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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: Oct. 17, 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.
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was conducted today between 1pm and 4pm. there were 26 children in care ranging in age from 7 weeks through nine years old. Children and staff records were reviewed. Children were observed in teacher and self-directed activities including nap, snack, play activities and transitions. Required postings were reviewed, first aid kit and fire and health inspections were reviewed. Violations were identified in the areas of hand washing diaper changing, medication, staff records and background checks.

Violations:
Standard #: 22VAC40-185-70-A
Description: Based on record review and interview the center failed to maintain all required information in staff records. Evidence: 1 - The record for staff 6 does not contain documentation of orientation training. Staff 6 has documented date of hire 11/16/17. 2 - Staff 1 confirmed that the record for staff 6 does not contain documentation that the staff received the required orientation training.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-500-A
Description: Based on observation and interview the center failed to ensure that staff practice hand washing as required. Evidence: 1 - Staff 2 did not wash her hands after changing an infant diaper and before putting the infant in a swing. 2 - Staff 3 did not wash her hands after changing an infant diaper and before touching previously sanitized changing pads. 3 - Staff 2 and 3 confirmed that they did not wash their hands after completing a diaper change and before touching other items in the room.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-500-B
Description: Based on observation and interview the center failed to ensure that the disposable diapers are disposed in a storage system that is either foot operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Based on observation the center failed to ensure that the diapering surface is cleaned with soap and at least room temperature water and sanitized after each use. Evidence: 1 - The trash can used to dispose of diapers has a swing top that either the diaper or a persons hand must touch the lid in order to dispose of diapers. a. Staff were observed as they threw diapers away and at twice a diaper touched the lid and once a staff hand touched the lid. 2 - Staff 3 sanitized the diaper changing pad and immediately change a second child without allowing the diaper pad to air dry as required. a. Staff 4 described 1 step process to cleaning and sanitizing the diaper chang

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-510-E
Description: Based on medication review and interview the center failed to ensure that medication is labeled with the child's name. Evidence: 1 - Medication was reviewed in the infant care room. Two out of eight medications reviewed are not labeled with the child's name. a. One bottle of Infant Tylenol does not have the child's on the bottle. Staff report that the medication belongs to child 1. b. A bottle of Infant Pain and Fever medication is not labeled with a child's name. Staff were unable to identify the owner this medication.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-510-G
Description: Based on medication review and interview the center failed to obtain written authorization from a parent. Evidence: 1 - Medication was reviewed in the infant care room. Three out of eight medications reviewed do not include written parent authorization. a. One bottle of Infant Tylenol does not include a parent signature. Staff report that the medication belongs to child 1. b. A bottle of Ibuprofen which belongs to child 2 does not have a written parent authorization. c. A bottle of Infant Mylicon drops which belongs to child 1 does not have a written parent authorization.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review and interview the center failed to obtain a central registry finding within 30 days of employment. Evidence: 1 - The record for staff 7 does not contain central registry finding. Staff 7 has a documented date of hire as 9/10/18. 2 - Staff 1 confirmed that there is not a central registry finding in the record of staff 7.

Plan of Correction: Not available online. Contact Inspector for more information.

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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