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Community Improvement Council, Inc.
540 Holbrook Street
Danville, VA 24541
(434) 793-5710

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: April 23, 2019

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.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Comments:
An unannounced monitoring inspection was completed on 04/23/2019. There were 166 children, ages 3 years-5 years, in the direct care and supervision of 24 staff members during the inspection; additional support staff were also on-site during the inspection. The inspector reviewed 10 children's records, 10 staff records and 11 medications during the inspection. The children were observed in the following activities: circle/carpet/learning time, having breakfast, in free choice/center play, in large motor play outside and during lunch. The inspector reviewed the emergency preparedness plans and the emergency supplies during the inspection. The inspector discussed areas and equipment and sanitization with the staff. The inspector arrived for the inspection at 9:00 a.m. and departed at 3:00 p.m. If you have any questions, please contact Becky Forestier at 540-309-2835.

Violations:
Standard #: 22VAC40-185-160-C
Description: Based on record review and discussion with staff, the facility failed to obtain a follow-up tuberculosis screening/test at least every two years from the date of the first initial screening or testing. Evidence: 1. The most recent tuberculosis screening/test for Staff #2 was dated 03/08/2017; there was no 2019 repeat screening/test available to review. 2. The most recent tuberculosis screening/test for Staff #3 was dated 02/14/2017; there was no 2019 repeat screening/test available to review. 3. The most recent tuberculosis screening/test for Staff #8 was dated 11/07/2016; there was no 2018 repeat screening/test available to review.

Plan of Correction: The staff will be asked to get tuberculosis tests.

Standard #: 22VAC40-185-60-A
Description: Based on record review and discussion with the staff, the facility failed to ensure that the separate record for each child enrolled shall contain all of the elements as required by the standards. Evidence: 1. The record for Child #3 did not include the first date of attendance. 2. The record for Child #10 did not include the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached.

Plan of Correction: The information was obtained during the inspection. The Family Service Techs will review all folders.

Standard #: 22VAC40-185-280-B
Description: Based on observations and discussion with the staff, the facility failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There were 2 containers of "Damp Rid" on top of the storage cabinets in classroom #9 2. There was a container of "Damp Rid" on top of the storage cabinet in classroom #10. 3. There was a container of "Damp Rid" on top of the storage cabinet in classroom #12. 4. The label on the contain of "Damp Rid" indicates that the product meets the definition of a hazardous substance.

Plan of Correction: The Damp Rid will be removed immediately.

Standard #: 22VAC40-185-330-B
Description: Based on observations and discussion with the staff, the facility failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: There are multiple areas on the playground that do not contain the required amount of resilient surfacing within the fall zones of the playground equipment. The dirt/soil is visible in multiple areas around the large piece of playground equipment (the piece with two slides). There are multiple areas on the playground where grass/weeds are growing. The children were observed playing on the playground during the inspection.

Plan of Correction: The program administrator will discuss with the maintenance department. The playground will be weeded and mulch will be added.

Standard #: 22VAC40-185-500-A
Description: Based on observation, the facility failed to ensure that children's hands shall be washed with soap and running water after toileting. Evidence: Child #10 was observed leaving the restroom in the classroom and then proceed to go back to the table to play. Child #10 did not wash hands after toileting. There is not a sink in the area with the toilets, children must wash hands in the classroom sink.

Plan of Correction: All classroom staff will be reminded of the Restroom Policy and of hand washing techniques via email and memo.

Standard #: 22VAC40-185-510-J
Description: Based on observations and discussion with the staff, the facility failed to ensure that medication shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: Medication H was located in a plastic bag that was sealed with an adhesive seal. The plastic bag containing the medication was inside of an unlocked drawstring backpack that was inside of an unlocked first-aid kit. The plastic bag with the adhesive seal is not a safe locking method that prevents access by children.

Plan of Correction: Safety Sacks will be purchased for medications. Medications will be stored inside of locked cabinets until the Safety Sacks arrive.

Standard #: 22VAC40-185-550-D
Description: Based on document review and discussion, the facility failed to implement a monthly practice evacuation drill. Evidence: There was no documentation of a monthly practice evacuation drill for December 2018.

Plan of Correction: The facility will go back to the old way of documenting the drills.

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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