VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Augusta Health Childcare Center
127 Medical Center Circle
Fishersville, VA 22939
(540) 332-5600

Current Inspector: Chrystal King (804) 297-4469

Inspection Date: Oct. 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. 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 32.1 Report by person other than physician 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs.. 22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:

We discussed the requirements for documenting minor injuries. The risk assessment for a violation was provided. Also, we reviewed allowances for storage of the emergency medication in lockable bags and backpacks. Also, the dosage labeling of over-the-counter medication was discussed. We talked about the requirements for the developmental assessment by a teacher and director and including the parent's signature for children's placement with a different age group.

Comments:

Thank you for your assistance during today's unannounced monitoring inspection conducted from 9:50 AM to 4:00 PM. Today, there were eighty three children, ages infancy through four years, with fourteen to fifteen staff. After school, thirteen children, ages five through ten years were expected to be supervised by one staff member. Two licensing inspectors conducted the inspection and determined compliance with program activities, daily routines, infant care, infant records, staffing, supervision, interactions with children, equipment, nutrition, meals/snacks, medication, diapering procedures, injury records, emergency supplies and drill records, agency inspection reports, eight records for children, eight staff records, staff qualifications, staff training, indoor and outdoor areas. The children enjoyed active play outdoors. A variety of developmentally appropriate toys, materials, equipment and interest areas were available for each room. The staff were seen providing close supervision and frequent, positive interactions with children. Some children enjoyed cooking activities. Hand washing routines were appropriate. Let me know if you need any assistance. 540/430-9259

Violations:

Standard #:	22VAC40-185-550-M
Description:	Based on a review of eight recent minor injury records, and interviews with administrative staff, there were missing written entries for including all required information. Evidence: Seven injury reports written for October 3, 4, 2018, 10 and 11, 2018 did not include documentation of the method used to notify parents of minor injuries. Five of the reports for October 3, 4, 10 and 11, 2018 did not include the time of parent notification. A report for October 11, 2018 did not have the date of parent notification documented.
Plan of Correction:	The assistant director immediately reviewed the requirements for documenting injuries. The assistant director will view more reports to see if any missing information needs to be addressed. The attending staff will be asked to completed known information about parent notification. The assistant director or director will remind the staff of documentation requirements. The administrative staff who view the individual reports before they provide a signature and file the information in the injury record binder will make sure all required information was documented by staff. As needed, a review of the requirements will be discussed at staff meetings.