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Augusta Health Childcare Center
127 Medical Center Circle
Fishersville, VA 22939
(540) 332-5600

Current Inspector: Michelle Argenbright (540) 848-4123

Inspection Date:

Complaint Related: No

Violations:
Standard #: 22.1-289.035-B-4
Description: Based on record review, center did not ensure that a copy of the results of a criminal history record check was obtained from any state in which the individual has resided in the preceding five years prior to the first date of employment.

Evidence:
The date of employment for Staff # 3 is 5/31/2022. There were no results in the file.

Plan of Correction: The center sent a request on 6/13/22 to obtain results of the criminal history record check for the missing state for Staff #3 and placed the clear results in the file upon receipt. Date corrected was 7 /1/22. The center will consistently use an updated staff file checklist to include check boxes for multiple states and ensure there are multiple leadership members who review the files prior to start date moving forward.

Standard #: 8VAC20-770-60-C-2
Description: Based on record review, center did not ensure that a copy of the results of a central registry check was obtained within 30 days of employment.

Evidence: The date of employment for Staff # 9 is 6/1/2021. There were no results in the file.

Plan of Correction: The center attempted to obtain the results of the central registry check originally sent for Staff #9. When the reply came back, it was stated that this was not found in the system. Therefore, the center submitted a new request on 6/21/22, after Staff #9 had returned from vacation and was able to get the request notarized. The new request was placed in the file. As of 7 /1/22 the center requested an update, as the results were not yet returned. Date to be corrected or followed up on 7/21/22. Moving forward, the center will create an outlook invite to alert them of all due dates for checks and ensure that there is daily documented outreach when not received within 30 days.

Standard #: 8VAC20-780-500-B
Description: Based on a serious injury report and interview with staff, the center failed to ensure that for children younger than three years, a changing table or counter top designated for changing was used as the nonabsorbent surface for diapering or changing.

Evidence:
1. Per the serious injury report submitted by the facility to the department on 6/8/2022, on 6/7/2022, Child #2 "was bending over during a diaper change. When the child stood up, he bumped the back of his head on the porcelain bathroom sink. He did not have a bump initially but one did appear later. Eyes were checked for dilation. He did begin throwing up after awhile as well and did not seem himself."
2. The date of birth for Child # 2 is 3/9/2020.
3. The director confirmed that while the classroom has a changing table in the classroom, for years they have not utilized it for children that show interest in potty training.

Plan of Correction: Children under the age of three will be changed on the designated changing tables when soiled and then will also be brought to the restroom for toilet learning opportunities. The rooms were rearranged, and materials were moved to the changing table locations to ensure this implementation occurs moving forward. Leadership is working with staff to train them on the appropriate procedures. The dry erase boards in the restroom identify those who are of the age of three and older and permitted to toilet learn in the restroom if this is agreed upon with the toilet learning contract that will be created between the center and the family of each applicable child. Date corrected was 7 /1/22.

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.

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