VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Callahan Learning Center
916 Maple Grove Drive
Fredericksburg, VA 22407
(540) 750-4331

Current Inspector: Beth Velke (804) 629-8302

Inspection Date: Feb. 4, 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. 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Technical Assistance:

Discussed with the Director that the playground equipment on the big playground is still off limits to the children as it has not been repaired yet.

Comments:

An unannounced renewal inspection was conducted today from 9:00am to 1:00pm with the Director and Co-Director. There were 28 children in care, ranging from two years to five years of age, supervised by seven staff. The children were observed having free play in centers, cleaning up for circle time, having circle time, singing and dancing, and having sensory play with shaving cream. Five children?s records, five staff records, and three board member's records were reviewed. The Center has eight staff with current certification in CPR and First Aid, and seven staff trained in Daily Health Observation Training. Three medications and authorization forms were reviewed and the center has one staff current in Medication Administration Training (MAT). The attendance and emergency drill log were reviewed and were in compliance. The first aid kit was observed and was in compliance. The most recent Fire Inspection on file was dated 12/23/19 and the most recent Health Inspection on file was dated 9/10/19. The current week's menu was posted and lunch today was beef tacos, corn, pineapple, and milk. Please notify the Licensing Inspector once all Board member background check results have been received. If you have questions regarding this inspection, please contact the Licensing Inspector, Laura Brindle, at laura.brindle@dss.virginia.gov or 540-905-2062.

Violations:

Standard #:	22VAC40-185-70-A
Description:	Based on review of five staff records, the center did not obtain documentation of written information to demonstrate that all staff possess the education, staff development, certification, or experience required by their job position. Evidence: The records for Staff A and Staff B did not contain documentation of education, staff development, certification or experience for the Lead Teacher position. The record for Staff C did not contain documentation of education or staff development or certification for the Lead Teacher position.
Plan of Correction:	We will ask staff for any transcripts they may have first. For any who still need additional training we will get them lead teacher qualified by 4/4/2020.
Standard #:	22VAC40-185-240-D-1
Description:	Based on review of medication and documentation and interview with staff, the center has agreed to administer medication, but does not have a staff member on site who has satisfactorily completed Medication Administration Training (MAT). Evidence: 1. The Licensing Inspector observed Children's Motrin and Ventolin HFA medication on site with current parental authorization. 2. The Director has current Medication Administration Training but had to leave during the inspection and there is no other staff trained in MAT. 3. The Center's hours of operation are 6:00am to 7:00pm but the Director's hours are 7:00am-4:00pm or 8:00am-5:00pm.
Plan of Correction:	We are planning a training to get six more staff MAT trained within the next month. Until that time, proper MAT manager will remain on site while the children that have emergency medicine are in attendance. Those three children are in the center from 7am to 5pm.
Standard #:	22VAC40-185-420-E-3
Description:	Based on review of five children's records, the center did not obtain documentation of annual parent confirmation that the required information in the child's record is up to date. Evidence: The records for Child A, with a first date of attendance (FDOA) of 11/5/18, and Child B, with a FDOA of 12/11/18, did not contain documentation of annual parent review.
Plan of Correction:	We will notify families by the end of the week that we will need an update on their records and ask them to have it returned by 2/24/2020.
Standard #:	63.2(17)-1721.1-B-2
Description:	Based on review of three board officer's records, the center did not ensure that board officers obtained a fingerprint based background check determination prior to joining the board or 9/1/17. Evidence: The records for Board Officers #1, #2, and #3 did not contain the results of fingerprint based background checks.
Plan of Correction:	Board Officers #1 and #3 have completed their fingerprints, but we have not received the results yet. Board Officer #2 is out of the country and will complete fingerprinting upon return.
Standard #:	63.2(17)-1721.1-B-3
Description:	Based on review of documentation and interview with the Director, the center did not request an out of state child abuse and neglect registry check within 30 days of becoming a board officer or 9/1/17. Evidence: The sworn statement or affirmation on record for Board Officer #3, signed 11/26/17, disclosed that they had lived in California within the past five years, but there was no central registry check on record from California for the board officer.
Plan of Correction:	We will complete the check for California this week and moving forward we will make sure to complete out of state checks when staff are hired.