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Meadowbrook Child Development Ctr
555 Winchester Street
Warrenton, VA 20186-2508
(540) 349-4354

Current Inspector: Shawanda M Henderson (540) 216-1434

Inspection Date: July 12, 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.
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)

Technical Assistance:
Consult regarding reassignment of children was provided. The center may temporarily reassign a child from their regularly assigned classroom, only if,there is no other reasonable option i.e. no other staff available including the director and assistant director to assist the staff in a child's regularly assigned classroom. Children should not be reassigned to other classrooms casually or repeatedly as this can disrupt a child's schedule and attachment to staff members and peers.

Comments:
An unannounced renewal inspection was conducted beginning at 9:00 a.m. and ending at 12:00 p.m. with the director. There were thirty-eight children in care ranging in age from three months to five years of age. Infants and toddlers were observed in the infant room, eating, sleeping and in infant bouncers. The two year olds were observed on the playground. Three's, fours and fives were observed on the larger playground. The school age children were on a field trip at the movie theater. After outdoor play, children prepared for snack. Snack today was cinnamon toast and apple juice. Five children's records and four staff records were reviewed. Staff training was reviewed. Emergency drills were complete. Fire and Health inspections were up to date. The exit interview was conducted from 1:55 p.m. to 2:30 p.m. on July 19, 2017. If you have questions regarding this inspection, contact Stephanie Reed at (540) 272-6558 or S.Reed@dss.virginia.gov

Violations:
Standard #: 22VAC40-185-160-C
Description: Based on review of documentation, the center failed to obtain an updated Tuberculosis (TB) test or screening every two years as required. Evidence: Staff #3's last TB test was dated 4/13/2015.

Plan of Correction: TB test will be completed at Warrenton health department on 8/1/17.

Standard #: 22VAC40-185-40-E
Description: Based on observation, the center failed to maintain compliance with the terms of the current license. Evidence: At approximately 9 am and 9:15 am there were nine infants and toddlers observed in care in the infant room. The license stipulates that there shall be no more than eight infants present in the infant room at any one time.

Plan of Correction: At 9:00am the ninth child arrived in the baby room. The staff realized their mistake and immediately removed the ninth child and put him / her in the toddler room.

Standard #: 22VAC40-185-60-A
Description: Based on review of documentation, not all children's records were complete. Evidence: Child #4, enrolled 6/5/17, did not have a full address and telephone number for a second emergency contact.

Plan of Correction: A second emergency address and number were added to the form for child #4.

Standard #: 22VAC40-185-80-A
Description: Based on review of the attendance record and interview with staff, the center failed to ensure all children were included on the the written attendance record. Evidence: There was not an accurate accounting of children present in each classroom. In the infant room, there was an attendance sheet that listed five toddlers and no attendance sheet for infants in care. On the school age attendance sheet, there were two children not listed.

Plan of Correction: Attendance book have been placed in each classroom of the center. All teachers have been informed to keep individual attendances book and sign all children in and out during transition times while the director will continue to keep a master attendance at all times.

Standard #: 22VAC40-185-190-A-4
Description: Based on review of documentation, the center failed to have a qualified director. Evidence: The center director does not have documentation of an educational background that meets requirements.

Plan of Correction: All class hours are completed and the process of finding a CDA observer is in progress.

Standard #: 22VAC40-185-270-A
Description: Based on observation, not all areas of the center were maintained in clean condition. Evidence: In the four's classroom, there was food debris that included potato chips observed on the floor around the table. The trash was full and filled with several different containers of food, drink and food debris. Staff interviews revealed the classroom had not been used since Friday, July 7, 2017.

Plan of Correction: The fours classroom has been cleaned and all trash and food debris have been removed.

Standard #: 22VAC40-185-350-E-1
Description: Based on observation, the center failed to follow the ratio requirement of one staff member for every four children for children from birth to the age of 16 months. Evidence: In the toddler room, five children were present with one staff; the youngest child present was 14 months old.

Plan of Correction: The parents of the 14 month old requested that the child be in the toddler class. An assessment has been completed and the child shows he/she is developmentally ready for the class. A report has been signed by director, parent, and teacher.

Standard #: 22VAC40-185-360-A
Description: Based on observation and staff interview, a two year old child was not provided with opportunities to participate in a variety of daily activities. Evidence: Child #1, age two years, was observed being carried around the center by the director at approximately 9:00 a.m. Staff interviews revealed that the child was not in his assigned classroom due to ratios and was going to be with the director.

Plan of Correction: Inspectors arrived at about 9:00am all classes were in ratios at the time of their arrival, staff member felt he/she should walk around with inspectors to answer any questions they may have. The child was taken out of the classroom for 10 Minutes to walk with staff member until next staff member arrived at 9:15am

Standard #: 22VAC40-185-500-B
Description: Based on observation, the diapering pad was not clean. Evidence: In the two's classroom, the diapering pad was observed with mulch and dirt on it.

Plan of Correction: Diapering pad was removed and cleaned.

Standard #: 22VAC40-185-510-A
Description: Based on review of documentation, the center failed to obtain written parental authorization for prescription medication. Evidence: Child #4's parent signed authorization on 5/26/2017 for an epi-pen and there was no long term authorization. Child #5 did not have parental authorization for an epi-pen.

Plan of Correction: Child now has long term authorization from a physican.7/14/17 Childs parent singed the medication form. 7/12/17

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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