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Covesville Child Development Center
5527 Covesville Lane
Covesville, VA 22931
(434) 245-9133

Current Inspector: Barbara Workman

Inspection Date: Feb. 9, 2016

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.
22VAC40-80 THE LICENSING PROCESS.
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)

Technical Assistance:
We discussed the requirements for the age/identity law, children's immunizations, and staff TB statements. The risk assessments for violations were provided. We talked about options for ensuring sight supervision during transitions for the upstairs four year old group.

Comments:
Thank you for your assistance during today's unannounced monitoring inspection conducted from 10:36 AM to 4:05 PM. Today, there were eighteen children, ages two through five, with four to five staff. I viewed program activities, staffing, supervision, interactions with children, equipment, daily routines, diapering procedures, diaper ointment, agency inspections, asbestos management, posted information, menu/nutrition, injury records, emergency supplies and drill records, four records for children, four staff records, staff training, indoor and outdoor areas. The children have enjoyed a variety of choices for play, exploration, and creativity at various interest areas of their classrooms. A variety of art materials have been used during learning themes. Staff have planned activities according to suggestions and interests of the children, such as discussions and group activities about African countries. Regular outdoor play opportunities have been provided this winter. Let me know if you have any questions. 540/430-9259

Violations:
Standard #: 22VAC40-185-150-B
Description: Based on a review of four records for children, and an interview with administrative staff, the initial immunization reports for child 1 and 3 for did not include a signature by a physician or designee. Evidence: Prior to the start date on November 18, 2015, an immunization record for child 1 was printed from a computer on November 11, 2015 and was not signed by a health care provider. Another immunization report was signed by a health care provider on December 10, 2015. Child 2 began attending on November 23, 2015 and an immunization record was printed from November 16, 2015 did not include a signature.

Plan of Correction: The director will require immunization records that include a signature by the doctor or nurse by the first date of attendance for all new children. The director will ensure that parents receive communication about required records when they prepare to enroll their children. Staff who accept the initial paperwork for new children will review the information and make sure all required information has been provided by the first date of attendance.

Standard #: 22VAC40-185-160-C
Description: Based on a review of four records for staff, and an interview with administrative staff, the most recent TB screening and statement that was due every two years was not located in the file for staff member 4. Evidence: The most recent TB statement in the record was from August 13, 2012. A receipt for "a brief visit" at a local health department was dated July 28, 2014. JHowever, there was not information regarding an updated TB screening and health care provider signature for the results.

Plan of Correction: The director will arrange for staff member 4 to obtain the most recent TB statement for a screening obtained within two previous years or a new TB screening and statement will be obtained for the staff file.

Standard #: 22VAC40-185-40-G
Description: Based on a review of four records for children, and an interview with administrative staff, the proof of identity and age for child 1 was not obtained within the required time frame at the time of enrollment. Evidence: Child 1 began attending November 18, 2015. A birth record was not viewed within ten business days from enrollment and the appropriate law enforcement agency was not contacted as required. A birth certificate that was viewed by administrative staff was not issued until December 11, 2015.

Plan of Correction: In the future, the director will track the need for a birth record within ten days of initial enrollment for new children. If a birth certificate is not available, the director will request other forms of proof of identity, such as a hospital letter. The director will document making a call to law enforcement when the ten day period has passed without proof of identity and age.

Standard #: 22VAC40-185-540-C
Description: Based on a review of the upstairs first aid supplies, and an interview with staff, a thermometer could not be located. Evidence: The first aid kit box and storage cabinet shelves were searched and the thermometer was not located.

Plan of Correction: The director will locate an extra thermometer downstairs or purchase a new thermometer for the first aid kit on the second floor. The teacher or director will keep a list of all required supplies where the first aid kits are stored. The director will arrange for the teachers to check the supplies on a regularly scheduled basis.

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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