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Marmion Head Start Child Development Center
1114 Grayson Avenue NW
Roanoke, VA 24017
(540) 345-1194

Current Inspector: Jensen Mellnick (540) 309-2051

Inspection Date: March 14, 2018

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.
22VAC40-80 HEARINGS PROCEDURES.
32.1 Report by person other than physician
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 14, 2018. There were 28 children present. The children were observed in two groups. Fourteen children and 2 staff were in each group. As reported, 36 children are currently enrolled in the program. The children's ages range from 3 to 5 years. The children were observed as they participated in varied activities. Activities included free play, outdoor play, lunch, and nap time. A teacher directed activity was also observed. Staff read a book to the children. A sample of five children's records was reviewed. Medications were observed in the center. Written authorizations and prescribed medications were reviewed for children. Documentation of the center's annual fire and health inspections was current. Seven complete staff records were reviewed at the central location. Findings of the inspection were reviewed at exit with the Lead Teacher. The inspection was conducted from 10:15am to 3:00pm.Please contact this LI if you have any questions.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on reviewed documentation in a child's record, the center failed to obtain documentation to verify that each child had received the immunizations required by the State Board of Health prior to attending the center. Evidence: One of five reviewed records did not support an immunization record was obtained prior to the child's attendance. The record for child #3 noted the date of entry as 08/25/17; the immunization record on file was dated 01/18.

Plan of Correction: The responsible staff will audit records to ensure documentation of current immunizations is on file in the center prior to a child's first date of attendance.

Standard #: 22VAC40-185-320-B
Description: Based on direct observations in classroom B, the Center failed to ensure sinks located near the toilets were supplied with warm water that does not exceed 120F. Evidence: The LI turned on the water to test temperature, the water was cold and did not warm after letting the water run for a brief period. Staff reported that maintenance had been in the center servicing the sink drains and may have turned off the hot water at the main valve.

Plan of Correction: Staff will notify maintenance to check the water and to ensure hot water is connected and working.

Standard #: 22VAC40-185-510-C
Description: Based on a review of written parental authorizations for the center to administer medication to a child, the center failed to ensure their medication procedures included the duration of the parent's authorization for administration. Evidence: The written parental authorization for administration of a prescribed medication for child d. did not indicate a start and end date, the form was signed by the parent on 09/12/17. The allergy action care plan was signed by the parent on 1/10/18; the form was signed with effective dates from 1/3/18 to 1/3/19 by the child's physician for long term use.

Plan of Correction: Staff will review each written medication authorization form to ensure the start and end dates are completed by the parent at the time the medication is brought into the center. The duration of the authorization will be completed by the parent and the physician with signatures for long term administration..

Standard #: 22VAC40-185-560-K
Description: Based on direct observations, the Center staff failed to sanitize tables before each use for feeding. Evidence: The LI observed staff prepare the tables for the lunch meal in classroom A. Staff used soap/water to clean the table prior to setting the table, staff did not sanitize the table. Staff sanitized the table upon notice from the LI.

Plan of Correction: The Centers's procedures for cleaning and sanitizing tables which are used for food services will be reviewed with staff. Tables will be sanitized before and after each use for feeding.

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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