VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Shepherd's Care Day School
728 Highland Avenue SE
Roanoke, VA 24013
(540) 342-4003

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Aug. 5, 2019

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. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Comments:

An unannounced renewal inspection took place on August 5, 2019, between the hours of 8:30am and 3:00pm. There were 75 children in care from ages 4 months to 12 years old with 14 staff providing care and supervision. The inspector reviewed 11 children's records, 10 staff records, and 4 board officer records. There was one medication at the center, which was also reviewed. Children were observed during the following activities: outside time, story time, gross motor play, bottle feeding, and hand washing/diapering practices. The inspector also reviewed transportation equipment and policies, emergency drill documentation, first aid kits, employee and parent polices and procedures, and emergency supplies. There were discussions about protective outlet covers, sign-in-sheets in the event of an emergency, and the diapering process. The inspection was completed and sent via email to the facility representative on 08/07/2019. Please contact your inspector, should you have any questions: Jensen Mellnick (540)309-2051.

Violations:

Standard #:	22VAC40-185-60-A
Description:	Based on record review and discussion with the staff, the facility failed to ensure that children's records shall contain all of the elements as required by the standards. Evidence: 1. The space for parent's place of employment and work phone number for Child (4)'s and Child (9)'s record was blank. 2. The space for parent's work phone number for Child (10)'s record was blank.
Plan of Correction:	"In regards to the children?s records, the director will make sure that when she is going over applications that parents who are not working have a line or N/A marked through the space for employment. It is also time for the six month update of files and the director will make sure to have parents address the empty lines on the application."
Standard #:	22VAC40-185-280-B
Description:	Based on observation, the facility failed to keep hazardous substances such as cleaning materials, insecticides, and pesticides in a locked place using a safe locking method that prevents access by children. Evidence: 1. An inspector observed a can of disinfectant "lemon deodorizer spray" in the downstairs girls bathroom on a shelf, accessible to school-age children. 2. One LI observed a school-age child entering the bathroom where said disinfectant was located.
Plan of Correction:	The director was made aware and removed the chemical the same day. "In regards to the can of Lysol spray left in the girls bathroom on the main floor, I, Latishia Patterson the director removed the can of spray and properly placed it under lock and key in the office."
Standard #:	22VAC40-185-280-D
Description:	Based on observation and discussion, the facility failed to ensure that cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single-service articles and shall be stored in areas physically separate from food. Evidence: 1. In the "Little Lambs" room, within an unlocked and accessible cabinet, there were cheese balls and other food items stored on the top shelf next to bleach/all purpose cleaning spray.
Plan of Correction:	"In regards to the hazardous substance that were found in the Lambs (preschool 4yr) classroom, the teacher removed those items and is aware that they should not be kept in the same location as food. She is also aware that hazardous substances should be locked up at all times."
Standard #:	22VAC40-185-350-E-3
Description:	Based on observation and discussion with staff, the facility failed to to ensure that ratios for staff to children, wherever children are in care, (for two-year-old children) were one staff for every eight children. Evidence: 1. In the "Little Lions' room, the LI observed 9 children and one staff person at approximately 9:27am. When asked for the birth date for the youngest child in the room, staff (11) identified the child and a birth date of 09/20/2016. 2. Upon review of the sign-in sheet, it was discovered by the LI and staff (11) that the youngest child arrived at approximately 8:45am.
Plan of Correction:	During the inspection, staff removed a child from the group and a second staff person for "Little Lions" arrived afterwards. "In regards to the ratio in the Lions (older twos) class, the ratio is normally always met and would have been met by the director had she not had to picked up an employee whose car had broken down preventing her with a ride to work."
Standard #:	22VAC40-185-420-A
Description:	Based on observation and discussion with the facility director, the facility failed to provide parents, in writing and before the children's first day of attending, the center's policy regarding application of sunscreen, insect repellent, and diaper cream/ointment. Evidence: 1. The inspector did not find any such policy in writing. 2. When asked about such a policy, the director verified that there were permission forms but no policy.
Plan of Correction:	"In regards to the center?s policy for sunscreen, diaper ointment/cream and insect repellent a written plan has been created and placed in the handbook."
Standard #:	22VAC40-185-490-E
Description:	Based on observation and discussion with staff, the facility failed to, when any surface has been contaminated with body fluids, clean and sanitize it. Evidence: 1. After an infant spit up on the tile floor, a staff (11) sprayed sanitizer on a paper towel and wiped the area. 2. After speaking with staff (11), they verified that they did not clean the area first, then sanitize the tile floor.
Plan of Correction:	"In regards to the body fluid, the director will make sure to go over proper steps with staff and to make sure proper sanitation takes place."
Standard #:	22VAC40-185-540-D
Description:	Based on observation and discussion with staff, the facility failed to ensure that the first aid kit taken on the field trip included the minimum items required by the standards. Evidence: 1. The first aid kit taken on the field trip did not contain the following items: tweezers; gauze pads; adhesive tape; band-aids; assorted types; antiseptic cleansing solution/pads; triangular bandage; and single use gloves. 2. When asked if the backpack without the above contents were the only first aid items taken for the field trip, staff confirmed.
Plan of Correction:	"In regards to the vehicle emergency plan, I, the director, Latishia Patterson retrieved the first aid bag taken on the field trip and made sure that all the necessary items were put in it."
Standard #:	22VAC40-185-560-N
Description:	Based on observation and discussion with staff, the facility failed to ensure that no child shall be allowed to drink or eat while walking around. Evidence: 1. While the two and three-year-old classrooms were lining up for outside time, a child was observed walking around while drinking water from a disposable cup. 2. When asked about this, staff verified that he was drinking while walking and identified him as a two-year-old.
Plan of Correction:	"In regards to the child (3yr in Lion?s class) who was drinking water while walking???. He was coughing severely and while he was standing at the Bear?s classroom the teacher gave him water to drink to ease his coughing. I, the director Latishia Patterson informed them to make sure that he is seated at the table the next time he is given water or anything to drink."
Standard #:	63.2(17)-1721.1-B-3
Description:	Based on record review and discussion with staff, the facility failed to ensure that agents/board officers who are involved in the day-to-day operations of the facility, had a search of the central registry in any other state in which the individual resided in the preceding five years for any founded complaint of child abuse or neglect against him as required by the Code of Virginia. Evidence: 1. When reviewing Board Member's (BO 1) record, the inspector observed a Sworn Disclosure Statement (dated 10/07/2017) disclosing that BO 1 lived in another state other than Virginia within the last five years. 2. BO 1 did not have an out-of-state central registry check within their record. 3. When asked if BO 1 had an out-of-state central registry check, Staff (11) stated that BO 1 did not.
Plan of Correction:	The director requested the form be signed by the board officer and the form was mailed.