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HoneyTree Early Learning Center - Hunting Hills
4330 Franklin Road S.W.
Roanoke, VA 24014
(540) 725-3505

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: Sept. 13, 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.
22VAC40-191 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.

Technical Assistance:
The lower preschool building is not being used at this time.
The facility will notify the inspector prior to the building being re-opened.

Comments:
The licensing inspector conducted an unannounced renewal inspection, at which play groups, activities, large and small motor play, group time, music time, story time, personal hygiene, and art time were observed. Children were observed; and staff and children files and other documentation were reviewed. Thirty-four (34) children, aged 3 months-4 years were found to be in care with 8 staff, and kitchen staff. Previous violations were reviewed, and had been corrected. There were a total of 12 violations, in 7 separate areas of the standards. Please contact me if you need further assistance. Thank you for your cooperation. This inspection began at 9 am and concluded at 11:30 am.

Violations:
Standard #: 22VAC40-185-140-A
Description: Based on review of children records the facility failed to maintain compliance with this standard as required relating to proof of physical.

Evidence:
Child record #2, enrollment date 10/1/18, did not have proof of physical as required and the allowed 30 days to obtain had since expired.

Plan of Correction: A copy of the physical will be obtained as soon as possible and placed within the file. Administration will continue to review files for completion upon enrollment, and thereafter for compliance.

Standard #: 22VAC40-185-160-C
Description: Based on review of staff files the facility failed to maintain compliance with this standard as required relating to renewal of tuberculosis tests or screenings.

Evidence:
Staff record #4 did not have a renewed tuberculosis screening or test as required. The one on record expired as of 8/1/19.
Staff record #5 did not have a renewed tuberculosis screening or test as required. The one on record expired as of 7/14/19.
These are required to be renewed every two (2) years.

Plan of Correction: Staff will immediately obtain this screening or test and upon the final reading by the physician the form will be placed in the file for review and compliance. Files will be reviewed by administration for accuracy and updates completed as needed.

Standard #: 22VAC40-185-70-A
Description: Based on review of staff records the facility failed to maintain compliance with this standard as required relating to health problems.

Evidence:
Staff records #1-#4 did not address any health problems as required by this standard.

Plan of Correction: Staff will address this area on the form and update the information for any future changes. This information will be addressed in all staff files moving forward for compliance; and updated as needed.

Standard #: 22VAC40-185-240-A
Description: Based on review of staff records the facility failed to maintain compliance with this standard as required relating to orientation.

Evidence:
There was no proof of completion of orientation in the record of staff #1, hire date 8/28/19.

Plan of Correction: Proof of orientation will be obtained and placed within the record. Administration will review all records for compliance and update them as needed.

Standard #: 22VAC40-185-240-D-5
Description: Based on review of staff records and other documentation the facility failed to maintain compliance with this standard as required relating daily health training.

Evidence:
There was no proof of staff holding current certification on the daily health observation training as required. There shall be at all times, where children are in care, one staff who holds certification in daily health observation training. This training is good for 3 years.

Plan of Correction: This documentation will be added to the binder reviewed by licensing, moving forward, so compliance of this standard can be met. Administration will ensure that this training is updated every 3 years, and that staff working with the children hold certification in this as required.

Standard #: 22VAC40-185-270-A
Description: Based on review of the classrooms the facility failed to maintain compliance with this standard as required relating to equipment up keep.

Evidence:
The door to the diaper changing station was broken from the hinge and was hanging by the one remaining hinge in the 2 year old classroom. This posses a hazard to the children in care.

Plan of Correction: Maintenance was immediately notified of the repair need during the licensing inspection. Staff will be reminded to inform administration immediately of any broken or not properly working items or equipment for continued compliance and safety.

Standard #: 22VAC40-185-280-B
Description: Based on review of the classrooms the facility failed to maintain compliance with this standard as required relating to locking of hazardous substances.

Evidence:
In the preschool classroom, beside the 2 year old classroom, there were 13 various bottles of cleaning products sitting on the shelf, above the toilet, in the bathroom used by the children.
Also, in the same classroom in the unlocked vertical cabinet located near the circle time area, there was a plastic bin (without a lid) of sunscreen sitting on the shelf and a bottle of Tylenol sitting on the shelf above the bin of sunscreen.

In the 2 year old class there was a bottle of soap and water mixture and a bottle of sanitizing solution sitting on top of the vertical cabinet, adjacent from the tables used by the children.

Plan of Correction: These items were relocated to a locked area. Staff will be retrained on the policies and requirements of locking of hazardous substances and administration will spot check classes daily to ensure compliance and safety are being met.

Standard #: 22VAC40-185-420-E-3
Description: Based on review of children records the facility failed to maintain compliance with this standard as required relating to obtaining annual updates.

Evidence:
The record for children #3-#5 did not have proof of the required annual update of information for 2018 as required. Each child had been enrolled over a year as of this inspection.

Plan of Correction: The updates of children records will be addressed and completed in full for all records due. This update will continue to take place yearly for all records for compliance.

Standard #: 22VAC40-185-510-E
Description: Based on observations and discussions with staff the facility failed to maintain compliance with this standard as required relating to labeling of medications.

Evidence:
In the preschool classroom, located beside the 2 year old class, there was a bottle of Tylenol inside the vertical cabinet with no name showing to whom the medication belonged. The staff in the room stated that the medication belonged to her child, who was enrolled in that class.

Plan of Correction: Staff will be reminded of the labeling of medication policies and standards to ensure future compliance. Administration will verify that all medications on site are labeled for compliance moving forward.

Standard #: 22VAC40-185-550-D
Description: Based on review of documentation the facility failed to maintain compliance with this standard as required relating to monthly emergency escape drills.

Evidence:
There was no documentation of any practiced monthly emergency escape drills for the months of June, July, and August as required.

Plan of Correction: These drills will be practiced and documented monthly as required. For the next 3 months two (2) emergency drills will be conducted per month to ensure that the children and staff are prepared for, knowledgeable of, and practice the evacuation plans and processes.

Standard #: 22VAC40-185-560-F
Description: Based on observations the facility failed to maintain compliance with this standard as required related to the menu.

Evidence:
There was no menu posted as required. The menu was located on the administrators desk, under a few files.

Plan of Correction: The menu will be posted as required to ensure future compliance.

Standard #: 22VAC40-191-60-C-2
Description: Based on review of staff files the facility failed to maintain compliance with this standard as required relating to background checks.

Evidence:
There was no verification of a completed central registry search on file for staff #6, hire date 4/29/19.
There was no verification of a completed central registry search on file for staff #7, hire date 4/19/19.
There was no follow up documentation available showing that administration personnel had followed up as required, and the allowed 30 days to obtain this search had expired.
Both staff were still working with the children.

Plan of Correction: The follow up information will be placed within the staff files. Once the result letter of the search is received, for each staff, it will be placed in the file for compliance. All staff files will be reviewed for compliance. All new hires will have follow up documentation on file, if needed, to ensure future compliance.

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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