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Total Action Against Poverty in Roanoke Valley at Arnold Burton
1760 Roanoke Boulevard
Salem, VA 24153
(540) 342-2350

Current Inspector: James R Basham (804) 588-2370

Inspection Date: March 14, 2019

Complaint Related: No

Areas Reviewed:

An unannounced monitoring inspection was conducted in the Center on March 14, 2019. There were 13 children present and 3 staff present in the center. As reported, 17 children are currently enrolled in the program. The children were observed during outdoor play, hand washing procedures, the lunch meal and dismissal at the end of the program day. Staff were observed interacting with the children. The physical plant was clean and orderly. Age appropriate materials were available for the children. A medication was observed in the center. A discussion was held with the Lead Teacher regarding the physician's order to use a spacer and mask when administering the medication. Reportedly, the parent is aware of the order and is to provide the spacer/mask to the center. A sample of 5 children's records was reviewed. Documentation of the annual fire and health inspections was reviewed. A discussion regarding the date of the last fire inspection was held with the Compliance Supervisor. The appropriate agency has been contacted and a follow-up will be made via e-mail. Findings of the inspection were reviewed at exit. The inspection was conducted from 10:30AM to 1:20PM. If you have any questions, please contact this Licensing Inspector at (540)309-2310. Thank you for your assistance during this inspection.

Standard #: 22VAC40-185-130-A
Description: Based on a sample review of children's records, the Center failed to obtain documentation that each child had received the immunizations required by the State Board of Health before attending the center. Evidence: 1. The record for child #3 noted the first date of attendance as 1/9/19, the birth month and year for the child is December, 2015. The child had turned 3 years old at the time of enrollment and based on the age of the child, the immunization record was not current. The child's immunization record on file and accepted at the time of attendance was dated 2/3/16, the child was approximately 2 months old. 2. Upon notice, the Lead Teacher contacted the child's parent. Documentation of an updated immunization record was brought to the center on the same date as the inspection. Documentation will be retained in the child's record.

Plan of Correction: Staff had informed the child's parent and a medical appointment was scheduled. Records will be monitored at the time of attendance to ensure immunizations are up to date prior to the first day of attendance or current signed documentation by a physician will be obtained for a conditional enrollment with a scheduled date for the child's immunizations to be brought up to date.

Standard #: 22VAC40-185-140-A
Description: Based on a sample review of children's records, the Center failed to ensure documentation of a physical examination was on file for each child enrolled in the program. Evidence: 1. Documentation of a physical examination was not available for review in one of 5 records. The record for child #3, enrolled 1/9/19, did not have documentation of a physical exam on file. 2. Staff contacted the parent at the time of the inspection, documentation of the physical exam was brought to the center.

Plan of Correction: The Family Development Specialists will monitor children's records on-going to ensure copies of current physical examinations are obtained for each child prior to attendance or within the month of attendance.

Standard #: 22VAC40-185-60-A
Description: Based on a sample review of 5 children's records, the center failed to ensure the following information was complete in each of the reviewed records: (5.) name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached; (13.) previous child day care and schools attended by the child Evidence: The physical address of one of the two emergency contacts was not complete for child #2, a PO box was listed; the information sheet for child #5 did not list other schools attended by the child, the LI reviewed narrative in the record which noted the child had attended RCPS.

Plan of Correction: The Family Development Specialist will review the record with each child's parent to ensure information is complete and current.


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. To find programs participating in Virginia Quality, click here.

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