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Community Preschool, Inc.
70 South High Street
Harrisonburg, VA 22801
(540) 433-7974

Current Inspector: Diann S. Reed (540) 280-0742

Inspection Date: Sept. 28, 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 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
We discussed the requirements for staff records, children's immunization records, posted emergency procedures/maps and first aid/CPR certification. The risk assessments for violations were provided. We talked about the new requirements regarding sworn statements and out-of-state registry checks. Also, we discussed the plans for a delivery of new mulch and removing any weeds that may spread to fall zones. Also, loose bricks should be inaccessible to children.

Comments:
Thank you for your assistance during today's unannounced monitoring inspection conducted from 9:03 AM to 3:00 PM. Today, there were fifteen three year old children with three staff in the morning program and eleven four year old children with two staff during the afternoon. Fifteen four year old children are enrolled in a three day morning program. I viewed program activities, equipment, daily routines, snack, staffing, supervision, interactions with children, emergency supplies and drill records, injury prevention procedure updates, medication, agency inspection reports, five records for children, five staff records, staff training, staff qualifications, indoor and outdoor areas. The teacher have continued to plan enriching, developmentally appropriate activities based on weekly themes. There was a large selection of toys and materials at various interest areas of the classrooms. This week, children talked about camping activities. Group activities included stories, music and discussions. Let me know if you have any questions. 540/430-9259

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on a review of five records for children, and an interview with staff, there was not an immunization record obtained for child 3 before initial attendance. Evidence: The first date of attendance was September 6, 2017 and there was not a signed report in the file. There was only a blank second page from a health department school entrance form.

Plan of Correction: A teacher immediately called to leave a phone message and sent a text to the parent with a request for the immunization report. The teacher obtained, viewed and filed the immunization report for child 3 that was received during pick-up time this afternoon. Teachers who accept the initial paperwork for new children will view the information to make sure all required information was provided and immunization records were obtained before the first date of attendance.

Standard #: 22VAC40-185-160-C
Description: Based on a review of five records for staff, and interviews with staff, the TB screening and statement for staff member 1 was not updated by two years from the date of the initial TB statement. Evidence: The only TB test statement in the file was completed on July 8, 2014.

Plan of Correction: Staff member 1 will provide an updated signed statement with results from a TB test or screening. The director will use a system for tracking the record dates for all staff records so that updated information can be requested and obtained on time.

Standard #: 22VAC40-185-70-A
Description: Based on a review of five records for staff, and an interview with staff, there was required information missing from the record of staff member 1. Evidence: There were not any documented references in the staff file.

Plan of Correction: The director or designated teacher will obtain at least two references for staff member 1 and place the documentation in the staff file. The director will use a staff record checklist to make sure all required information is maintained in staff files.

Standard #: 22VAC40-185-510-C
Description: Based on a review of medication for child 1M, and interviews with staff, the program failed to obtain written authorization for two medications maintained at the preschool in the event of an allergic reaction. Evidence: There was only a physician's signature on an authorization form for one over-the-counter medication and one prescription medication. The place for the parent's signature was left blank.

Plan of Correction: A teacher obtained the parent's signature on the authorization form during morning pick-up. The M.A.T. certified staff who accept the medication and paperwork from parents will always make sure the parent authorization was obtained as required.

Standard #: 22VAC40-185-530-A
Description: Based on a review of five records for staff, and interviews with staff, there is not at least one staff member present at all times who has current certification in first aid and CPR from a program approved by the Virginia Department of Social Services. Evidence: The certification for each of the three regularly present teachers expired on June 10, 2017 during the summer break. The three staff completed courses online with the American Health Care Academy (Staff member 3 and 5 on July 19, 2017 and Staff member 4 on July 21, 2017) without follow-up by completing required in person requirements for certification from an approved program such as American Heart Association, National Safety Council or American Red Cross.

Plan of Correction: The teachers will contact a local instructor and complete the certification requirements to ensure that there is always at least one staff member present during program hours who has the current first aid and CPR certification that meets licensing requirements. In the future, the teachers or director will check with the licensing office to make sure any newly attempted sources for training are approved.

Standard #: 22VAC40-185-550-C
Description: Based on a review of the posted emergency procedures/maps, and interviews with staff, there was information missing from the posted map. Evidence: There was not any indication for primary and secondary evacuation routes. The posted procedures/map only showed shelter-in-place routes and locations.

Plan of Correction: The designated teacher will add the primary and secondary emergency evacuation routes to the posted procedures/map. In the future, the teachers will check to make sure all required posted information has been maintained before the start of each new school year.

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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