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Mill Creek Child Care Center
11475 Lee Highway
Fincastle, VA 24090
(540) 992-2232

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: Aug. 29, 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)

Technical Assistance:
Parent/Center Information Board must be moved to a location visible to parents upon entering the Licensed Day Care.

Comments:
An unannounced monitor inspection was conducted on 8/29/2016 from 12:10 PM until 3:20 PM. There were a total of forty-four (44) children ages 2-5 years old under the direct care and supervision of six (6) staff members. Additional school age children arrived during the inspection. Staff and children medication records were reviewed during today?s inspection & violations found during the previous inspection were reviewed & have all been corrected. Licensing Inspector observed children during arrival/departure procedures, bathroom/hand washing, individual and group activities, afternoon snacks, quiet activities, structured and self exploratory play and rest periods. An exit interview, including the Risk Assessment & areas of non-compliance found during todays, inspection were reviewed with the Center?s representative on 8/29/2016.

Violations:
Standard #: 22VAC40-185-160-C
Description: Based on record review, the Licensee failed to ensure TB test/screenings are updated every 2 years for each staff member. EVIDENCE: Record for Staff #5 did not include documentation of an updated TB skin test/screening. Most recent TB test/screening was completed on 6/30/2014. Updated test was not completed on or before 6/30/2016.

Plan of Correction: Will call and schedule appointment for chest x-ray.

Standard #: 22VAC40-185-550-C
Description: Based on inspection, the Licensee failed to post emergency evacuation & shelter-in-place procedures/maps together in a conspicuous location to staff and children. EVIDENCE: 1. Shelter-in-place procedures & maps were not posted. 2. Evacuation procedures were not posted with the evacuation procedure maps.

Plan of Correction: will post shelter-in-place procedures & maps downstairs. Will post evacuation procedures with the maps

Standard #: 22VAC40-185-550-D
Description: Based on record review, the Licensee failed to implement a minimum of two (2) shelter-in-place practice drills per year. EVIDENCE: Shelter-in-place practice drills for year 2015 were not completed/documented.

Plan of Correction: Check with Cherry and will make sure shelter-in-place practice drills for 2015 were completed & documented

Standard #: 22VAC40-191-40-D-1-C
Description: Based on record review, the Licensee failed to update required Background Checks every 3 years for each staff member. EVIDENCE: Record for Staff #5 did not include documentation of an updated Background Check (Sworn Disclosure) completed on or before 5/21/2016. Most recent Sworn Disclosure was completed on 5/21/2013.

Plan of Correction: Had staff member fill out form. Completed during 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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