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Childcare Network
4225 Brambleton Avenue
Roanoke, VA 24018
(540) 989-0144

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: March 8, 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.
22VAC40-80 SANCTIONS.
22VAC40-80 HEARINGS PROCEDURES.
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)

Comments:
An unannounced monitor inspection was conducted on 3/08/2016. There were a total of seventy-five (75) children ages 2 months ?5 years old. Children & staff records were reviewed during today?s inspection. Record review includes records for recently hired staff members & children medication records. Vans/buses used to transport children for Center activities were inspected. In addition, toddler, pre-school & school age outdoor playground areas were inspected. Previous violations for outdoor equipment/resilient surfacing were verified & have been corrected. Children were observed during arrival/departure procedures, active/quiet activities, meals/snacks, individual/group activities, hand washing/diapering/bathroom procedures and rest/nap period. Risk Assessment and areas of non compliance found during the inspection were reviewed with the Center Director on 3/08/2016.

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on record review, the Licensee failed to ensure each staff member submits documentation of a negative tuberculosis screening submitted no later than 21 days after employment completed within 12 months prior. EVIDENCE: Licensing Inspector reviewed 3 staff records. 1 out of 3 records did not include TB skin test/screening. Staff #3 does not have a completed TB skin test. Date of hire for Staff #3 is not documented in the record however initial training documents were signed/dated 2/02/2016

Plan of Correction: TB first week of hire

Standard #: 22VAC40-185-160-B
Description: Based on record review, the Licensee failed to have acceptable forms of documentation of tuberculosis screening to include clearance statement signed by a physician, the physician's designee or an official of the local health department that the individual does not have any current symptoms of active tuberculosis, does not have either a risk factor for acquiring tuberculosis infection or a risk factor for progression to active tuberculosis disease or has been treated for these conditions in the past, and is currently free of tuberculosis in a communicable form. EVIDENCE: Documentation of the results of the TB skin test for Staff #2 was not included in the record.

Plan of Correction: TB first week of hire

Standard #: 22VAC40-185-70-A
Description: Based on record review, the Licensee failed to obtain documentation of 2 or more references as to character & reputation as well as competency checked before employment & reference checks taken over the phone include the signature of person making call. & dates of contact. EVIDENCE: Licensing Inspector reviewed three (3) staff records. 2 out of 3 records did not include required information. 1. Record for Staff #1 did not include 2 reference checks. 1 phone reference check did not include the signature & date of the person conducting check. 2. Record for Staff #2 did not include the signatures & dates of the person conducting phone reference checks. 3. Record for Staff #3 did not include the date of hire and signatures & dates of the person conducting phone reference checks.

Plan of Correction: Call first day or before date of hire

Standard #: 22VAC40-185-440-G
Description: Based on observations, the Licensee failed to ensure infant cribs are used only for children under 12 months of age. EVIDENCE: 13 month old infant child was observed using a infant crib as a play space

Plan of Correction: Child at the age of one will be assigned a cot

Standard #: 22VAC40-185-510-A
Description: Based on medication record review, the Licensee failed to ensure parental authorization for all medication stored at the center. EVIDENCE: Medication records for Child #3, Child #4, Child #5 & Child #6 did not include parental signed authorization.

Plan of Correction: Revamp medication logs

Standard #: 22VAC40-185-510-F
Description: Based on medication record review, the Licensee failed to ensure medication in stored in the original container with the prescribed label attached. EVIDENCE: Prescribed Medication for Child #6 was not stored in its original container with the prescription label attached.

Plan of Correction: Revamp medication logs

Standard #: 22VAC40-191-60-C-1
Description: Based on record review, the Licensee failed to ensure Background Checks (Criminal Record) are completed within 30 days of employment. EVIDENCE: Licensing Inspector reviewed 3 staff records. 2 out of 3 records did not include documentation of completed Background Check (Criminal Record) within the first 30 days of hire. 1. Staff #2 does not have a CRC Background Check. Date of hire for Staff #2 is 12/28/2015. 2. Staff #3 does not have a CRC Background Check. Date of hire for Staff #3 is 2/02/2016.

Plan of Correction: Call after 2 weeks. Sherri and Nicole view new employee files in 1st week

Standard #: 22VAC40-191-60-C-2
Description: Based on record review, the Licensee failed to ensure Background Checks (Child Protective Services) are completed within 30 days of employment. EVIDENCE: Licensing Inspector reviewed 3 staff records. 3 out of 3 records did not include documentation of completed Background Check (Child Protective Services) within the first 30 days of hire. 1. Staff #1 does not have a completed CPS background check . Date of hire for Staff #1 is 1/08/2016 2. Staff #2 does not have a completed CPS background check. Date of hire for Staff #2 is 12/28/2015 3. Staff #3 does not have a completed CPS background check. Date of hire for Staff #3 is not documented in the record however initial training documents were completed on 2/02/2016.

Plan of Correction: Call after 2 weeks. Sherri and Nicole view new employee files in first week

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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