VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Children First Learning Center LLC
5000 US Highway 29
Blairs, VA 24527
(434) 836-9156

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Jan. 13, 2020

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. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Comments:

An unannounced monitoring inspection was conducted on 01/13/2020. There were 23 children, ages 12 months-5 years, and 6 staff members present during the inspection. The inspector reviewed 5 children?s records, 5 staff records and 3 medications during the inspection. The children were observed in the following activities: during free choice play, participating in learning activities, having lunch and during nap time. The inspector reviewed the emergency supplies during the inspection. The inspector discussed diaper disposal, over-the-counter skin products and medication storage with the staff. The inspector arrived for the inspection at 10:00 a.m. and departed at 1:30 p.m. If you have any questions, please contact Becky Forestier at 540-309-2835.

Violations:

Standard #:	22VAC40-185-60-A
Description:	Based on record review and discussion, the facility failed to ensure that the separate record for each child enrolled shall contain all of the elements as required by the standards. Evidence: 1. The record for Child #1 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached; the addresses for both designated people provided were incomplete. 2. The record for Child #5 did not contain a first date of attendance.
Plan of Correction:	The records will be fixed right now.
Standard #:	22VAC40-185-260-A
Description:	Based on document review and discussion with staff, the facility failed to obtain an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The most recent fire inspection was dated 08/01/2018.
Plan of Correction:	A phone call was made during the inspection inquiring about an updated fire inspection. An inspection will be scheduled.
Standard #:	22VAC40-185-510-C
Description:	Based on medication review, medication authorization form review and discussion with staff, the facility failed to ensure that the center's procedures for administering medication shall include duration of the parent's authorization for medication, provided that if shall expire or be renewed after 10 work days. Long-term prescription drug use and over-the-counter medication may be allowed with written authorization from the child's physician and parent. Evidence: 1. The medication authorization form for Medication A had a documented duration of authorization from 10/10/2019-04/10/2020 and did not contain written authorization from the child's physician. The Medication Authorization Log confirmed that Medication A has been administered. 2. The medication authorization form for Medication B had a documented duration of authorization from 10/03/2019-04/03/2020 and did not contain written authorization from the child's physician. The Medication Authorization Log confirmed that Medication B has been administered. 3. The medication authorization form for Medication C did not contain a duration of authorization.
Plan of Correction:	The medications will be returned until the proper authorization obtain.
Standard #:	22VAC40-185-510-G
Description:	Based on medication review and discussion with the staff, the facility failed to ensure that the center may administer prescription medication that would normally be administered by a parent or guardian provided that the center administers only those drugs that were dispensed from a pharmacy and maintained in the original, labeled container. Evidence: Medication A was a prescription medication that did not contain the prescription label. Medication Administration Logs confirmed that Medication A has been administered.
Plan of Correction:	The medication will be returned until in the proper container.
Standard #:	22VAC40-185-520-C
Description:	Based on document review and discussion with staff, the facility failed to ensure that if diaper ointment or cream is used, a record shall be kept that include the child's name, date of use, frequency of application and any adverse reactions. Evidence: 1. The record for Diaper Ointment A did not contain information on the frequency of application and any adverse reactions. 2, The record for Diaper Ointment B did not contain information on the frequency of application and any adverse reactions.
Plan of Correction:	The form will be downloaded and given the parents.
Standard #:	22VAC40-185-560-F
Description:	Based on observations and discussion with staff, the facility failed to ensure that when centers choose to provide meals or snacks, a menu listing foods to be served for meals and snacks during the current one-week period shall be dated. Evidence: The posted menu did not contain dates.
Plan of Correction:	The menu will be fixed today.