Caterpillar Clubhouse # 1
664 Village Highway
Rustburg, VA 24588
Current Inspector: Victoria E Dawson (540) 309-2674
Inspection Date: July 31, 2018
Complaint Related: No
- Areas Reviewed:
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
63.2 Licensure and Registration Procedures
22VAC40-191 Background Checks (22VAC40-191)
An unannounced monitoring inspection was completed on 7/31/18. There were 49 children present with eight staff directly supervising and the director present in addition assisting as needed. Five children's records and six staff records were reviewed. There were no medications at the center. The inspector arrived at the center at 7:45 am and departed at 2:30 pm. The children were observed during arrivals, during free play time in the gym, during breakfast, during worship time, and during lunch. All infant activities were observed. There was discussion with the director about the following: requirements for posting allergies, intolerances, dietary restrictions, practicing and documenting a fire drill today (last day of month and a drill had not been practiced), infant hand washing after diapering, having the new Sworn Statement (SS) completed for staff who had a previous SS completed.
Standard #: 22VAC40-185-130-A Description: Based on record review, the center failed to ensure that documentation of immunizations was obtained for each child before a child attends the center. Evidence: 1. The first date of attendance documented for child #1 was 4/23/18. The documentation of immunizations was dated by the health department official on 5/30/18. Plan of Correction: The director will ensure that immunization records are obtained prior to the child attending for all future children enrolled.
Standard #: 22VAC40-185-140-A Description: Based on record review, the center failed to ensure that a physical examination was completed by or under the direction of a physician for each child prior to attendance or within 30 days after attendance. Evidence: 1. There was no physical examination in the record for child #1. Child #1 first date of attendance was 4/23/18. Plan of Correction: The director will request the physical from the parent.
Standard #: 22VAC40-185-60-A Description: Based on record review, the center failed to ensure that all required information was documented in each child's record. Evidence: 1. One of two emergency contacts for child #1 did not have documentation of a complete address. One of the addresses had a road name and city but no house number. 2. The record for child #2 was missing documentation of the following required information: first date of attendance, chronic physical problems, allergies. The two spaces for the physical problems and allergies were left blank and did not indicate any information for the two required items. 3. The record of child #5 was missing a complete address for one of two required emergency contacts. There was a city documented but no house number or street name. Plan of Correction: All of the information was obtained by the director during the inspection and documented in the respective children's records.
Standard #: 22VAC40-185-270-A Description: Based on observation, the center failed to ensure that areas and equipment of the center were maintained in an operable condition. Evidence: 1. The sink drain in the bathroom in between two classrooms that was being used was not working. The sink drain plug was down and could not be opened to allow for water to drain out. Plan of Correction: The director will call the church to have this fixed.
Standard #: 22VAC40-185-320-B Description: Based on observation, the center failed to ensure that each rest room area was provided with the required items. Evidence: 1. The main rest room (girl's) in the hallway of the center did not have any liquid soap as required. Plan of Correction: This was corrected during the inspection. The director obtained some liquid soap and placed it in the rest room.
Standard #: 22VAC40-185-350-C Description: Based on observation, the center failed to ensure that when children are regularly in ongoing mixed age groups, the staff-to-child ratio is applicable to the youngest child in the group. Evidence: 1. At arrival of the inspector at 7:45 am, there were 17 children observed in the gym with two staff. The youngest child was 22 months old; however, the center had the required documentation from the parent of this child as required by Standard 350-F to be able to follow the ratio of the two year old children which is one staff for every eight children. There were children from two years through school-age in the group of children. Based on the mixed age grouping ratio, three staff would be required with 17 children. 2. At 7:58 am the number of children had increased to 18 with two staff. Plan of Correction: This was corrected at 8:02 when a third staff person arrived in the gym. The ratio was maintained from that time on as children and staff both arrived.
Standard #: 22VAC40-185-420-E-1 Description: Based on record review, the center failed to ensure that for each infant, a daily record was maintained with all required information. Evidence: 1. Six infant records were observed for infants who were present on 7/30/18. Five of the six did not have any sleep times documented for the entire day. 2. There was documentation of 10 bowel movements for the six infants throughout the day. There was no description of these for any of the six infants. Plan of Correction: The director will ensure that the lead staff person in the infant room ensures complete documentation of all required information is made for each infant.
Standard #: 22VAC40-185-500-B Description: Based on observation and interview, the center failed to ensure that diapering occurred as required. Evidence: 1. A two year old child was observed having a soiled (bowel movement) diaper changed while standing up. The diaper table was not observed being used. The standards require that a diaper changing table or a counter top designated for diapering be used for children under three years of age for the purposes of changing the child while laying on a non-absorbent surface. 2. The staff person who was changing was asked about using the diaper changing table. The staff person stated that the changing table was not used and all diapering was done while standing. 3. Approximately six diaper changes were observed and the diapering surface was not cleaned and sanitized as required. The diapering surface after each change was sprayed with bleach and water and immediately wiped with a rag. The diapering surface was not cleaned and was not allowed to dry for two minutes before wiping, as required. Plan of Correction: This was corrected during the inspection. The director informed staff of the Standard requirement and provided the supplies needed to diaper children on the available diaper changing table. The director reviewed the process of cleaning and sanitizing the diaper changing table with staff.
Standard #: 22VAC40-185-570-A Description: Based on observation, the center failed to ensure that when high chairs were used, the protective belt was fastened. Evidence: 1. Three infants were observed occupying three separate high chairs. The infants were 11 months, 13 months, and 16 months old. The protective belt (safety belt/strap) was not fastened for any of the infants. The infants were sitting in the seats waiting for lunch. There was no staff person within the immediate area (closest staff person was approximately four feet away). Plan of Correction: This was corrected during the inspection. The infants protective belts were fastened when the inspector pointed out the lack of use of the protective belts.
Standard #: 63.2-1720.1-A Description: Based on record review and interview, the center failed to ensure that the fingerprint check as a part of the background check was completed prior to employment for all staff. According to the Code of Virginia, all employees must undergo a background check prior to employment. Evidence: 1. Staff #3, #4, and #6 did not have a fingerprint background check completed prior to employment. All three staff were observed working during the inspection. There was no fingerprint record completed for any of the staff. The dates of employment were: staff #3 - 7/30/18; staff #4 - 4/3/18; staff #6 - 7/27/18. 2. The director stated that she was not aware that the staff could not work prior to employment. Plan of Correction: The director stated that all staff had been to have the fingerprints done. The director will have the eligibility letter prior to employment for future.
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