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Marmion Head Start Child Development Center
1114 Grayson Avenue NW
Roanoke, VA 24017
(540) 345-1194

Current Inspector: Jensen Mellnick (540) 309-2051

Inspection Date: March 18, 2016 and March 31, 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 Renewal inspection was conducted in the Center on March 18, 2016. There were 34 children present. The children were grouped in two separate buildings, classroom A. 16 children and classroom B. 18 children. The children's ages ranged from three to five years. There were two staff assigned to each group of children. A child's parent was visiting in the center and participated in the special Easter activities. Upon arrival to the Center, the LI observed one group of children during outdoor play. The children had participated in an Easter egg hunt. The children were also observed in each classroom while they were engaged in varied activities. The children were served special treats, snack and the lunch meal. After lunch the children had a designated nap/rest time. Staff were observed interacting with the children and guided their activities. Each classroom was clean and was supplied with age appropriate materials. The children's art work was displayed in the center. A sample of 4 children's records was reviewed. Documentation of the Center's annual fire and health inspection was current. The emergency supplies were observed. Prescribed medications were observed for 4 children. Documentation of completed medication administration training (MAT) was verified for staff. The interior and exterior of the center was inspected which included the fenced playground. Findings of the inspection were reviewed with the Center's Lead Teacher and the acknowledgment of inspection form was signed and left for posting in the Center. The on-site inspection was conducted from approximately 9:45am to 2:00pm. A sample of 3 complete staff records and required background checks for Board Officers were reviewed at the administration office on March 31 which completed the Renewal inspection. If you have any questions, please call (540)309-2310 or e-mail: elaine.moore@dss.virginia.gov Thank you.

Violations:
Standard #: 22VAC40-185-140-A
Description: Based on documentation reviewed, the Center failed to obtain documentation of a child's physical examination by or under the direction of a physician Evidence: The LI reviewed a sample of four children's records. Documentation of a physical examination was not available for review in one of four records (child #4). The child's record noted date of entry as 11/30/15, the child has been enrolled in the program over 30 days. Upon notice by the LI, a staff member contacted the child's parent to inquire about documentation of the PE.

Plan of Correction: The responsible staff will ensure documentation of a complete physical examination is retained in each child's record in accordance to the required time frames. Children's records are reviewed on going.

Standard #: 22VAC40-185-90--A
Description: Based on documentation reviewed by the LI, the Center failed to include language in the written agreement between the parent and center to include a statement that the parent will inform the center immediately if his child or any member of the immediate household has developed a life threatening disease as defined by the State Board of Health. Evidence: The LI reviewed a sample of four records, the agreements in two of four records (children 2 and 4) did not inform the parent of responsibility to report life threatening diseases immediately to the center.

Plan of Correction: The Center has revised the agreement and is in the process of reviewing with all parents. The parents will be contacted by staff (FDS) to review and sign the revised agreement. Documentation will be retained in each child's record.

Standard #: 22VAC40-185-330-B
Description: Based on inspection of playground equipment, the Center failed to ensure resilient surfacing in fall zones complied with minimum safety standards, 6 feet on all sides of the equipment with 6 inches of mulch. Evidence: The LI observed a child playing on the stationary red spring rocker horse. The resilient surface did not extend out to 6 ft. on all sides of the equipment. The LI measured several ares of the resilient surfacing in the fall zones which measured from 2 to 4 inches.

Plan of Correction: The red rocker will be off limits to the children until maintenance is completed. Staff will submit a maintenance request to extend the fall zones and add extra mulch to ensure that the resilient surfacing meets safety standards.

Standard #: 22VAC40-185-510-G
Description: Based on reviewed documentation and medications, the Center failed to obtain written authorization from a parent or guardian prior to administering a medication. Evidence: The LI reviewed a prescribed medication for child a. and the required documentation for the Center to administer. The parent had not signed the medication form giving the Center written consent to administer. The child's Physician had signed the document for long term administration to expire on 04/09/16. The administration record indicated that staff had administered the medication to the child once in the months of February and March, 2016.

Plan of Correction: The Center's medication policies will be reviewed with all responsible staff. Staff will ensure written parental authorization is obtained at the time a medication is brought into the center. The child's parent will be contacted to obtain written authorization for administering the medication. Documentation of the completed long-term medication form will be retained in the child's record.

Standard #: 22VAC40-185-540-B
Description: Based on the LI's observations, the Center failed to ensure the first aid kit was not accessible to the children. Evidence: 1. The LI observed the first aid bag (back pack) lying on the picnic table under the pavilion shelter. Eighteen children were observed playing in the fenced area, several of the children were playing in the pavilion area. The two staff were circulating out in the grassy areas and on the defined playground supervising the children's play. 2. The first aid bag contained emergency supplies and 2 prescribed medications (children's inhalers). The medications were stored in safety saks in the bag. Staff hung the first aid bag on the hook out of the children's reach upon notice by the LI.

Plan of Correction: Staff will be reminded to always use the designated hooks to keep the first aid kit accessible to staff but out of the children's reach.

Standard #: 22VAC40-191-40-D-1-C
Description: Based on documentation reviewed, the Center failed to obtain background checks before three years since the dates of the last sworn statement, most recent central registry finding and most recent criminal history record check report for each individual serving as a board officer/agent. Evidence: The LI reviewed documentation of background checks for all listed board officers/agents. Documentation of current background checks for two of the six individuals was not available for review. Officer 1. the last sworn statement was dated 06/15/12 and the most recent central registry finding was dated 07/20/12; Officer 2. the last sworn statement was dated 06/04/12, the most recent central registry finding was dated 07/20/12 and the most recent criminal history record check was dated 07/12/12.

Plan of Correction: The responsible staff member will have each individual complete the request forms within 10 days. Documents will be submitted to the appropriate agencies for processing. Current documentation will be maintained for each individual.

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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