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Creative Kids
1631 Blue Hills Drive
Roanoke, VA 24012
(540) 344-0370

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: July 30, 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.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Comments:
Today's visit was a renewal inspection. the inspection began at 9:00am and concluded at 5:15pm. There were fifty-five children present with eleven staff members and the Program Director was also present. During the inspection departure for a filed trip was observed, the mini-bus used for the field trip was boarded, infant care was observed, two medications were present and viewed along with authorizations, lunch time was observed, nap time was observed, the emergency plan for the center was viewed, nine out of seventeen staff records were reviewed, six out of eighty-eight children's records were reviewed, emergency supplies were viewed, and some policies and procedures were reviewed. Your renewal application has not been received in the Licensing office to date. Please submit your renewal application as soon as possible as you are approaching thirty days of expiration. There were violations cited today with regards to required background checks. Please provide follow-up within ten business days or no later than the close of business day on 8/9/18. Thank you for your time, please call me at 309-2051 if you have any questions.

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on the inspector's review of nine new staff records out of a total of seventeen records, the center failed to ensure a portion of the staff obtained a TB screening within twenty-one days of date of hire hire. Evidence #1: Staff #4 has a documented hire date of 4/4/18 and the TB screening was dated 7/19/18 more than twenty-one days after the date of hire. Evidence #2: Staff #6 has a documented hire date of 3/7/18 and the TB screening was dated 4/7/18 more than twenty-one days after the date of hire. Evidence #3: Staff #7 has a documented hire date of 6/11/18 and does not have the results of a TB screening. Evidence #4: Staff #8 has a documented hire date of 6/13/18 and the TB screening was dated 7/16/18 more than twenty-one days after the date of hire.

Plan of Correction: The PD will monitor to ensure all staff have a TB screening within 21 days of hire.

Standard #: 22VAC40-185-50-A
Description: Based on the inspector's observations, the center failed to ensure children's records were treated in a confidential manner. Evidence: The inspector observed a box of children's records stored in the staff lounge. The PD stated the records were of those children who were no longer enrolled. The records were accessible to anyone in the building.

Plan of Correction: The PD stated the children's records would be moved to a locked location to ensure confidentiality.

Standard #: 22VAC40-185-70-A
Description: Based on the inspector's review of nine new staff records out of sixteen total staff, the center failed to ensure a portion of the records contained all of the required information as outlined by this standard. Evidence #1: Staff member #1 did not have evidence of two out of two required reference checks. Evidence #2: Staff member #2 did not have evidence of completion of required orientation training. Evidence #3: Staff member #4 did not have evidence of two out of two required reference checks. Evidence #4: Staff member #5 did not have evidence of two out of two required reference checks and evidence of the completion of orientation training. Evidence #5: Staff member #6 did not have documentation of a job title and evidence of the completion of orientation training. Evidence #6: Staff member #7 did not have documentation of a name, phone number, and address for an individual to contact in the event of an emergency. Evidence #7: Staff member #9 did not have documentation of a date of hire, job title, one out of two required references, and evidence of the completion of orientation training.

Plan of Correction: The PD will audit staff records, gain any and all missing information and document the information in the staff records.

Standard #: 22VAC40-185-340-D
Description: Based on the inspector's observations and staff record review, the center did not ensure a grouping of children was in the presence of a program lead. Evidence: the inspector observed a classroom with staff member #1 and #2 as the only two staff members in the room. Upon review of both staff records their was no evidence of Program Lead qualifications for either of the staff members.

Plan of Correction: A PL documented staff member will be present in each grouping of children.

Standard #: 22VAC40-185-510-N
Description: Based on the inspector's review of two medications, the center failed to ensure a medication was returned to the parent or disposed of when an authorization for the administration of the medication was not renewed. Evidence: The inspector reviewed an authorization for for the administration of liquid Ibuprofen. The authorization expired on 6/21/18 and the medication was still present in the medication lock box. The medication is required to be disposed of or returned to the parent within fourteen days when the authorization is not renewed.

Plan of Correction: The PD will return the medication to the parent until a new authorization is provided.

Standard #: 22VAC40-185-520-A
Description: Based on the inspector's review of a sample of six out of fifteen diaper creams and ointments, the center failed to ensure over the counter skin products were not kept beyond the expiration date. Evidence: The inspector viewed a sample of diaper creams in two classrooms. Two out of six diaper creams sampled were expired. One expired on 6/18 and one expired on 9/17.

Plan of Correction: The diaper creams were disposed of during the time of the inspection. Staff will monitor expiration dates for topicals.

Standard #: 22VAC40-185-530-A
Description: Based on the inspector's observations and review of staff member #7 record, the center failed to ensure a staff member had CPR and First Aid training when the staff member was the only staff present on a vehicle during transportation to a field trip. Evidence: The Licensing Inspector observed the departure of the school age children for a field trip the morning of the inspection. Staff member #7 was observed as the driver and soul staff member for the mini-bus. Upon review of the staff member's record the staff member did not have evidence of the completion of CPR and First Aid training.

Plan of Correction: Staff member #7 will be required to be accompanied by another staff member with CPR/FA training.

Standard #: 22VAC40-185-560-F
Description: Based on the inspector's observations, the center failed to heave the current one week menu posted. Evidence: The inspector viewed the posted menu and it was dated July 23-27 and was the date for the previous week.

Plan of Correction: This week's menu was posted during the day of the inspection.

Standard #: 22VAC40-191-60-C-2
Description: Based on the inspector's review of nine new staff records out of a total of seventeen staff records, the center failed to ensure search of the central registry background checks were received within thirty days of employment. Evidence #1: The record for staff member #2 has a documented hire date of 6/15/18 and there is no evidence of CPS background check results or follow-up when the background request was not received within thirty days. Evidence #2: The record for staff member #4 has a documented hire date of 4/6/18 and the CPS check is dated 7/6/18 more than thirty days after employment. Evidence #3: The record for staff member #7 has a documented hire date of 6/11/18 no evidence of CPS background check results or follow-up when the background request was not received within thirty days.

Plan of Correction: The PD will follow-up with the agency responsible for conducting the Search of the Central Registry and document the results in each of the staff member's records. Follow-up will also take place within ten days with the Licensing Inspector.

Standard #: 63.2-1721.1-A
Description: Based on the inspector's review of background checks for two applicants/agents, the center failed to ensure repeat background checks were conducted as required. Evidence #1: The search of the central registry is dated 2/27/14 for applicant/agent #1 and was required to be updated by 2/27/17. Evidence #2: The criminal record check is dated 2/25/14 for applicant/agent #2 and was required to be updated by 2/25/17. the Sworn Statement for the same applicant/agent is dated 1/27/14 and was required to be updated by 1/27/17. The search of the central registry is dated 2/27/14 for the same applicant/agent and was required to be updated by 2/27/17.

Plan of Correction: The PD will ensure all background checks are updated and follow-up with the inspector will take place within ten days of today's inspection.

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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