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Gingerbread House Day Care Center
305 Crescent Drive
Franklin, VA 23851
(757) 569-8658

Current Inspector: Anita Drewry (757) 404-5261

Inspection Date: May 23, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.

Technical Assistance:
Today we discussed injury reporting, USDA and medication

Comments:
An unannounced monitoring inspection was conducted from 11:30am through 2:30pm. There were 58 children present for care with 11 staff. Children present ranged in age from four months through five years old. Children were observed in teacher and self-directed activities including outside play, lunch, hand washing, rest room routines, nap and transitions. A walking tour of the center inside and outside was completed. Center emergency supplies, fire and health inspection, emergency evacuation, insurance documentation, children's and staff records were reviewed. Violations were identified following areas of standards: physical plant, special care provisions and emergencies and special services.

Violations:
Standard #: 22VAC40-185-270-A
Description: Based on observation the center failed to ensure that areas are maintained in safe condition. Evidence: 1 - There is a large plastic shopping bag filled with recycled plastic bags stored in an unlocked closet outside the toddler classroom. These bags pose a potential suffocation hazard. a. The bags are located on the lowest shelf, just inches from the floor. b. Children use the hallway where the unlocked cabinet is located to move to and the classroom and around the center.

Plan of Correction: The bags were removed the day of the inspection. Had a meeting with staff that use the cabinet to ensure no bags are to be placed in the cabinet. Correction Date: 5/23/2018

Standard #: 22VAC40-185-330-B
Description: Based on observation the center failed to ensure that the required depth of resilient surface is present on playgrounds with equipment that children climb or equipment with moving parts. Evidence: 1 - The toddler playground has less than the required six inches of " loose fill material"(in this case sand) under, around in the fall/use of the playground equipment. The surface measures a 1/2 inch in some areas where six inches are required. on the toddler playground. 2 - Additionally there is grass growing up through the resilient surface in fall/use zone of the two little red and blue slides.

Plan of Correction: We have gotten a delivery of sands and will be placed under all fall zones to endure the depth is accurate. Correction Date: 6/15/2018 2. All grass has been removed from the playground. Correction Date: 5/26/2018

Standard #: 22VAC40-185-510-N
Description: Based on review of medication and interview the center failed to ensure that when an authorization for medication expires, the parent will be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Evidence: 1 - There are six medications in the medication lock box that have expired authorizations and more than 14 days have pasted since the authorization expired. a. The medications that are present and have expired authorizations are: - Child 1 Tylenol authorization expired 3/2018. - Child 2 Zarbee's Cough Syrup authorization expired 1/15/2018. - Child 3, Cough and Cold authorization expired 12/14/2017. - Child 4, Tylenol authorization expired 6/8/2017. - Child 5, Children's Acetaminophen authorization expired 11/30/2017. - Child 6, Cough Syrup authorization expired 1/22/2018. 2 - Staff 1 confirmed that the authorizations were expired.

Plan of Correction: The medication was sent home the day of the inspection. I will be sure to check the medication forms and medication every fourteen days to ensure this does not happen again. Correction Date: 5/23/218

Standard #: 22VAC40-185-560-F
Description: Based on observation and interview the center failed to follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: 1 - Children were not served the required amount of protein with the lunch today. a. Children were served canned "SpaghettiOs", peas, peaches and milk. The canned product had meatballs. However, every child did not receive meatballs or any alternative/additional source of protein. b. One cup of "SpaghettiOs" contains 6 grams of protein, with meatballs one cup contains 11grams of protein. the Children eating lunch today ranged in age from 16 months to five years old. USDA requires that children in this age range be served between 1 and 1 and 1/2 ounces of protein.

Plan of Correction: We are now using measuring cups to serve lunch with. There is also a measuring chart placed in each room. This will ensure all children get the correct amount of food served for the day. Correction Date: 5/29/2018

Standard #: 22VAC40-185-570-E
Description: Based on observation the center failed to ensure that each prepared infant formula is labeled with the child's name. Evidence: 1 - In the infant room there are four infant bottles labeled with initials and not the child's names 2 - Staff present in the infant room stated that letters on the bottles were the initials of children in care.

Plan of Correction: To ensure all bottles will be labeled with full name, notices have been places on the outside of the cabinet. Meeting was held with all Infant Room staff to ensure they will follow through with these instructions. 2. This is correct the staff member did acknowledge that the initials were the correct child's name. Correction Date: 5/24/2018

Standard #: 22VAC40-185-570-I
Description: Based on observation the center failed to ensure that one-days supply of disposable bottles is maintained in the center. Evidence: 1 - There are not any disposable bottles in the one-day's emergency supply of bottle in the infant room. a. The bottles are made of hard plastic and intended to be washed out and reused.

Plan of Correction: There is now enough bottles and formula provided for a 24 hour emergency supply for all bottle feed infants in my care. Correction Date: 5/24/2018

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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