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Clover Hill Children's Center
7001 Chital Drive
Midlothian, VA 23112
(804) 639-1632

Current Inspector: Kelly Adriazola (804) 662-9760

Inspection Date: Nov. 2, 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)
VENDSUB-000 ADMINISTRATION
VENDSUB-000 STAFF QUALIFICATIONS AND TRAINING
VENDSUB-000 PHYSICAL PLANT
VENDSUB-000 STAFFING AND SUPERVISION
VENDSUB-000 PROGRAMS
VENDSUB-000 SPECIAL CARE PROVISIONS AND EMERGENCIES
VENDSUB-000 SPECIAL SERVICES

Comments:
An unannounced renewal inspection was completed on November 2, 2016. The purpose of this visit was to measure the provider?s compliance with licensing standards. A sample of staff and children?s records were reviewed.
There were 95 children in care with 14 staff persons. The children ranged in age from infant to 5 years at the time of the inspection. The children were observed engaging in various activities throughout the facility including, outdoor play, circle time, reading, working with manipulatives, arts and crafts and coloring. There was emergency medication on site and authorizations were reviewed, as were MAT certificates. The last evacuation drill was conducted 10/11/16. The last shelter in place drill was conducted 6/15/16. The annual health inspection was conducted 10/4/16. The annual fire safety inspection was completed 1/28/16.
Approximate time on site:
9:30am to 3:30pm

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on a review of a sample of children's records, the facility did not ensure that immunizations were obtained prior to a child's attendance at the facility. EVIDENCE: The record of child #3, start date 9/9/16, contained an immunization record that was dated 10/19/16.

Plan of Correction: All children enrolled will have the immunization record on file by their first day.

Standard #: 22VAC40-185-140-A
Description: Based on a review of children's records, the facility did not ensure that each child had documentation of a physical within 30 days of enrollment. EVIDENCE: The record of child # 2, start date 6/20/16, did not contain a physical exam. The record of child # 3, start date 9/9/16, contained a physical exam that was dated 10/19/16.

Plan of Correction: All children will have a physical exam in their record within 30 days of enrollment.

Standard #: 22VAC40-185-160-A
Description: Based on a review of a sample of staff records, the facility did not ensure that tuberculosis screening was completed within 12 months prior to or 21 days after employment. EVIDENCE: The record of staff person #2, start date 8/30/16, contained the results of a tuberculosis test that was dated 9/2/14.

Plan of Correction: The staff person will be getting her TB test on Monday 11/7/16.

Standard #: 22VAC40-185-60-A
Description: Based on a review of a sample of children's records, the facility did not ensure that all children's records were updated annually and contained all of the required information. EVIDENCE: The record of child #1, start date 9/13/13, who is currently enrolled but is withdrawn during the summers, has no documentation of an update since the last signature on 11/21/14. The record of child # 3, was missing the address for the second emergency contact.

Plan of Correction: The missing and incomplete information in the children's records will be updated this evening. Children's records will be updated annually.

Standard #: 22VAC40-185-70-A
Description: Based on a review of staff records, the facility did not ensure that a file was kept for a staff person that includes all of the documents required by this standard. EVIDENCE: The facility could not locate the record of staff person #4, start date 4/12/16. The facility did not have documentation of tuberculosis screening, qualifications, references, employee information or verification of orientation training. However, the facility was able to provide documentation of criminal history and central registry findings and the sworn statement was completed on site.

Plan of Correction: The record is at the facility but we are unable to locate at this time. All staff records will remain in the locked cabinet.

Standard #: 22VAC40-185-270-A
Description: Based on observations of the playgrounds, the facility did not ensure that both inside and outside of the center were kept in a safe condition. EVIDENCE: The inspector observed exposed nails and screws in the wooden fence at the rear of the toddler playground that could entangle clothing or snag skin. The inspector also observed broken plastic with sharp points, on the ground in the preschool/young school age playground area.

Plan of Correction: The plastic was removed and the nails and screws were corrected on site.

Standard #: 22VAC40-185-330-B
Description: Based on observations of the facility playground areas, the facility did not ensure that the fall zones under equipment with moving parts or climbing apparatus, had sufficient resilient surfacing. EVIDENCE: The inspector measured the mulch near the toddler swings in several different areas. The area around the swing closest to the fence measured at 3 and 5 inches of mulch. The area at the base of the green slide in the preschool/young school age playground measured between 3-5 inches at various locations.

Plan of Correction: The mulch and gravel was raked during the visit. The gravel and mulched will be raked every weekend.

Standard #: 22VAC40-185-440-E
Description: Based on an observation of a classroom at nap time, the facility did not ensure that there was at least 12 inches of space between occupied cots. EVIDENCE: The inspector observed, then measured the space between cots while children in Rooms 7 and 8 were resting. The spaces measured at less than 10 inches at at least three of the spaces measured.

Plan of Correction: We will ensure that the cots will be placed 12 inches from one another.

Standard #: 22VAC40-185-500-A
Description: Based on observations in the classroom, the facility did not ensure that children's hands were washed after diapering. EVIDENCE: The inspector observed a diaper changing in one of the two year old classrooms. The staff person diapered child # 5 and did not wash his hands. The child returned to the table to continue with the activity.

Plan of Correction: We will retrain the staff on proper hand washing after diapering.

Standard #: 22VAC40-191-40-D-1-C
Description: Based on a review of a sample of staff records, the facility did not ensure that the central registry findings were updated before three years since the date of the most recent central registry finding. EVIDENCE: The record of staff person # 11, start date May 1995, contained a central registry clearance dated 9/6/13, that had not been updated.

Plan of Correction: A central registry search form will be mailed today.

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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