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Caterpillar Clubhouse # 1
664 Village Highway
Rustburg, VA 24588
(434) 332-6078

Current Inspector: Victoria E Dawson (540) 309-2674

Inspection Date: July 8, 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)
63.2(17) License & Registration Procedures

Comments:
An unannounced renewal inspection was completed on 7/8/19. There were 46 children present. Five children's records and six staff records were reviewed. No medications were being administered at the center. The inspector arrived at the center at 10:20 am and departed at 5:30pm. The children were observed during various classroom activities, during movie times, during lunch, and during nap.

Violations:
Standard #: 22VAC40-185-40-J
Description: Based on interview, the center failed to ensure that the injury prevention procedures were updated at least annually based on documentation of injuries and a review of activities and services. Evidence: 1. When asked, the director stated that there was no documentation of a review of injuries. The director stated that the injury reports are reviewed an assessed but no documentation of this is made.

Plan of Correction: The director will document the review of injury reports and any action taken in response.

Standard #: 22VAC40-185-50-A
Description: Based on observation, the center failed to ensure that staff and children's records were treated confidentially. Evidence: 1. The "Supplemental" form from the July inspections was observed to be posted. This form contains children and staff information as well as risk ratings associated to the violations.

Plan of Correction: This was corrected during the inspection. The director removed the information from the bulletin board where it was posted.

Standard #: 22VAC40-185-280-B
Description: Based on observation, the center failed to ensure that all hazardous substances such as cleaning material, insecticides, and pesticides were kept in a locked place. Evidence: 1. There were two spray cans of insecticide/pesticide observed on the mantle in the pavilion used by the children for lunch and afternoon snack. The mantle was approximately four feet high. The spray cans were unlocked and within reach of the children.

Plan of Correction: This was corrected during the inspection. When the inspector told the director of the unlocked pesticide/insecticide, the director disposed of the cans.

Standard #: 22VAC40-185-420-A
Description: Based on review of policies and procedures, the center failed to ensure that all required information was provided to the parents in writing before each child's first day of attending. Evidence: 1. The parent handbook was reviewed. The following required policies/procedures were not observed: the center's transportation policy (there was a transportation policy but it was not for this center), medication policy to include methods to prevent use of outdated medication.

Plan of Correction: The director will inform the administrative staff of the changes and additions needed to the parent handbook.

Standard #: 22VAC40-185-420-E-1
Description: REPEAT VIOLATION Based on documentation review, the center failed to ensure that the daily record for each infant Evidence: 1. There was one infant who had two bowel movements on the date of the inspection and a description was not documented for these. The infant daily communication was observed at approximately 2:45 pm and the bowel movements had happened in the morning. 2. There was an infant who had two bottles during the inspection and the amount that the infant had eaten was not documented as required. The infant daily communication was observed at approximately 2:45 pm and the bottles had been fed in the morning time.

Plan of Correction: The director will remind staff to complete the infant daily communication logs with all required information.

Standard #: 22VAC40-185-560-F
Description: Based on observation, the center failed to ensure that the food provided for meals and snacks followed the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: 1. Based on observation, the lunch meal did not include milk which is required as a part of each meal for USDA requirements.

Plan of Correction: The director will make sure that the staff are reminded that each meal must have milk served.

Standard #: 22VAC40-185-560-F-4
Description: Based on observation, the center failed to ensure that children three years of age or younger were not served foods that are potential choking hazards. Evidence: 1. Raisins were observed to be served to all children for lunch. There were 17children two to three years old (10 two year olds and 7 three year olds) observed being served these and eating them for lunch. Raisins are considered a potential choking hazard.

Plan of Correction: The director will review choking hazard foods with staff and ensure they are not served to children under four years of age.

Standard #: 22VAC40-185-560-M
Description: Based on observation, the center failed to ensure that staff sat with the children during meal times. Evidence: 1. Three groups of children were observed during the lunch meal time. Six staff were observed with the three groups; there were 15, 13, and 7 children in the three groups. There were two groups of children in which no staff sat with the children during any part of the lunch meal period. One staff person was observed sitting with a group of seven children.

Plan of Correction: The director will remind staff to sit with the children while eating meals.

Standard #: 22VAC40-80-120-E-2
Description: Based on observation and interview, the center failed to ensure that the most recent inspection of the facility was posted. Evidence: 1. The "Violation Notice" from the December 2018 was not observed to be posted. The director stated that she had taken it down.

Plan of Correction: The "Violation Notice" from today's inspection will be posted.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on record review, the center failed to ensure that all staff had a fingerprint completed as a part of the background check requirements. Evidence: 1. Staff #5 did not have a fingerprint completed. Staff #5 hire date was 3/1/16 and the last completed VA State Police Criminal Record check was 4/16 which expired 4/19. A fingerprint was required to be completed for all current staff prior to September 30, 2018.

Plan of Correction: The director will send the staff person this week to complete the fingerprint.

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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