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Current Inspector:

Inspection Date: Oct. 2, 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.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
63.2 General Provisions.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced inspection was completed on 10/02/2018 from 11:10 A.M.-4:30 P.M. At the time of the inspection 77 children were in care with seventeen staff and one administrators present. Eight children records, eight staff records, three medications, seven injury reports, medication policy, first aid kits, emergency supplies, playground, and posted required information were reviewed. Children were observed during infant feeding, diapering, tummy time, free choice activities, outdoor play time, handwashing, lunchtime, naptime, snack, and an afternoon art activity. The exceptions to compliance are noted on the violation notice with one repeat violation. If you have any questions or concerns contact the licensing inspector at (540)-430-9257 for further assistance.

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on review of staff records, the center failed to obtain documentation of a tuberculosis screening that was was completed within 12 months prior to or 21 days after employment. Evidence: 1. Staff #1's file did not contain documentation of a tuberculosis screening. Date of hire was 07/27/2018. 2. Staff verified that there was not a tuberculosis screening on file.

Plan of Correction: The staff member has an appointment for this Thursday to have the tuberculosis screening.

Standard #: 22VAC40-185-160-C
Description: Based on review of staff records, the center failed to obtain an updated tuberculosis screening every two years. Evidence: 1. Staff #8's last documented tuberculosis screening was dated 09/27/2016. 2. Staff verified that there was not an updated tuberculosis screening on file.

Plan of Correction: The staff member has an appointment this month to obtain an updated tuberculosis screening.

Standard #: 22VAC40-185-70-A
Description: Based on review of staff records, the center failed to have all required components in the staff records. Evidence: 1. Staff #3's record contained no documentation of two references. Date of hire was 03/01/2018. 2. Staff verified that the record did not contain two references completed before hire.

Plan of Correction: The administration will make sure to complete the staff check list on all staff files and make sure all required paperwork is obtained and kept in the record.

Standard #: 22VAC40-185-290-3
Description: Based on observation, the center failed to ensure that all electrical outlets had protective covers.

Evidence:
1. In the Two and Half and Three's classroom there was an electrical outlet on the back wall behind the weather wheel that did not have a protective cover.
2. Staff verified that the outlets did not have a protective cover.

Plan of Correction: Extra protective covers will be bought to be kept on hand, and staff will be reminded to check classroom daily, and if an outlet is not in use to place a protective cover in the outlet.

Standard #: 22VAC40-185-350-C
Description: Based on observation, the center failed to maintain the staff-to-children ratio applicable to the youngest child in the group. Evidence: 1. Twelve children were observed in the care of two staff members in Room 109. The youngest child in the room was 31 months requiring a 1:8 staff to child ratio. 2. In the same classroom after lunch, as staff member was observed accompanying two children to the restroom located in the hall across from the classroom leaving one staff in the classroom with ten children. Staff reported that this is the usual procedure following lunch. 3. Staff confirmed that this classroom follows a 1:10 staff to child ratio.

Plan of Correction: The administration will look at the schedule and get extra coverage in the classroom to assist with the restroom break after lunch.

Standard #: 22VAC40-185-500-A
Description: Based on observation, the center failed to wash children's hands after diapering. Evidence: 1. In the Infant #2 Classroom an infant did not have their hands washed after diapering, they were put back into the play area after diapering. 2. In the Waddler #1 Classroom a waddler did not have their hands washed after diapering, they were taken off the diaper table and went back to play with the group of children. 3. Staff verified that they had not washed the children's hands before returning them to the play areas.

Plan of Correction: Staff will be trained on handwashing procedures, and the center will immediately start washing the infant and waddler hands after diapering.

Standard #: 22VAC40-185-510-E
Description: Based on medication review, the staff failed to label medication with the child's name, dosage amount, and the time or times to be given. Evidence: 1. Child 2M had a bottle of Infant Tylenol Pain & Fever Relief that was not labeled with the dosage amount and times to be given. 2. Child 3M had a bottle of Infant Tylenol Pain & Fever Relief that was not labeled with the child's name, dosage amount, and times to be given. 3. Staff verified that the medication was not labeled with the required items.

Plan of Correction: Staff immediately labeled the medication and will review with staff that are MAT trained the what is required on all medication to be kept at the center.

Standard #: 22VAC40-185-520-A
Description: Based on a review of over the counter skin products, the center failed to ensure that nonprescription drugs and over-the counter skin products shall not be kept or used beyond the expiration date of the product. Evidence: 1. In the Two Year Old Classroom there was a tube of Hydrating Healing Ointment that had expired in 09/2018. 2. In the Two Year Old Classroom there was a tube of Target Brand Diaper Rash Ointment that had expired in 11/2014. 3. Staff verified the expiration date on the over the counter skin products.

Plan of Correction: Staff immediately threw away the the expired medication, and will come up with a plan in the classroom to track expiration dates.

Standard #: 22VAC40-185-550-D
Description: Based on review of evacuation drills, the center failed to implement a monthly evacuation drill. Evidence: 1. There was no documentation for an evacuation drill for September 2018. 2. Staff verified that there was no evacuation drill completed for September 2018.

Plan of Correction: The administrator will start marking her calendar as a reminder to complete an evacuation drill monthly.

Standard #: 22VAC40-191-60-C-2
Description: Based on review of staff records, the center failed to obtain a central registry background check within 30 days of employment. Evidence: 1. Staff #3's date of hire was 03/01/2018. The central registry check was not mailed until 08/21/2018 and results were completed on 10/02/2018. 2. Staff verified that the central registry check was not mailed until 08/21/2018 and results were completed on 10/02/2018.

Plan of Correction: In the future the administration will track when a central registry check is mailed and follow-up and document within 30 days after employment.

Standard #: 63.2-1720.1-B-2
Description: Based on review of staff records, the center failed to obtain fingerprint results for employees prior to date of hire. Evidence: 1. Staff #1's date of hire was 07/27/2018. The fingerprint results check were dated 09/07/2018. 2. Staff #2's date of hire was 09/24/2018. The fingerprint results were dated 09/26/2018. 3. Staff #3's date of hire was 03/01/2018. The fingerprint check were dated 04/18/2018. 4. Staff verified dates of hire and dates that fingerprints were completed.

Plan of Correction: In the future the administration will make sure that no staff start at the center before the result of the fingerprint check are completed and received back to the center.

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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