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Marmion Head Start Child Development Center
1114 Grayson Avenue NW
Roanoke, VA 24017
(540) 345-1194

Current Inspector: Jensen Mellnick (540) 309-2051

Inspection Date: Oct. 19, 2016 and Oct. 26, 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.
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was conducted in the Center on October 19, 2016. There were 30 children present. The children were observed in two groups; classroom A., 15 children/3 staff, classroom B., 15 children/2 staff. As reported, one additional child had attended earlier in the program day but had left prior to the LI's arrival. Staff reported 36 children are currently enrolled in the program. The LI observed the children during varied activities to include: hand-washing procedures, the lunch meal, indoor and outdoor play, and rest/nap time. Each building was inspected by the LI. Staff were engaged with the children and provided redirection as needed. A sample of 5 children's records was reviewed. A prescribed medication and written authorization to administer was reviewed. A discussion was held with a staff member in classroom B. regarding an observed outdoor activity. Staff instructed the children to line-up against the building for a race to the opposite building. The race path was running across unlevel grounds and crossing concrete sidewalks. A suggestion was given to direct the children in the grassy area instead of this path which poses a tripping hazard. Findings of the inspection were reviewed with the Lead Teacher at exit. If you have questions, please e-mail: elaine.moore@dss.virginia.gov The on-site inspection was conducted from approximately 11:30am to 2:45pm. A sample of 3 staff records was reviewed at the administration office on October 26, 2016. Thank you.

Violations:
Standard #: 22VAC40-185-270-E
Description: Based on direct observations, drinking water was not accessible at all times to the children. Evidence: The LI observed class B. during outdoor play. It was a sunny day; temperature was in the low 80s. Two children requested water and staff informed the children that water was not brought outdoors because there were no paper cups. Staff reported to the LI that cups were not available, the LI informed the staff member that small cups were observed during inspection of the first aid bag. Water fountains are located in the Center.

Plan of Correction: Staff have been reminded to take the water cooler and cups during outdoor play. This will be monitored on-going by the Education Coordinator.

Standard #: 22VAC40-185-280-B
Description: Based on direct observation, the Center failed to ensure hazardous substances such as cleaning materials, insecticides, and pesticides were kept in a locked place that prevents access by children. Evidence: 1. The LI observed a wall cabinet in the bathroom of class A., the cabinet door was closed but was not locked. The cabinet contained a disinfectant bathroom cleaner, dish detergent, soap, lotion, and containers of mixed soap/water and bleach/water solutions. From floor level the cabinet was not within reach of the children. 2. Two air fresheners and a spray sanitizer were out on a wall mounted shelf in the toilet area, from floor level; the shelf was out of reach of the children.

Plan of Correction: The cabinet was locked at inspection by the Lead Teacher. Staff will monitor to ensure all cleaning supplies are stored inaccessible to children in areas equipped with a safe-locking device. This will be monitored on-going by the Early-Head Start Supervisor.

Standard #: 22VAC40-185-510-N
Description: Based on direct observations, the Center failed to notify a parent of an expired authorization to administer a prescribed medication and to notify the parent that the medication needs to be picked up within 14 days. Evidence: The LI reviewed Center medications and the record for child a. The written authorization to administer a prescribed medication (prn)as needed, was dated effective from 08/28/15 to 08/28/16. The medication was not returned to the parent and is in possession of the Center. There was no documentation in the record of parental notification. 2. It was documented on the child's medication record that the medication was administered on 10/27/15.

Plan of Correction: The parent will be informed by the Family Development Specialist. Current documentation will be obtained from the parent and the child's physician for long term administration or the Center will return the medication to the parent.

Standard #: 22VAC40-185-550-M
Description: Based on reviewed documentation, the Center failed to maintain a complete written record of children's minor injuries in which entries are made the day of occurrence; the date and time of parental notification. Evidence: Three of five written minor injury reports reviewed for class B. did not contain all of the required information. Written reports dated 08/24/16, 09/08/16 and 10/17/16 did not include the time the parent of child c. was notified of the minor injuries.

Plan of Correction: Staff will be reminded to follow the Center's documentation procedures. The Health Coordinator will review reports ongoing to ensure staff are completing required information at the time of the occurrence.

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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