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Children's Nest Learning Center - Hollins
504 Dexter Road
Roanoke, VA 24019
(540) 563-4333

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: March 13, 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.
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:
An unannounced Renewal inspection was conducted in the Center on March 13, 2017. Upon arrival in the Center at approximately 10:30AM, the LI observed 24 children in care. According to the ages of the children, the children were grouped in 4 separate classrooms. The children were observed during a variety of activities which included: teacher directed, free play, the lunch meal, the scheduled nap/rest time, hand-washing procedures, afternoon snack, outdoor play and dismissal procedures. After school, an additional 23 children arrived to the center by public school bus and center transportation. The children were observed in building 2 during afternoon snack, homework time and outdoor play. A sample of 6 records was reviewed: 2 staff and 4 children's. The reviewed documentation of the annual fire and health inspections was current. A prescribed medication and written authorization to administer was reviewed for a child. Multiple staff have current medication administration training (MAT). The Center's emergency preparedness plan was reviewed. A discussion was held with the Program Director regarding the required practiced emergency drills and retention of the required documentation. The Center shall practice drills to include all children and staff present and always follow the center's written emergency plans for shelter-in-place and evacuation drills. The PD reported that the Center's emergency preparedness plan is under review and revision. Findings of the inspection were reviewed with the PD and a plan of correction was given. If you have any questions, please contact the Licensing Inspector. The on site inspection concluded at 5:00PM. Thank you.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on a sample review of children's records, the Center failed to ensure complete information was maintained in each child's record: first date of attendance; allergies and intolerance to food, medication, or any other substances, and actions to take in an emergency situation; chronic physical problems and pertinent developmental information and any special accommodations needed; previous child day care; and names of persons authorized to pick up the child. Evidence: Information was not complete in two of four reviewed children's records (children #1 and #3).

Plan of Correction: The PD will review the records with the responisble parent/guardian to ensure information is completed in each record. All records will be reviewed to ensure information is complete and current.

Standard #: 22VAC40-185-540-C
Description: Based on inspection of the first aid kit in building 2, the Center failed to ensure all required items were stocked; at least two triangular bandages. Evidence: The first aid kit was stocked with one triangular bandage.

Plan of Correction: The PD put an additional triangular bandage in the kit upon notice, the first aid kit will be checked on-going to ensure all required items are in the kit.

Standard #: 22VAC40-185-540-E
Description: Based on direct observations and staff report, the Center failed to ensure nonmedical emergency supplies were located in each building: a working, battery operated flashlight and a working, battery operated radio. Evidence: The responsible staff member provided a hand-crank radio/flashlight when requested by the LI. A battery operated flashlight and radio was not available in the building.

Plan of Correction: The PD obtained a battery operated flashlight from the main building and placed in building 2 upon notice. A battery operated radio will be stored in building 2.

Standard #: 22VAC40-185-550-E
Description: Based on staff interview, the Center failed to maintain a record of the dates of the practiced emergency drills for building 2. Evidence: The LI requested to review documentation of the practiced drills, staff reported that the information was not recorded but that a shelter-in-place drill was conducted last week at the same time schools dismissed early due to high winds. The PD reported that drills are conducted for each building independently.

Plan of Correction: The PD will conduct emergency evacuation and shelter-in-place drills at alternating times to include all children in attendance. The PD will consult with the local public/community safety officer for guidance.

Standard #: 22VAC40-185-550-H
Description: Based on documentation reviewed by the LI, the Center failed to identify potential shelters that pertain to each site frequently driven by center staff for center business (such as field trips, pickup/drop off of children to or from schools, etc.). This document must be kept in vehicles that centers use to transport children to and from the center. Evidence: The transportation binders in the center's vehicles used to transport children did not identify potential shelters for frequent traveled locations.

Plan of Correction: The PD will ensure that the responsible staff member add the information to each document that is supplied in each center vehicle used for transporting children.

Standard #: 63.2-1720-F
Description: Based on direct observations and reviewed staff records, the Center failed to ensure a staff member employed in the center less than 30 days without a verified criminal record check always worked under the direct supervision of another employee for whom a background check has been completed in accordance with the requirements of this Code section. Evidence: The LI observed Staff #1 in a classroom alone with a group of children during the designated nap time. A staff member in an adjoining classroom was seated in a chair at the doorway which leads to the classroom. Staff #1 was seated in a chair with her back to the other staff in the adjoining classroom.

Plan of Correction: The Program Director will immediately schedule another staff member with verified background checks to work with Staff #1 at all times until verification of the criminal record report is returned.

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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