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Generations
216 College Ridge Road
218 College Ridge Road
Cedar bluff, VA 24609
(276) 964-4915

Current Inspector: Shirl M. Spencer (276) 608-3758

Inspection Date: July 7, 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.
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Comments:
The licensing inspector conducted an unannounced monitoring inspection from 9:15am - 12:30pm. There were twenty children in care: four infants with one staff, ten preschoolers with two staff and six school age children with one staff. The children were observed in group activities, dancing and during lunch. Three staff and three children's records were reviewed. Violations from the previous inspection were also reviewed and two were repeated. Areas of non-compliance are identified on the violation notice. If you have any questions, please contact your licensing inspector at (276) 608-3758. Thank you for your cooperation.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on record review, the center failed to obtain an immunization record. Evidence: 1. The inspector reviewed three children's records. One of three records reviewed (child record #1) did not contain documentation of immunizations. This record was previously reviewed and did contain documentation of immunizations.

Plan of Correction: The parent asked for the immunization documentation to take to the physician's office to record the information on the child's physical form. The director will ask the child's parent to return this documentation for the child's record.

Standard #: 22VAC40-185-140-A
Description: Based on record reviews, the center failed to obtain documentation of a physical examination for a child's record. Evidence: 1. The inspector reviewed three children's records. One of three records reviewed (child record #1) did not contain documentation of a physical examination and child's date of enrollment was 08/24/15.

Plan of Correction: The director documented on 12/22/15 that she requested this information from the child's parent, but to date has not received it. The director will request this information again from the child's parent who is employed on site.

Standard #: 22VAC40-185-60-A
Description: Based on record reviews, the center failed to obtain all required information for the children's records. Evidence: 1. The inspector reviewed three children's records. One of three records reviewed (child record #1) did not contain the following information: documentation of viewing proof of child's identity and age, addresses for each emergency contact, and allergies were not addressed. Child's date of enrollment was 08/24/15.

Plan of Correction: The director documented on 12/22/15 that she requested this information from the child's parent, but to date has not received it. The director will request this information again from the child's parent who is employed on site.

Standard #: 22VAC40-185-270-A
Description: Based on observation, the center failed to maintain the outdoor play area in a safe condition. Evidence: 1. The inspector observed the outdoor play area. There was a broken landscape timber with sharp edges surrounding the play equipment. There were roots exposed in the play area creating tripping hazards.

Plan of Correction: Maintenance will be requested for the outdoor play area. The roots will be removed and the landscape timber will be replaced. The children will not play in this area until the repairs are completed.

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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