VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Total Action Against Poverty in Roanoke Valley @ Betty Lou Brown
206 Ninth Street, NW
Roanoke, VA 24016
(540) 342-9491

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

Inspection Date:

Complaint Related: No

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.