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Mini-World Child Care Center, Inc. - Botetourt
3199 Read Mountain Road
Roanoke, VA 24019
(540) 992-6651

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: Dec. 27, 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.
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
The PD requested that the added space to the toddlers/two's playground be measured in order to update the stipulation on the Center's license limiting the number of children on the playground at one time.

Comments:
An unannounced monitoring inspection was conducted during the afternoon on December 27, 2016. On the date of inspection, the LI observed 36 children in care. The children's ages ranged from 20 months to 8 years. The children were grouped in 5 classrooms. As reported by the Program Director, 68 children are currently enrolled in the program. Several groups of children were observed during the lunch meal in the cafeteria. The LI reviewed a sample of 5 staff records; staff whom were employed after the April inspection date. A sample of 3 children's records were also reviewed. Documentation of the Center's annual fire and health inspections was current. Documentation of the practiced emergency evacuation and shelter-in-place drills was reviewed. Reminder: emergency drills are due this month. A discussion was held with the PD regarding information recorded at the time a drill is conducted. A suggestion was made to alternate times of drills monthly to include mornings and afternoons. This will enable all classrooms to frequently participate in the practiced emergency drills. A suggestion was given to relocate the storage closet key so that it is not accessible to school-age children. Prescribed medications and written authorizations were reviewed for 9 children. Findings of the inspections were reviewed with the PD at the exit meeting. If you have any questions, please call (540)309-2310 or via e-mail: elaine.moore@dss.virginia.gov The on-site inspection was conducted from noon to 5:00PM. Thank you.

Violations:
Standard #: 22VAC40-185-70-A
Description: Based on a sample review of staff records and interviews, the Center failed to maintain written information to demonstrate that the individual possesses the education, staff development or certification required by the job position. Evidence: 1. One of five staff records reviewed did not contain documentation to demonstrate staff had completed training hours to qualify as Program Lead. 2. Staff #5 was employed in the Center on 8/22/16 as Program Lead in one of the classrooms. 3. The PD stated that she was counting college credits that the staff had enrolled in but had not completed.

Plan of Correction: The PD will advise the staff member to complete additional training hours in child development and child safety to meet Program Lead requirements. Documentation of completed training hours and college transcripts will be retained in the staff's record.

Standard #: 22VAC40-185-340-D
Description: Based on observations, staff interviews, and reviewed records, the Center failed to ensure at least one staff member who meets the qualifications of a program leader or program director was regularly present in each grouping of children. Evidence: 1. The LI observed 3 staff in the school-age classroom with 12 children. Interviewed Staff reported that they are employed as Assistants, two of the three staff are minors. Staff reported that their shift began at 1:00 at the time the Program Lead was marked off the schedule. The PD verified that the staff members do not meet qualifications for Program Lead. 2. The staff in the preK classroom was observed alone with 5 children. As reported, a child had previously left the Center. Staff reported that she is 18 years of age and employed in the Center as an Assistant. Staff reported that the other assigned staff had left the Center at 3:00PM.

Plan of Correction: The PD will ensure that a qualified Program Lead is assigned to each group of children when scheduling. During the holidays, part time staff were scheduled in the classrooms to allow for breaks of full time staff.

Standard #: 22VAC40-185-510-G
Description: Based on medication reviewed, the Center failed to administer a prescribed drug in accordance with the prescriber's instructions pertaining to frequency. Evidence: 1. The parent's and the physician's written authorization to administer a prescribed medication to child a. for long term use did not agree with the pharmacy label on the dispensed medication. 2. The medication label indicated to administer the medication scheduled daily after school. The written authorization indicated to administer the medication as needed, accompanied with a note from the parent. The effective dates were from 8/31/16 to 5/31/17. 3. Reviewed documentation for administration noted the medication was administered by Center staff on September 6 and 13th and again on November 1, 2016. The PD could not provide written notes from the parent to support written parental authorization.

Plan of Correction: The PD will contact the parent to request an updated prescription so that the authorization and medication match. The Parent is going to pick the medication up from the Center until the medication is currently dispensed.

Standard #: 22VAC40-185-520-C
Description: Based on direct observations, the Center failed to obtain written parental authorization for the application of an over-the-counter skin cream. Evidence: 1. A skin cream was observed with a child's personal articles in a classroom. The cream was identified for Child b. 2. Written parental authorization for use was not available for review.

Plan of Correction: Upon notice, the PD requested the staff to obtain a signed permission form from the child's parent. The written authorization will be maintained in the Center. The violation was corrected on the date of inspection.

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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