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Highland Children's House
61 Highland Center Drive
Monterey, VA 24465
(540) 468-1100

Current Inspector: Diann S. Reed (540) 280-0742

Inspection Date: Feb. 19, 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.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Technical Assistance:
A supplemental page was provided.

Comments:
Thank you for your time and assistance with the unannounced renewal inspection conducted today, February 19, 2020. The on-site inspection was from 11:50 a.m. to 4:55 p.m. On this date, at the time of arrival, there were nine children present in two classrooms and in the care of three staff members. There were 12 children enrolled in the program. Four staff members' records and five children?s records were reviewed. Observations were made in both classrooms. The medication and medication paperwork were reviewed for one child. There were four staff members and two children interviewed. The violations from the previous inspection were reviewed for compliance. The exception to compliance was noted on the violation notice and the risk rating was noted on the supplemental page. The lunch served met the USDA guidelines and consisted of chicken tenders, sweet potatoes, peas, and milk. Some items observed and reviewed during the inspection included: transition from outdoor play, preparation for lunch, lunch, nap time, bathroom and handwashing procedures, arrival of school-age children, dismissal procedures, a turtle art activity, singing and dancing, infant care, diaper changing procedures, story time, documentation of evacuation drills, required posted information, injury reports, first-aid kit and emergency supplies, and warm water temperature.

Please contact your 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 #: 22VAC40-185-140-A
Description: Based on review of five children's records and confirmation from the director, the center failed to obtain documentation that one child had received a physical examination within one month of attending the center.

Evidence:
1. The record for Child #1 contained a physical examination report dated 12/12/2019. The date of enrollment for the child was 11/4/2019.
2. The director confirmed the physical examination report was not received within a month of the child being enrolled.

Plan of Correction: The director will ensure that a physical examination report is obtained either before the child attends the center or within a month of attending.

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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