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Hare Valley Head Start
5432 Bayside Road
Exmore, VA 23350
(757) 442-0900

Current Inspector: Kimberly Sampson (757) 354-7307

Inspection Date: March 3, 2016 and March 11, 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.
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced staff record review was conducted on 03/03/2016. A sampling of eight staff records were reviewed. An unannounced, mandated renewal inspection was conducted at the facility today, 03/11/2016. The inspector arrived at 10:10 AM and departed at 12:10 PM. Sixty-one children were in care with eight staff. Morning activities, outdoor play and preparation for lunch were observed. Medication administration was reviewed. A sampling of five children's records were reviewed. An exit meeting was conducted with the program director during which the facility's plans of correction for the cited violations were received. Please contact the inspector if there are any questions.

Violations:
Standard #: 22VAC40-185-160-C
Description: Based upon review of eight staff records and staff interview, the facility has not ensured that staff obtain the results of a tuberculosis screening at least every two years. Evidence: 1. Documentation of a tuberculosis screening within two years was not available in the record provided for staff 5. 2. Staff 9 stated that an updated tuberculosis screening has not been obtained by staff 5.

Plan of Correction: The facility responded with the following: Staff 5 will be required to obtain a tuberculosis screening.

Standard #: 22VAC40-185-70-A
Description: Based upon review of eight staff records and staff interview, the facility has not ensured that there is documentation that at least two reference checks were obtained for each employee prior to hire. Evidence: 1. There was no documentation of reference checks having been obtained for staff 8, hired 10/16/14. 2. Staff 9 was unable to locate documentation of reference checks for staff 8.

Plan of Correction: The facility responded with the following: References will be obtained for staff 8.

Standard #: 22VAC40-185-270-A
Description: Based upon observation, the facility has not ensured that areas and equipment of the center, inside and outside are maintained in a safe condition. Evidence: 1. There is an eight foot long rubber transom cover intended to cover the joint between the carpeted area and the vinyl flooring in classroom 4. The loose rubber strip is not attached to the floor, creating a potential tripping hazard. 2. There is a pipe on the exterior wall of the building along one side of the playground near the door the children use when entering and exiting the playground. The pipe is attached about 2 feet above the ground through the use of u shaped metal clips. One of the metal clips has broken leaving a sharp metal edge within reach of the children. 3. The exterior side of the door used by the children when entering the building from the playground area is splintering and dry rotting along the bottom half of the door within reach of the children.

Plan of Correction: The facility responded with the following: 1. The program director will have the maintenance worker reglue the rubber transom. 2. The program director will have the maintenance worker remove the clamp. 3. The program director will speak with the program administrator to have the door replaced.

Standard #: 22VAC40-185-510-G
Description: Based upon review of medication and staff interview on 3/11/2016, the facility has not ensured that the they administer only those medications that were dispensed from a pharmacy and maintained in the original, labeled container. Evidence: 1. There was a container of Proair albuterol for administration to child 3. The albuterol was in a box that did not have a pharmacy label identifying the medication, the child's name and dosage. 2. Staff 3 was unable to produce the pharmacy label for this medication.

Plan of Correction: The facility responded with the following: The staff person will contact the parents and get label done.

Standard #: 22VAC40-191-40-D-3-D
Description: Based upon review of eight staff records and staff interview, the facility has not ensured that they obtain for staff a sworn statement or affirmation and a search of the child protective services central registry before three years since the does of the last sworn statement or affirmation and most recent central registry finding. Evidence" 1. The most recent signed sworn disclosure or affirmation statement in the record provided for staff 4 is dated 9/4/12 and for staff 6 is dated 1/20/13. 2. The most recent search of the central registry in the record provided for staff 1 is dated 2/5/13. 3. Staff 9 was unable to provide documentation of the above sworn disclosure or affirmation statements or central registry finding for the above.

Plan of Correction: The facility responded with the following: Staff 4 and 6 will be required to complete and sign sworn statements or affirmations. The child protective services central registry search has already been requested and the facility is waiting to receive the results from child protective services.

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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