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Honey Tree Early Learning Center
95 Patricia Lane, NE
Christiansburg, VA 24073
(540) 381-6095

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: Jan. 23, 2019

Complaint Related: Yes

Areas Reviewed:
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.

Comments:
The licensing inspector conducted unannounced complaint inspections on 1/23/19 and 2/14/19 in response to complaints that were received by the licensing office on 1/21/19 and 2/13/19. Interviews were conducted with staff, documentation was reviewed, a video was viewed, and observations were conducted by the LI on both days relating to allegations that ratios were not being met. The evidence gathered during the investigation supports allegations, so the complaint is determined to be valid. Please contact me if you need further assistance. Thank you.

Violations:
Standard #: 22VAC40-185-340-A
Complaint related: No
Description: Based on interviews with staff and administration the facility did not ensure that staff supervising children always ensure children?s care, protection, and guidance. Evidence: The facility did not ensure the protection of the children as required by allowing staff with fevers of 101 or higher to work due to staff shortage problems. Interviews with all 10 staff confirmed that staff on at least 2 occasions had been required to work or allowed to work while they had a fever. According to staff there were numerous confirmed cases of pneumonia (staff), bronchitis (staff), RSV (children), sinus infections (both staff and children), along with the stomach virus. Approximately 4 staff and 15 children were out with a form of sickness over an approximate 2 week period of time. On 2/14/19 the LI observed a 3 year old child who was placed in the red room (3-4 year old) as the 11th child, by another classroom for ratio purposes, making the classroom over ratio at 8:46am. During breakfast time, this 3 year old child knocked over all the children?s filled cereal bowls and cups of milk while they were eating. The child then ran around the room and knocked things over, all while all the other children screamed and cried. There were no staff available to assist this teacher as the other rooms were also over ratio or at max ratio. The staff of the red room was visibly shaken and upset and could not secure this 3 year old child as he continued to destroy the room and act aggressively to the other children in care. At 9:05am the director took the child with her to the office. Continued operation over mandated ratios does not ensure the care, protection, and guidance of the children as required.

Plan of Correction: The RD will discuss with the PD not to allow staff with fevers of 101 to report to work. The RD, PD is working with HR to ensure that they have a plan in place to hire staff to meet the needs of the center so that they are in ratio. In the meantime, they have adjusted staff schedules and are using subs to meet the standards. 3/25/2019 The child was disenrolled on 2/14/19 and this has been discussed with RD and PD when you have behavior issues on how to handle in the future.

Standard #: 22VAC40-185-340-F
Complaint related: No
Description: Based on interviews with staff the facility failed to maintain compliance with this standard as required relating to sight and sound supervision of the children. Evidence: The facility did not ensure that the school aged children 5-10 years were within sight and sound supervision by staff as required. Interviews with all 10 staff confirmed that the school aged teacher had been required by the director to prep the morning breakfast, while being in charge of the group of children, in the kitchen that has no line of sight into the school aged area. The children would be left alone at various intervals so the teacher could prepare breakfast for the center. Staff #6 stated that this was what the director at the facility told her to do while caring for the children. Staff #6 also stated that after several times, she refused to leave the children alone to get breakfast prepped, causing breakfast to be late for the other classrooms or school aged children not being served breakfast prior to school.

Plan of Correction: The RD will discuss with the PD that children must be in sight and sound at all times. 3/25/2019

Standard #: 22VAC40-185-350-C
Complaint related: Yes
Description: Based on interviews with staff and administration, and LI observation, the facility failed to maintain compliance with this standard as required relating to staff to children ratio. Evidence: Interviews with all staff, and LI observation confirmed that the facility was not maintaining the required ratio for groups of children that had mixed ages as required. Staff stated that this had been an on-going issue for approximately 2-4 months, due to staff shortage, and call outs of staff due to sickness. On 1/23/19 upon arrival of the LI at 9:15am, the ratio in the 2yr-3yr classroom (maroon room) was not being met. There were 10 children and only 1 staff. The required ratio was 1 staff to 8 children. The classroom remained out of ratio until the director moved a child into another classroom at 11:45 am. On 1/22/19 there was one staff with 10 children aged 2 yrs-3yrs (maroon room) from 4:15pm-4:45pm. The required ratio was 1 staff to 8 children. Also on 2/14/19 upon arrival of the LI at 8:15am, the following rooms were out of ratio: 1. 19mths-3yrs (green room): there were 12 children present with 2 staff, the required ratio was 1 staff to every 5 children. This room remained out of ratio, receiving the 13th child at 8:30am, until a third staff came into the room to work at 8:45am. 2. 2yrs-4yrs (orange room): there were 13 children with 1 staff from 8am-9:15am, the required ratio was 1 staff to 8 children. 3. 16mths-2yrs (blue room): the 6th child arrived at 9:00 am putting the room out of the required 1 staff to 5 children ratio. This was corrected at 9:15am. 4. 2yrs-3yrs (maroon room): One staff had 9 children from 9:15-9:30 am. The required ratio is 1 staff to 8 children. Documentation and interviews with staff also confirmed that ratios were not met on 2/13/19 as follows: 1. From 4pm-5 pm on 2/13/19 there were a combined group of children aged 2 yrs-10yrs in the school aged room from 4-5pm. There were 18 children with 1 staff. The required ratio for this mixed age group was 1 staff to 8 children. 2. From 7:30am-9:40am there were 9 children in care with 1 staff in the infant room. The mixed ages of infant and toddler required a 1 staff to 4 children ratio. 3. From 8:45am-10:30am there were 11 children aged 12m-2yrs in care with one staff, the required ratio was 1 staff to 4 children. 4. From 8:15am-9:15am there were 18 children aged 3-4yrs in care with 1 staff, the required ratio was 1 staff to 10 children. 5. From 8:30am-10:30am there were 6 children aged 8mths-16mths in care with 1 staff, the required ratio was 1 staff to 4 children. 6. From approximately 9am to 11am, there were 9 children aged 2-3yrs in care with 1 staff, the required ratio was 1 staff to 8 children. 7. From 8:15am-10:15am there were 11 children aged 16months-2yrs in care with 2 staff, the required ratio was 1 staff to 5 children. Video obtained and viewed showed that for 30 minutes there was 1 staff present with 15 children aged 2 yrs-3yrs on 11/6/18. The required ratio was 1 staff to 8 children. This video was referred to during staff interviews and therefore was obtained and viewed by the LI during the course of the investigation. All 10 staff stated that this is an everyday occurrence from approximately 7:30am-9:30am. Ratios are not being met in most rooms as required during this period of time, for approximately the last 2-4 months.

Plan of Correction: A staff was in the office looking at schedules and should have been in the room to meet ratios on a day. The RD, PD is working with HR to ensure that they have a plan in place to hire staff to meet the needs of the center so that they are in ratio. In the meantime, they have adjusted staff schedules and are using subs to meet the standards. 1/28/2019

Standard #: 22VAC40-185-350-E-1
Complaint related: Yes
Description: Based on interviews with staff and administration, and LI observation, the facility failed to maintain compliance with this standard as required relating to staff to children ratio. Evidence: Based on staff interviews and documentation the ratio of 1 staff to 4 children was not met the morning of 1/2/19, 1/4/19, 1/21/19, and 1/22/19. On 1/2/19: prior to 8:30am there were six children in care aged 8-16mths with one staff. On 1/4/19: prior to 8:30am there were nine children aged 6wks-8mths in care with 1 staff. On 1/21/19: prior to 8:30am there were eight children aged 6wks-8mths in care with 1 staff. On 1/22/19: there were a total of 2 staff with 9 children aged 8mths-16mths from approximately 8am-4pm.

Plan of Correction: The RD, PD is working with HR to ensure that they have a plan in place to hire staff to meet the needs of the center so that they are in ratio. In the meantime, they have adjusted staff schedules and are using subs to meet the standards. 1/28/2019

Standard #: 22VAC40-185-350-E-4
Complaint related: Yes
Description: Based on interviews with staff and administration, and LI observation, the facility failed to maintain compliance with this standard as required relating to staff to children ratio. Evidence: On 2/14/19 the LI observed the ratio in the 3-4yr class room (red room) go over the required ratio from 8:46am to 9:05am when there was 1 staff with 11 children. The required ratio is 1 staff to 10 children.

Plan of Correction: The RD, PD is working with HR to ensure that they have a plan in place to hire staff to meet the needs of the center so that they are in ratio. In the meantime, they have adjusted staff schedules and are using subs to meet the standards. 1/28/2019

Standard #: 22VAC40-185-350-F
Complaint related: Yes
Description: Based on interviews with staff, administration, and documentation reviewed the facility failed to maintain compliance with this standard as required relating to moving of children from classroom to classroom. Evidence: Staff interviews and LI observation found that children are moved repeatedly to help maintain ratio on any given morning/day. These children that are moved from classroom to classroom, are not assigned to these classes, and may not know the teacher to whom they've been moved. Interviews from staff confirmed that this has been a regular occurrence for approximately 2-4 months since ratios have not been met as required. The LI observed a 2 year old child in the maroon room, with limited English language, be moved to another room (green room) with staff members he did not know, and whom did not know him nor his individual needs.

Plan of Correction: The RD, PD is working with HR to ensure that they have a plan in place to hire staff to meet the needs of the center so that they are in ratio. In the meantime, they have adjusted staff schedules and are using subs to meet the standards. 1/28/2019

Standard #: 22VAC40-185-500-A
Complaint related: No
Description: Based on staff interviews the facility failed to maintain compliance with this standard as required relating to hand washing by the children. Evidence: Staff interviews confirmed that children do not always wash their hands before or after potty time, or after eating meals or snacks as required. Staff stated that they allow the children to use hand sanitizer instead of washing as it is easier and they were informed by the director that this was allowed, and would help with classroom management. Staff also confirmed that they would use the hand sanitizer after diapering instead of hand washing as well.

Plan of Correction: The RD will train staff on handwashing policies for children/staff for meals and potty times. 4/5/2019

Standard #: 22VAC40-185-560-F
Complaint related: No
Description: Based on observation and staff interviews the facility failed to maintain compliance with this standard as required relating to breakfast. Evidence: The LI witnessed on 2/14/19 that the school aged children were not served breakfast, but were given a granola bar, by the director as they were being taken out of the building for school transportation, and only because a child said they were hungry and had not been given breakfast. The granola bar did not meet or follow the USDA required servings/nutritional chart as required by this standard for breakfast or snack.

Plan of Correction: The RD will discuss with the PD that USDA menu guidelines must be in place for all meals. 3/25/2019

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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