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Growing Kids Academy
9807 Jefferson Davis Highway
Fredericksburg, VA 22407
(540) 834-0060

Current Inspector: Keesha M Minor (540) 340-2672

Inspection Date: Feb. 16, 2017

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.
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Code of Virginia 63.2-1720.1.D, effective July 1, 2014, states employees are prohibited from working in a position that involves direct contact with a person or child receiving services until a criminal record clearance has been received, unless that person works under the direct supervision of another employee for whom a background check has been completed. Direct supervision means that the employee will remain within sight and sound supervision of an employee with a completed background check..

Comments:
An unannounced monitoring inspection was conducted with center director and center staff. There were 110 children between the ages of 2 months and five years present during today's inspection. The children were having lunches prepared from home and preparing for rest time. One medication was reviewed - please document medication errors and parental notification as necessary. Six children's files and four staff files were reviewed - please see Supplemental Summary for missing items. The transition from lunch to rest in the threes classroom today was unorganized. Due to the large group (20 children) , you may want to consider a third staff to help during transition times. Time of today's inspection: 12:00 p.m. to 2:45 p.m. Please call me if you have any questions 540-219-4122 or e-mail tara.barton@dss.virginia.gov.

Violations:
Standard #: 22VAC40-185-80-A
Description: Based on a review of the attendance record , the facility did not ensure all children were included on the written attendance record. Evidence: in the threes classroom, there were 19 children marked as present, but 20 children were in the room.

Plan of Correction: Teacher marked child as present for that afternoon.

Standard #: 22VAC40-185-90--A
Description: Based on review of six children's records, the facility failed to have all required documentation in each file. Evidence: Child A did not have written parental authorization for the center to obtain emergency medical care if necessary.

Plan of Correction: Parent signed emergency medical authorization.

Standard #: 22VAC40-185-270-A
Description: Based on observation and staff interview, the facility failed to maintain all areas in a safe and operable condition. Evidence: in the younger infant room, a cabinet located close to the playground exit door , did not have doors that were secured and attached at the hinges. When the inspector unlocked the top child safety locks, the doors fell forward. The doors could only be secured by the top locking device.

Plan of Correction: Cabinet doors were removed.

Standard #: 22VAC40-185-440-E
Description: Based on observation, the facility failed to have at least 12 inches of space between occupied cots during rest time. Evidence: in the threes room and fours room, the cots did not have a minimum of 12 inches of space between occupied cots. The cots in the threes room were less than six inches apart, making it difficult for staff to navigate around the room.

Plan of Correction: Teachers moved cots 12 inches apart.

Standard #: 22VAC40-185-500-B
Description: Based on observation and staff interview, the facility did not have a lidded, leakproof container for soiled linens. Evidence: In the older infant room, the container designated for soiled linens did not have a lid.

Plan of Correction: A laundry basket was placed in the bathroom.

Standard #: 22VAC40-185-510-A
Description: Based on observation and staff interview, the facility did not follow required standards on medication. Evidence: in the twos classroom, a Cortisone cream (over the counter medication) was observed in the diaper changing cabinet with diaper creams. There was no written authorization from the parent or the physician for staff to administer the medication.

Plan of Correction: Written authorization was found and filed.

Standard #: 22VAC40-185-510-E
Description: Based on observation, the facility did not label all medications as required. Evidence: in the twos room, a Cortisone cream was labeled with the child's name, but did not have the dosage amount or the time(s) to be given.

Plan of Correction: Parents provided the dosage and time to be given.

Standard #: 22VAC40-185-510-L
Description: Based on review of the medication log and staff interview, the facility failed to document medications errors as required. Evidence: the medication authorization for one infant stated that albuterol was to be administered between 12 p.m. and 1 p.m. The medication was documented as administered at 2:30 p.m. on 2/15/2017, but there was no documentation of this medication error or documentation that parents had been notified. it was administered late.

Plan of Correction: Medication error was documented.

Standard #: 22VAC40-185-560-N
Description: Based on observation, the facility failed to prevent children from walking around while eating. Evidence: in the threes room, two children were walking around while eating until the licensing inspector asked them to sit down.

Plan of Correction: Teacher sat with the children until they were finished eating.

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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