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Betty Lou Brown Head Start Child Development Center
206 Ninth Street, NW
Roanoke, VA 24016
(540) 342-9491

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

Inspection Date: Jan. 25, 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.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-80 SANCTIONS.
22VAC40-80 HEARINGS PROCEDURES.
22VAC40-191 Background Checks (22VAC40-191)
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Comments:
An unannounced inspection was conducted in the center on January 25, 2019. The on-site inspection was conducted from approximately 10:50AM to 4:00PM. There were 50 children present, the ages of the children ranged from infancy to preschool. The children were assigned to 4 classrooms according to their birth month and year. The LI observed each group of children. Prescribed medications were observed in the center. A sample of 7 children's records was reviewed. Documentation of the center's fire and health annual inspection was reviewed. A first aid kit was observed in each classroom. Hand washing and diapering procedures were observed. The LI observed a group during the lunch meal. An afternoon snack was served to the children. Children participated in free play and a structured group activity. Staff was observed reading to a group of children. Dismissal procedures were observed. Partial staff records were reviewed on-site, complete staff records were reviewed at the administration office. Findings of the inspection were reviewed with the Center Supervisor at exit. If you have questions, please contact the LI at (540)309-2310. Thank you.

Violations:
Standard #: 22VAC40-185-140-A
Description: Based on a sample review of children's records, the center failed to obtain documentation of a physical examination by or under the direction of a physician before each child's attendance; or within 1 month after attendance. Evidence: 1. One of seven reviewed records did not contain documentation of a completed physical examination. 2. The record of child #1, enrolled in the center in October, 2018, documentation of a completed physical exam was not available for review.

Plan of Correction: The responsible staff will follow-up with the child's parent to obtain documentation of a current physical examination. Documentation will be retained in the child's record.

Standard #: 22VAC40-185-60-A
Description: Based on a sample review of children's records, the center failed to ensure the following information was complete in each child's record: A.5.) Name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. Evidence: A complete address for the two designated emergency contacts was not indicated in one of the seven records. The street address was not complete for child #6 for either contact, the city and state was given.

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

Standard #: 22VAC40-185-500-B
Description: Based on direct observations, staff failed to follow diaper disposal procedures: B.6.) disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal Evidence: The LI observed diapering procedures in an infant room. Staff #1 failed to use the foot-operated mechanism when disposing a soiled diaper. Staff used her gloved hand to lift the cover of the storage system after changing the child.

Plan of Correction: The center's diapering procedures will be reviewed with staff, diapering procedures will be monitored on-going.

Standard #: 22VAC40-185-510-A
Description: Based on reviewed documentation, the Center failed to ensure written authorization from the parent was obtained prior to the administration of a medication. Evidence: 1. The record for child a. for medication administration noted a prescribed medication was administered for several months, the authorization to administer had not been signed by the child's parent. 2. The authorization was signed by the child's physician for long-term administration.

Plan of Correction: Staff will review the center's medication policies to ensure proper procedures are followed. The medications and medication records will continue to be monitored on-going by the Health Coordinator.

Standard #: 22VAC40-185-510-L
Description: Based on reviewed documentation the center failed to keep a complete record of medication given to children: (L.3.) the day and time the medication was administered to the child. Evidence: 1. The LI reviewed the center's documentation for the administration of a prescribed medication for child a. 2. The medication record did not indicate the time the medication was administered to the child, the record noted "PM" on dates beginning 10/02/18 through 01/24/19. 3. Several different staff had signed the record as administering the medication. 4. Interviewed staff reported that the child arrives to the center in the afternoon after attending another program in the morning.

Plan of Correction: Staff will review the center's medication policies and will follow the center's procedures. Medication records will be monitored on-going.

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

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