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Monticello Area Community Action Agency - Park Street
1025 Park Street
Charlottesville, VA 22901
(434) 295-3171

Current Inspector: Julie Kunowsky (540) 430-9256

Inspection Date: Sept. 16, 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

Technical Assistance:
A supplemental page was provided.

Comments:
Thank you for your time and assistance with the unannounced monitoring inspection conducted on September 16, 2019 from approximately 10:00 a.m. to 1:45 p.m. On this date, there were 45 children present in three classrooms and in the care of six staff members. There were a total of 51 children enrolled in the preschool program. There were six children's records and five staff members' records reviewed. Three classrooms were observed, and five staff members and four children were interviewed. The medications and medication paperwork were reviewed for three children. The exceptions to compliance were noted on the violation notice and the risk ratings were listed on the supplemental page. The theme for the week was Learning About School. Some of the items observed and reviewed were: injury reports, required posted information, documentation of evacuation drills, emergency supplies, first aid kit, school menu and daily schedules, outdoor play, center time, circle time, story time, transitions, bathroom and hand washing procedures, lunch, and nap time.

Please contact your licensing inspector, Diann Reed, if you have questions concerning this inspection, the licensing standards, and/or if I may be of assistance to you (540) 280-0742.

Violations:
Standard #: 22VAC40-185-160-C
Description: Based on review of five staff records and verification from the Assistant Director, two staff members failed to obtain an updated tuberculosis (TB) test/screening within two years of the most recent screening.

Evidence:
1. The record for Staff #2 contained a TB screening dated 09/01/2017. An updated screening had not been obtained.
2. The record of Staff #5 contained an updated TB screening on 05/03/2019. The date of the last screening was 12/07/2016.
3. The Assistant Director confirmed the TB screenings for the staff members were late.

Plan of Correction: Documentation of tests have been received for staff members. Executive Director (MACAA) will monitor the timely follow-up and follow through of HR Director to ensure updated paperwork is received prior to expiration date. A spreadsheet is being updated to ensure better tracking.

Standard #: 22VAC40-185-270-A
Description: Based on observation and discussion with staff, a bathroom wall in one of the classrooms was damaged posing a potential risk to the children in care.

Evidence:
1. In Classroom C, there was a large hole, approximately 15 inches by 18 inches, in the drywall of one wall in the children's bathroom. The drywall was broken and pieces were hanging loose and some had fallen inside the open hole in the wall.
2. Staff #4 stated the hole had been there since last school year but the cots had been stored in front of it.

Plan of Correction: Assistant Director has made contact for repair of the wall. A new facilities protocol is being created in coordination with MACAA?s Deputy Director and Executive Director to ensure staff are properly reporting facility repair needs, and that the agency is following up on all requests in a timely manner.

Standard #: 22VAC40-185-560-K
Description: Based on observation and confirmation from staff, the tables used for feeding were not properly sanitized before the children used them for eating.

Evidence:
1. In Classroom C, Staff #4 used sanitizing wipes on the tables before the children ate lunch. The tables were not sprayed with a sanitizing solution and allowed to air dry.

Plan of Correction: A memo of cleaning and sanitizing procedures was prepared and sent to staff on 9/17/2019. Education Manager purchased supplies and distributed to all classrooms. All teaching staff will be trained on the new procedure during a professional development day training scheduled for 9/30/2019. The Education Manager will monitor for proper cleaning and sanitizing practices during classroom visits. A checklist has been created to assist with monitoring.

Standard #: 22VAC40-191-40-D-1-A
Description: Based on the record review of two board officers and confirmation from the Assistant Director, the center failed to obtain a completed Sworn Statement or a Search of the Central Registry for either of the board officers.

Evidence:
1. The record for Board Officer A and the record for Board Officer B did not contain a completed Sworn Statement or a completed Search of the Central Registry. Both board officers began serving on 06/27/2019.
2. The Assistant Director confirmed that neither of the board officers had completed a Sworn Statement or a request for a Search of the Central Registry.

Plan of Correction: Documents are being compiled in coordination with MACAA?s Executive Director, the Head Start Director and the Human Resources Director currently. Proof of documentation is being submitted to our licensing agent as they are received. Information about these violations was shared with the board to enhance their understanding of the requirement and the urgency of a procedure to prevent future violations. Executive Director (MACAA) will prepare a procedure to ensure that all documents are procured and submitted in advance of new board officers being seated.

Standard #: 63.2(17)-1721.1-B-2
Description: Based on the record review of two board officers and confirmation from the Assistant Director, the center failed to obtain a National Criminal History Check for one board officer and failed to obtain a National Criminal History Check for one board officer before the officer began serving.

Evidence:
1. The record for Board Officer A contained the results of a National Criminal History Check dated 07/12/2019. Board Officer A began serving on 06/27/2019.
2. The record for Board Officer B did not contain the results of a National Criminal History Check. Board Officer B began serving on 06/27/2019.
3. The Assistant Director confirmed that the National Criminal History Check was late for Board Officer A and the National Criminal History Check for Board Officer B had not been requested.

Plan of Correction: Documents are being compiled in coordination with MACAA?s Executive Director, the Head Start Director and the Human Resources Director currently. Proof of documentation is being submitted to our licensing agent as they are received. Information about these violations was shared with the board to enhance their understanding of the requirement and the urgency of a procedure to prevent future violations. Executive Director (MACAA) will prepare a procedure to ensure that all documents are procured and submitted in advance of new board officers being seated.

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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