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Honeytree Early Learning Center #6 - Hollins
7507 Plantation Road
Roanoke, VA 24019
(540) 563-1724

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: Nov. 10, 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.
63.2 Facilities and Programs..
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

Technical Assistance:
LI Anderson had a discussion with the Center Director & the Assistant Director regarding inappropriate communication/language observed in the Head Start classroom.

Comments:
LI Anderson conducted an unannounced monitor inspection on 11/10/2016. Inspector arrived at 10:40 AM and concluded inspection at 3:30 PM. There were fifty-seven (57) children ages 2 months ? 2 years old present under the direct care & supervision of ten (10) caregivers. Children & staff records were reviewed children medication records. Children were observed during arrival/departure procedures, individual/group activities, meals, self-directed, outdoor play, bathroom/hand washing procedures & rest period. The exit interview including review of the Risk Assessment and areas of non-compliance found on 11/10/2016 were reviewed with the Center Director on 11/10/2016.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on record review, the Licensee failed to document viewing proof of the child's identity and age. EVIDENCE: LI Anderson reviewed six (6) children records. Record for Child #2 did not include documentation of viewing proof of the child's identity & age (birth certificate) within the first 7 days of enrollment. Child #2 was enrolled on 10/05/2016.

Plan of Correction: The parent will be notified to provide the missing information. The PD will conduct an audit of all child files to ensure completeness.

Standard #: 22VAC40-185-240-D-1
Description: Based on medication record review, the Licensee failed to ensure medication administration is performed by a staff member who has a current certification in Medication Administration Training (MAT). EVIDENCE: LI Anderson reviewed three (3) children medication records. 1. Prescribed medication was administered by Staff #6 to Child #8 during the month of October 2016 without staff member having current MAT certification. Staff #6 MAT certification expired 8/03/2016 2. Prescribed medication was administered by Staff #7 to Child #9 during the month of October 2016 without staff member having current MAT certification. Staff #6 MAT certification expired 8/03/2016

Plan of Correction: All medication will be administered to children by MAT certified staff. The Staff members that have expired certification will receive training for recertification.

Standard #: 22VAC40-185-280-B
Description: Based on inspection, the Licensee failed to keep hazardous substances in a locked place using a sage locking method that prevents access by the children. EVIDENCE: In the cafeteria/kitchen used to served meals to the children in care, LI Anderson observed cleaning agent in a substitute spray container sitting on an open counter & large container of detergent sitting on top of the washing machine. Hazardous agents were not kept in a locked location & were accessible to the children in care.

Plan of Correction: All staff will be reminded to properly store all hazardous materials in a locked cabinet. The cleaning agents and detergent will be moved to a locked storage area by the end of the day.

Standard #: 22VAC40-185-340-F
Description: Based on observations, the Licensee failed to ensure children under 10 years of age are always within actual sight and sound supervision of staff. EVIDENCE; Per the instructions of the staff directly supervising children, LI Anderson observed several children in the 3/4 year old Head Start Classroom leave the classroom to go to the bathrooms located in an adjacent classroom. Children were not within sight & sound supervision of the children at all times.

Plan of Correction: The Staff working in the Head Start classroom wil be reminded to make sure that all children are within sight/sound supervision at all times. Staff will be instructed to always provide supervision during bathroom time so that they can maintain compliance

Standard #: 22VAC40-185-510-A
Description: Based on record review, the Licensee failed to ensure parent authorization is obtain to administer medication. EVIDENCE: Documentation of parental authorization for prescription medication was not obtained for Child #8.

Plan of Correction: The PD will obtain the required parental authorization to administer medication.

Standard #: 22VAC40-185-560-F
Description: Based on observations & discussion with the staff, the Licensee failed to follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child & Adult Care Food Program of the United States Department of Agriculture (USDA). EVIDENCE: All required food components were not offered/served to the children in care during lunch. Bread/bread alternate is required to be served with every meal however it was not served during lunch. "1/2 slice of bread" was indicated on the actual weekly menu however Staff advised LI Anderson that bread was unavailable & will not be served. An alternative was not offered/served to the children.

Plan of Correction: The PD will remind the Center Cook to always serve children all nutritional requirements for every meal. The Cook will also be told to notify the Center PD or AD if a particular food item is unavailable so that a proper substitution can be offered to the children.

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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