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Childcare Network
4225 Brambleton Avenue
Roanoke, VA 24018
(540) 989-0144

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: Sept. 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.
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced renewal was done today September 29, 2016 beginning at 8:30 AM and ending at 3:30 PM. There were eighty-five children present which included the school age children. The children were observed during classroom activities which included free play and reading to the children. The infants were sleeping and playing on the floor with staff. Lunch and nap were observed by the inspector. The inspector also reviewed a sample of medications, staff and children's files. The center has a new program director effective 10/3/2016 and the violations and corrective action were discussed today with the new director. We also discussed that a new policy will be started soon in that no over the counter medications will be accepted. We also discussed the need to add a date on the diaper ointment form and a method to describe bowel movements on the infant log. The possibility of adverse enforcement action was also discussed. If you have any additional questions, please contact the inspector at 540-309-2835.

Violations:
Standard #: 22VAC40-185-130-B
Description: Based on review the center did not have updated immunization forms every six months for children under the age of two for all of the children enrolled. Evidence: 1. During the inspection the inspector reviewed five children's files and child # 1, age 23 months-DOB 10/14, last had immunization updates on 12/4/2014 per verification in the files.

Plan of Correction: The new PD will obtain all of the needed information as she is in the process of reviewing children's files for needed information.

Standard #: 22VAC40-185-140-A
Description: Based on review the center did not obtain physicals for all of the children enrolled. Evidence: 1. During the inspection the inspector reviewed five children's files and child # 5 enrolled 8/16/16 did not have verification of a physical in his file.

Plan of Correction: The new PD will obtain all of the needed information as she is in the process of reviewing children's files for needed information.

Standard #: 22VAC40-185-150-B
Description: Based on review the center did not obtain all the needed information for all children enrolled. Evidence: 1. During the inspection the inspector reviewed five children's files and child # 5 had an immunization form in the file however it was not signed by a physician/designee.

Plan of Correction: The new PD will obtain all of the needed information as she is in the process of reviewing children's files for needed information.

Standard #: 22VAC40-185-160-A
Description: Based on review of staff files the center did not have all of the required information in all of the staff files.
Evidence:
1. During the inspection the inspector reviewed a sample of eight staff files. Staff # 3 with a hire date of 4/12/16 was in need of a TB test within 21 days of hire and there was no documentation that one had been obtained.

Plan of Correction: The director indicated she will obtain the needed TB test and file it. As a new PD, she is in the process of reviewing all the staff files for needed items.

Standard #: 22VAC40-185-60-A
Description: Based on review of children's files the center did not obtain all of the required information for all children enrolled. Evidence: 1. During the inspection the inspector reviewed five children's files and child # 1 was in need of an additional emergency contact, child # 3 needs a home address for the child, an address on the one emergency contact listed as well as an additional contact/address, child # 4 needs an additional emergency contact, identity verification, enrollment date not listed, and child # 5 has no emergency contacts listed.

Plan of Correction: The new PD will obtain all of the needed information as she is in the process of reviewing children's files for needed information.

Standard #: 22VAC40-185-70-A
Description: Based on review of staff files the center did not have all of the required information in all of the staff files.
Evidence:
1. During the inspection the inspector reviewed a sample of eight staff files. Staff # 2 & 6 with hire dates of 4/12/16 and 1/12/16 were missing documentation of orientation, staff # 1 hired 4/3/15 was missing verification of his education, and staff # 4 & 6 hired 2/2/16 and 1/12/16 had two references in the files but not signed/dated by staff member obtaining them.

Plan of Correction: The director indicated she will obtain the needed information and file them. As a new PD, she is in the process of reviewing all the staff files for needed items.

Standard #: 22VAC40-185-180-D
Description: Based on review of staff files the center had not obtained all of the required information from staff. Evidence:1. During the inspection the inspector reviewed a sample of eight staff files and staff # 1 who is employed as a van driver as well as in the classroom with the children did not have any documentation of disclosure of any traffic violations within the past five years prior to employment or assignment as a driver.

Plan of Correction: The new PD will obtain the needed disclosure from all staff who drive for the center. She indicated DMV records are obtained by the home office on any staff who drive.

Standard #: 22VAC40-185-240-C
Description: Based on review of staff files the center did not have all of the required information in all of the staff files. Evidence: 1. During the inspection the inspector reviewed a sample of eight staff files. Staff # 1 & 8 with a hire dates of 4/3/15 and 5/12/14 did not have documentation of 16 hours of annual training obtained in the past year. Staff # 1 had 0-2 hours and staff # 8 had 10 hours documented for the time period 5/12/14 to 5/12/16.

Plan of Correction: The director indicated she will monitor more closely the hours obtained and ensure that all staff understand that at least 16 hours are needed annually. Documentation will be obtained as well. As a new PD, she is in the process of reviewing all the staff files for needed items.

Standard #: 22VAC40-185-420-E-3
Description: Based on review the center did not obtain annual updates to all children enrolled. Evidence: 1. During the inspection the inspector reviewed the files of five children and children # 1 & 2 had no verification that an annual update was done on their information.

Plan of Correction: The director indicated she will obtain the needed updates on the children's files. The new PD is in the process of reviewing all of the children's files and will check on the updates for all.

Standard #: 22VAC40-185-500-B
Description: Based on observation the center did not follow the proper diapering procedures in all diapering areas. Evidence: 1. During the inspection the inspector observed a staff member during two diapering procedures and each time the staff member washed the diaper changing area with soap and water however did not sanitized after each diaper change.

Plan of Correction: The new PD will discuss today with all staff and also review at the next staff meeting on 10/11/2016.

Standard #: 22VAC40-185-510-A
Description: Based on review the center did not have an authorization from the parent for all medicines at the center.
Evidence:
1. During the inspection the inspector reviewed the medications for six children and observed in a bag labeled for child # 6 a prescription for Proair that had an authorization form for the administration of the medicine however the authorization form was for the Roanoke County school system not the center.

Plan of Correction: The new director will ensure in the future that all medication authorization forms submitted by parents will be for the center's own use. This will be discussed with all MAT staff.

Standard #: 22VAC40-185-510-E
Description: Based on review the center did not label all children's medication to be administered : at the center. Evidence: 1. During the inspection the inspector reviewed medications for six children and observed a bottle of ibuprofen in a bag with another prescription medication. The bag had the name for child # 6 on it however the bottle of ibuprofen did not have a name on it.

Plan of Correction: The new director will ensure in the future that all medications will be properly labeled. This will be discussed with all MAT staff.

Standard #: 22VAC40-185-510-N
Description: Based on review the center did not dispose of medication in a timely manner after non pick up by a parent. Evidence: 1. During the inspection the inspector reviewed six children's medications and there was no documentation that the parent of child # 7 had been notified that the 10 day authorization time period had expired. The medication had not been disposed of within the 14 day time period nor picked up by the parent. The medication authorization had been signed on 9/12/16.

Plan of Correction: The new program director will discuss with all of the MAT staff to review and document regularly when parents need to be contacted that medications need to be picked up.

Standard #: 22VAC40-185-540-A
Description: Based on observation the center did not have all the first aid supplies in their first aid kits. Evidence: 1. During the inspection the inspector observed the main first aid kit and it only had one triangular bandage. The inspector asked about the first aid kits on the bus and the director indicated they would also need an additional bandages as well.

Plan of Correction: The new director indicated she would place additional trianglualr bandages in the kits by next week.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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