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Growing Years Daycare
2102 (A&B) Hardy Road
Vinton, VA 24179
(540) 890-2400

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: June 14, 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 6/14/2016. Upon arrival, there were twenty-two (22) children ages 5 months-4 years old, the Owner, Center Director, Program Coordinator & two (2) staff members present. Attendance in each group was as follows: Infant Classroom There were six (6) infant under the direct supervision of one (1) staff member. 17 months-2 Year Old Classroom There were six (6) 17month old to 2 year old children under the direct supervision of one (1) staff member. 3-5 Year Old Classroom There were seven (7) 3-4 year old children under the direct supervision of one (1) staff member. School Age Classroom There were three (3) school age children under the direct supervision of one (1) staff member Children in the 3-5 year old classroom were combined with the school age classroom supervised by one (1) staff member during the inspection. Children & staff records were reviewed including children injury reports. Center continues to administer medication however there were no children enrolled receiving medication during the during the center?s hours of operation. Transportation is not provided. Children were observed during rest time, arrival departure procedures, active/quiet activities, self-initiated and directed activities; bath room/diapering/hand washing procedures, meals/snacks served & nap time. Risk Assessment & areas of non-compliance found during today?s inspection were reviewed with the Center Director & the Program Coordinator on 6/14/2016.

Violations:
Standard #: 22VAC40-185-40-K
Description: Based on observations, the Licensee failed to ensure procedures for supervised outdoor activities are followed. EVIDENCE: During outdoor activities, staff did not provide active supervision include positioning of staff in strategic locations, scanning play activities, and circulating among children. Staff were observed sitting in chairs in the shade.

Plan of Correction: Outdoor policies will re reviewed with all staff immediately

Standard #: 22VAC40-185-60-A
Description: Based on record review, the Licensee failed to ensure each child's record includes all required information. EVIDENCE: LI Anderson reviewed four (4) children records. 1. Record for Child #1 did not include date of enrollment; addresses for emergency contact person; proof of identity. 2. Record for Child #2 did not include the child's physician & phone number. 3. Record for Child #3 did not include addresses for emergency contacts; and the child's physician & number. 4. Record for Child #4 did not include addresses for emergency contacts; and proof of identity.

Plan of Correction: Children's records will be reviewed and corrected with parent/guardian upon 6/.14/2016 pick up today.

Standard #: 22VAC40-185-270-A
Description: Based on observations, the licensee failed to ensure areas and equipment of the center are maintained in a clean, sage and operable condition. EVIDENCE: A portable size refrigerator in the Toddler Classroom sitting on the floor accessible to the toddler children in care. Refrigerator was large enough to fit a toddler size child inside. Refrigerator pose a suffocation hazard.

Plan of Correction: Lock will be placed on refridgerator

Standard #: 22VAC40-185-350-E-1
Description: Based on observations, the Licensee failed to maintain required adult to child ratios for infants. EVIDENCE: Upon arrival there were 6 infants under supervision of 1 staff. Four (4) children per one (1) staff was not applied

Plan of Correction: Staff ratios will be maintained at all times. Corrected during inspection

Standard #: 22VAC40-185-350-E-2
Description: Based on observations, the Licensee failed to maintain adult to child ratios for children sixteen (16) months old to two (2) years. EVIDENCE: LI Anderson observed 6 toddler children 16 months to 2 years old under direct supervision of 1 staff person. One (1) staff member per five (5) children required ratio was not applied.

Plan of Correction: Staff ratios will be maintained at all times. Corrected during inspection.

Standard #: 22VAC40-185-430-A
Description: Based on observations, the Licensee failed to ensure furnishings, equipment and are of and appropriate size for the child using it. EVIDENCE: A preschool size table & chair set was available & used in the infant room. The table & chairs folded creating a pinching hazard to the children in care. LI Anderson observed a 13 month old child sitting backwards in a chair and was unable to get off the chair safely.

Plan of Correction: Table & chairs will be removed immediately

Standard #: 22VAC40-185-440-B
Description: Based on observations & discussion with staff, the Licensee failed to identify cots used by children. EVIDENCE: Children's names were not identified on cots used during rest period.

Plan of Correction: Cot list will be posted by end of day

Standard #: 22VAC40-185-450-A
Description: Based on observations, the Licensee failed to ensure cribs, cots, mats and beds used by children during the designated rest period have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. EVIDENCE: Children in the Infant Classroom resting on cots did not have a top cover.

Plan of Correction: Staff will ensure that a top and bottom cover is used during nap times

Standard #: 22VAC40-185-450-D
Description: Based on observations, the Licensee failed to ensure assigned pillows are covered with pillow cases. EVIDENCE: Pillow cases were not used on pillows used by the pre-school age children.

Plan of Correction: All pillows without cases will be sent home with the child today.

Standard #: 22VAC40-185-500-A
Description: Based on observations hand washing requirements were not followed. EVIDENCE: 1. Children's hands were not washed before lunch was served in the Toddler classroom. 2. Staff Member hands were not washed before assisting children with food during lunch.

Plan of Correction: Proper handwashing technique will be reviewed with all staff immediatley

Standard #: 22VAC40-185-560-K
Description: Based on observations, the Licensee failed to ensure tables used for food are cleaned & sanitized before & after meals/snacks are served. EVIDENCE: Table in the Toddler classroom was not cleaned & sanitized before lunch was served.

Plan of Correction: Sanitizing techniques will be reviewed with all staff immediately

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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