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GILES HEALTH & FAMILY CENTER
701 WENONAH AVENUE
Pearisburg, VA 24134
(540) 921-3024

Current Inspector: Angela Farmer (276) 608-2283

Inspection Date: April 18, 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.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
The following issues were discussed and technical assistance provided on: playground requirements, MAT training, and staff records and postings. It is recommended that the child care staff files are kept on the child care side the building as opposed to the adult day care side.

Comments:
The inspector conducted an unannounced non-mandated inspection from 9:50 a.m. until 1:15 p.m. There were two children in care with three staff supervising at all times. Children were observed playing, being read to, eating lunch, getting ready for a nap and napping, and positively interacting with the staff. Two children's files were inspected and three staff files were inspected. The center at this time is not administering any medications and there is no MAT trained staff. Violations are identified on the violation notice. Please contact your inspector at (276) 698-9981 with any questions.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on record review and interview, the center did not have all the required information in the children's files. Evidence: 1. The inspector reviewed two children's records. Child record #1 and #2 did not contain A. parental agreements and B. proof of of viewing of documentation of the child's identity and age. 2. The director stated that another staff person at another site may have the records.

Plan of Correction: The director will meet with the staff person who is also involved with completing the children's files to confirm what staff person will get what information. The director and staff person will review the files on a weekly basis to assure that the required information is in the file.

Standard #: 22VAC40-185-70-A
Description: Based on record review, the center did not have all of the required information in staff files. Evidence: 1. The inspector reviewed three staff files. Staff #1 only had one reference documented and no medical information was documented. Staff #2 did not have a job title listed in the file.

Plan of Correction: The director corrected during inspection.

Standard #: 22VAC40-185-90--A
Description: Based on record review, the center did not have written agreements between the parent and center by the first day of the child's attendance. Evidence: 1. The inspector reviewed two children's files. Two of two records did not contain written agreements.

Plan of Correction: The director called the off-site staff person to check on the missing information. Staff members will meet together to get clarification on who needs to get what information in the file.

Standard #: 22VAC40-185-210-A
Description: Based on observation and record review, the center did not have the required documentation for staff qualifications. Evidence: 1. The inspector reviewed three staff records. Two of three records did not have the education documentation. Staff #1 has the college credits but the copy is not in the file. Staff record #3 had documentation of 20 hrs. of training, needing 4 more.

Plan of Correction: The director will get a copy of her transcripts for her file and get the documentation of training for the other staff member in the file.

Standard #: 22VAC40-185-240-A
Description: Based on record review, the center did not have the orientation training documentation for new staff. Evidence: 1. The inspector reviewed three files. Three of three files did not have orientation documentation.

Plan of Correction: The director stated that much of the training at been completed. The director will review all required information and document it in the file.

Standard #: 22VAC40-185-270-A
Description: Based on observation, the facility did not maintain the center is a safe condition. Evidence: 1. The inspector observed a cubby shelf that was approximately 5 feet from the floor that was not flush with the wall.

Plan of Correction: The inspector had the staff person move the diaper changing table away from the area of the shelf until it could be checked. The area is not one where children typically play. The director will check the shelf for stability and stabilize it.

Standard #: 22VAC40-185-310-F
Description: Based on observation and interview, the center was using an area for outside play that does not meet the standard. Evidence: 1. The director stated that the back playground which is a grassy area was not being used at this time. The playground is being renovated and it will be completed in about 6 weeks. The center has been using an enclosed deck area at the front of the center for outside play time.

Plan of Correction: The center will purchase pads to place on the deck area until the playground renovation is completed. Children will not be allowed to play on this surface until the padding is placed.

Standard #: 22VAC40-191-60-B
Description: Based on record review, the center did not have sworn disclosures in staff files. Evidence: 1. The inspector reviewed three staff files. Two of three files (#2 and #3) did not have sworn disclosure in their file. The staff had sworn disclosures for adult programs in their file.

Plan of Correction: Corrected the day of inspection.

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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