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Growing Years Daycare
2102 (A&B) Hardy Road
Vinton, VA 24179
(540) 890-2400

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: Nov. 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)

Comments:
LI Anderson conducted an unannounced renewal inspection on 11/29/2016. There were a total twenty-two (22) children ages 5 months-8 years old present under the director care and supervision of six (6) staff members. Children & staff records were reviewed including record found to be out of compliance during the previous inspection. Center continues to administer medication however there were no children enrolled receiving medication during the during the center?s hours of operation. Transportation is not provided. Children were observed during rest time, arrival departure procedures, active/quiet activities, self-initiated and directed activities; bath room/diapering/hand washing procedures, meals/snacks served & nap time. An exit interview including the review of the Risk Assessment & areas of non-compliance found during today?s inspection were reviewed with the Center Director & the Program Coordinator on 11/29/2016.

Violations:
Standard #: 22VAC40-185-130-B
Description: Based on record review, the Licensee failed to have documentation of additional immunizations once every six (6) months for each child under the age of 2 years old. EVIDENCE: LI Anderson reviewed six (6) children records. Records for Children #3 (dob 3/19/2015), #4 (dob 8/12/2014) and #5 (dob 2/07/2015) did not include documentation of updated immunization completed every six (6) months.

Plan of Correction: Parents will be contacted by closing tomorrow to obtain records

Standard #: 22VAC40-185-160-C
Description: Based on record review, the Licensee failed to ensure staff members update TB skin test/screening every 2 years. EVIDENCE: Staff #2 has not completed an updated TB skin test/screening. Most recent TB skin test/screening was completed on 7/30/2014 & has not updated on or before 7/30/2016.

Plan of Correction: Staff member will be aksed to obtain TB test by end of week.

Standard #: 22VAC40-185-40-H
Description: Based on record review & discussion with the Center Administrator, the Licensee failed to have evidence of insurance coverage made available to the department's representative upon request. EVIDENCE: Current policy of Public Liability Insurance for bodily injury for the center was unavailable during today's inspection. LI Anderson reviewed documentation of the previous policy that expired on 11/02/2016

Plan of Correction: Company was called, however they were closed. Left message to obtain copy.

Standard #: 22VAC40-185-40-I
Description: Based on review of the Center's policies & procedures, the Licensee failed to have written procedures for injury prevention. EVIDENCE: Written injury prevention policies were unavailable.

Plan of Correction: Policies will be added and updated.

Standard #: 22VAC40-185-40-K
Description: Base on review of the Center's policies & procedures, the Licensee failed to have written playground safety procedures. EVIDENCE: Playground safety procedures were unavailable

Plan of Correction: Playground procedures will be taken from the power point and into written form.

Standard #: 22VAC40-185-70-A
Description: Based on record review, the Licensee failed to ensure staff records include required information. EVIDENCE: LI Anderson reviewed seven (7) staff records. Record for Staff #6 did not include the staff's job title; documentation of initial training; reference checks were not signed & dated by the person conducting the reference checks. Record for Staff #7 did not include the staff's job title; documentation of initial training; documentation of 2 or more references.

Plan of Correction: All staff records will be reviewed and missing information will be corrected

Standard #: 22VAC40-185-240-C
Description: Based on record review & discussion with the Administrator, the Licensee failed to ensure all staff members completes required annual training. EVIDENCE: Staff Member #1, #2, #3 and #5 have not completed at least 16 hours of annual training.

Plan of Correction: Training will be ordered and completed as soon as received

Standard #: 22VAC40-185-350-E-1
Description: Based on observations, the Licensee failed to maintain required ratios for children from birth to the age of 16 months; one staff member for every four children. EVIDENCE: Upon arrival at 2:10 PM, ratios in the infant room were not maintained at the required amounts. There were eight (8) children ages 8 months to 2 yrs old under the direct care and supervision of one (1) staff person.

Plan of Correction: Corrected during inspection. Ratios will be reviewed with all staff and maintained at all times.

Standard #: 22VAC40-185-500-B
Description: Based on observations, the Licensee failed to ensure the diapering surface is sanitized after each use. EVIDENCE: LI Anderson observed Staff #2 change the diapers for 2 infants consecutively and did not sanitize the diapering surface between each diaper change. The diapering surface shall be used only for diapering or cleaning children, and it shall be cleaned with soap and at least room temperature water and sanitized after each use. Tables used for children's activities or meals shall not be used for changing diapers.

Plan of Correction: Diapering procedures will be reviewed with all staff

Standard #: 22VAC40-185-560-F
Description: Based on inspection, the Licensee failed to ensure the menu listing foods to be served for meals and snacks is kept on file for one week at the center. EVIDENCE: Menu of foods served to the children for the previous week was unavailable.

Plan of Correction: Menus will be kept on file for 1 week.

Standard #: 22VAC40-191-40-D-1-B
Description: Based on record review, the Licensee failed to ensure Background Checks are completed within the required time. EVIDENCE: Record for Staff #6 did not include documentation of Background Checks (Criminal Record & Child Protective Services) completed within 30 days of hire. Staff #6 date of hire was 8/04/2016 Record for Staff #7 did not include documentation of Background Checks (

Plan of Correction: Staff members will be terminated until background checks are completed.

Standard #: 63.2-1721-D
Description: Based on observations & record review, the Licensee failed to ensure staff involved in direct contact with the children in care without first having completed background checks is directly supervised by another person for whom a background check has been completed. EVIDENCE: Staff #6 without completed background checks, was observed alone & directly provide care & supervision for children during rest period.

Plan of Correction: Corrected during inspection. Staff without completed background checks will not be left alone.

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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