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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: May 30, 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.
22VAC40-191 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:
The licensing inspector conducted an unannounced monitoring inspection, at which breakfast time, play groups, activities, group time, and personal hygiene time were observed. Children were observed; and staff and children files and other documentation were reviewed. Fifty (50) children, aged 8 months-11 years, were found to be in care with 5 staff and office staff. Previous violations were reviewed, and had been corrected. There were 14 violations in 6 different areas of the standards cited. Please contact me if you need further assistance. Thank you for your cooperation. This inspection began at 8:10am and concluded at 10:30am.

Violations:
Standard #: 22VAC40-185-140-A
Description: Based on review of children files the facility failed to maintain compliance with this standard as required relating to proof of physical. Evidence: Child file #2, enrollment date 4/26/19, did not have proof of physical as required. The allowed 30 days to obtain this had since expired.

Plan of Correction: This information will be obtained from the parents and placed in the file for compliance. Child files will be reviewed for compliance and updated with any missing items. Upon future enrollment the child files will be reviewed for full compliance prior to the child's first day in care.

Standard #: 22VAC40-185-60-A
Description: Based on review of children files the facility failed to maintain compliance with this standard as required relating to emergency contact information. Evidence: Child files #2 and #5 did not have addresses for the emergency contacts are required.

Plan of Correction: This information will be obtained from the parents and written in the file for compliance. Child files will be reviewed for compliance and updated with any missing items. Upon future enrollment the child files will be reviewed for full compliance prior to the child's first day in care.

Standard #: 22VAC40-185-70-A
Description: Based on review of staff files the facility failed to maintain compliance with this standard as required relating to emergency contact information, references, job title, and proof of education. Evidence: Staff file #1, hire date 3/18/19, did not have have a job title. Staff #2, hire date 3/18/19, had only 1 of the required 2 references; no job title; and no emergency contact. Staff #3, hire date 12/13/18, had no references. Staff #4, hire date 3/25/19, had no job title; and had no proof of education for the position held. Staff #5, hire date 5/29/19, had no file at all on site and was working. Staff #6, hire date 5/23/18, had no file at all on site and was working.

Plan of Correction: HR will be contacted to obtain all the required information so that it may be placed within the files. Staff files will be reviewed for compliance and any items missing will be immediately placed in the files. In the future, upon hire and prior to starting work at the center, staff files will be verified for full compliance.

Standard #: 22VAC40-185-210-A
Description: Based on review of staff files the facility failed to maintain compliance with this standard as required relating to program lead qualifications. Evidence: The staff member placed in the lead teacher position in the infant room, staff #6, does not currently meet qualifications for the position.

Plan of Correction: The appropriate qualifications will be documented and/or completed as soon as possible. These items will be placed in the file for future review and compliance. Moving forward, this documentation of qualification will be in place and on file prior to the naming of any staff as a lead teacher.

Standard #: 22VAC40-185-240-A
Description: Based on review of staff files the facility failed to maintain compliance with this standard as required relating to proof of orientation. Evidence: Staff files #1, #2, and #4 did not have documented proof of orientation training as required.

Plan of Correction: Proof of orientation training will be obtained and placed within the file for future review and compliance. All new staff will have verified and completed files to ensure future compliance. All staff files will be reviewed for compliance and updated as needed.

Standard #: 22VAC40-185-240-D-1
Description: Based on review of staff files the facility failed to maintain compliance with this standard as required relating to medication administration. Evidence: There is only 1 staff currently certified in Medication Administration. Therefore there is no one present that holds certification during the following times each day: 12:30pm-1:30pm and 3:30pm-4:30pm. Children are to be in care of someone holding MAT certification at all times when the child or children having medications on site are present.

Plan of Correction: We currently have more staff working towards certification. More staff will also be enrolled to work towards this certification as well to ensure compliance at all times. Schedules will be adapted to ensure compliance.

Standard #: 22VAC40-185-240-D-5
Description: Based on review of staff files and discussions with staff the facility failed to maintain compliance with this standard as required relating to daily health observation training. Evidence: There were currently no staff certified in the daily health observation training as required. There is to be at least one staff in care of children at all times who holds this training.

Plan of Correction: All staff will complete this training so compliance is met as required. If any staff have completed this already, proof will be obtained and placed in their files.

Standard #: 22VAC40-185-270-A
Description: Based on review of the facility, both inside and outside, the facility failed to maintain compliance with this standard as required related to cleanliness. Evidence: There was trash, cups and tissues, strewn about on the resilient surfacing of both playgrounds. There was also trash bags, 1 on each playground, that were full and were tied to the fences on the playground. Also, there were areas inside the center, in the main hallway and large main room, that were sticky and could be felt on the soles of shoes when walking through the spaces.

Plan of Correction: These areas will be immediately cleaned up for compliance. The center is usually deep cleaned each weekend, but had not been the weekend prior to the inspection. Staff will also be reminded that any trash shall be placed in the appropriate receptacle daily and not left out. Staff will also be reminded to pick up any stray trash they see and to clean up any spills as soon as possible.

Standard #: 22VAC40-185-280-B
Description: Based on observations the facility failed to maintain compliance with this standard as required related to locking of cleaning products. Evidence: There were cleaners stored in the unlocked cabinet under the sink in the staff bathroom, this bathroom was accessible to the children as it was off of the main hallway of the center. Also, there was a bottle of carpet cleaner that was sitting on top of the newly installed mop sink, outside of the entrance to the staff bathroom.

Plan of Correction: The cabinet lock will be immediately replaced with a working lock, and the carpet cleaner will be stored in the locked cabinet as well. Staff will be reminded to inform the office if they see that the locking mechanism is not properly working. Staff will also ensure any cleaning product is placed in a locked area when not in immediate use.

Standard #: 22VAC40-185-330-B
Description: Based on observations of the playgrounds the facility failed to maintain compliance with this standard as required relating to resilient surfacing depths. Evidence: On the big playground there was not adequate resilient surfacing under and around the climbing structure. There was approximately 3 inches, which does not conform with requirements of the ASTM guidelines as required.

Plan of Correction: The mulch will be raked and redistributed, and more added if needed for compliance. Staff will inform administration if they see that areas become low.

Standard #: 22VAC40-185-510-A
Description: Based on review of medications the facility failed to meet this standard as required relating to expired medication. Evidence: The over the counter Childrens Allergy Medicine, for child A, had expired on 10/2018. This medication was in the active to administer box, with current long term permission to administer in an emergency.

Plan of Correction: The medication will be sent home today with the parent, and a new bottle will be requested for immediate replacement. All mediations will be reviewed monthly for compliance.

Standard #: 22VAC40-185-560-F
Description: Based on observations the facility failed to maintain compliance with this standard as required relating to the menu. Evidence: There was no current weeks' snack menu posted as required.

Plan of Correction: The current menu will be posted near the office entrance for the parents to see as required.

Standard #: 22VAC40-185-560-G
Description: Based on observations of packed lunches the facility failed to maintain compliance with this standard as required relating to labeling and dating. Evidence: The lunch boxes brought in by the children were not dated as required. The drinking containers, used throughout the day, of the children were not labeled as required.

Plan of Correction: A new dating system will be put in place to ensure dates are on the lunch boxes daily. Also, all drinking containers used throughout the day by the children will be re-labeled as required. Staff will replace names and add dates to each item that requires it for compliance.

Standard #: 63.2(17)-1720.1-B-3
Description: Based on review of staff files the facility failed to maintain compliance with this standard as required relating to in state and out of state Central Registry Searches. Evidence: Staff file #1, hire date 3/18/19, did not have documentation of the required request of Out-of-State Central Registry Search. Staff file #4, hire date 3/25/19, did not have a completed Central Registry Search for the State of VA as required. The allowed 28 days to obtain this had expired, and no follow up documentation was available. Both staff were currently working.

Plan of Correction: HR will be immediately contacted to obtain a copy of the searches and/or documentation of follow up. Each staff file will be reviewed for compliance and any missing items will be obtained immediately and placed in the file. HR will provide information to the center to keep them in the loop as to the status of missing items and required items.

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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