-9929

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: Nov. 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.
63.2 Child Abuse and Neglect
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was conducted from 9:15 a.m.-1:00 p.m. with the center director. 57 children, ages four months to five years, were in the care of 11 staff. Children were observed having circle time, clothespin painting paper corn cobs, collecting leaves, and playing outside. Lunch today was honey wheat English muffin pizzas, green beans, peaches, and milk. Battery operated radios and flashlights were present and accessible. The fire inspection is current. The last fire drill was 10/31/15. The last shelter-in-place drill was 6/17/15. Three medications were reviewed. Five children's records were reviewed. Four staff records were reviewed and in compliance. If you have any questions about this inspection, please contact Marty Quade at (540) 272-5065 or Marty.Quade@dss.virginia.gov.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on review of five children's records, the center did not obtain documentation of immunizations for a child prior to the child's first attendance. Evidence: Child B's (enrolled 10/12/15) record did not include documentation of immunizations.

Plan of Correction: Contacted parent and requested records. Child may not attend until we have documentation.

Standard #: 22VAC40-185-60-A
Description: Based on review of five children's records and staff interview, the center failed to maintain a record for an enrolled child. Evidence: Child A (enrolled 5/20/15) did not have a record at the center.

Plan of Correction: Sent child home until file was completed.

Standard #: 22VAC40-185-80-A
Description: Based on review of written classroom attendance records, the center did not maintain an accurate written record of children in attendance. Evidence: On 11/6/15, there were five children marked as present on the written attendance record in the Preschool I classroom. However, there were six children physically present in the classroom.

Plan of Correction: Staff member utilizing electronic attendance as well as written. Going back to just written attendance.

Standard #: 22VAC40-185-260-B
Description: Based on observation, the center did not have documentation of a current health department inspection. Evidence: The last health department inspection was dated 6/18/14.

Plan of Correction: Contacted health department to receive an updated inspection report. Certificate indicates 12/31/2015.

Standard #: 22VAC40-185-270-A
Description: Based on observation, the center did not maintain areas and equipment of the center in a safe condition. Evidence: An infant sleeping in a crib had a pacifier attached to a stuffed animal (wubbanub).

Plan of Correction: Informed family to only bring in a pacifier for child. No attachments.

Standard #: 22VAC40-185-510-A
Description: Based on review of three medications, the center did not have written authorization to administer medication. Evidence: The center did not have a long-term medication authorization form signed by a physician and parent for Child C's Children's Benadryl. The parent's written short term medication authorization form had expired 7/1/15.

Plan of Correction: Removed medication from box. Sent home a new authorization form for dr. to fill out.

Standard #: 22VAC40-185-510-L
Description: Based on observation, the center did not keep an accurate record of medication (medication log) given to children. Evidence: The record of medication (medication log) for Child D's ProAir inhaler was missing required information on dates in August 2015 and October 2015 such as staff member administering the medication, time of administration, adverse reactions, administration errors, and amount of medication administered.

Plan of Correction: Staff member fill in empty spaces missing from records.

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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