VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Meadowbrook Child Development Ctr
555 Winchester Street
Warrenton, VA 20186
(540) 349-4354

Current Inspector: Angela Dudek (804) 629-8167

Inspection Date: Dec. 19, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Physical Plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies. 8VAC20-780 Special Services. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 32.1 Report by person other than physician 63.2 Child Abuse & Neglect

Comments:

An unannounced monitoring inspection was conducted on 12/19/2022 from 11:25am to 2:00pm. There were 45 children ages 6 months to age 9 years old supervised by 7 staff. The physical plant, outdoor playground area, programming, attendance, menus, 3 staff records, 5 children?s records, emergency drills, injury reports, and emergency supplies were reviewed. There were no medications on site. Children were observed participating in group play, outdoor time, and watching a movie. There was an adequate number of staff present with current certification in Medication Administration Training (MAT), CPR and First Aid, and Daily Health Observation (DHO) training. Areas of non-compliance are identified in the Violation Notice. Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the Violation Notice, and then return a signed and dated copy to the licensing office by 5pm on 12/27/22. Please email me at angela.dudek@doe.virginia.gov with any questions.

Violations:

Standard #:	8VAC20-780-40-M
Description:	Based on review of documentation and interview with the staff, the center did not maintain a confidential, current and dated written list of children?s allergies, sensitivities, and dietary restrictions that was accessible to all staff in each group or area. Evidence: 1)In the Infant classroom, Toddler classroom, Two?s classroom and Preschool/School age classroom, there was no dated list of children?s allergies, sensitivities and dietary restrictions posted for the staff. 2)The list of children?s allergies, sensitivities and dietary restrictions that was posted in the kitchen was not dated. The list was not confidential because the details on the list could be viewed easily from the entrance to the facility.
Plan of Correction:	A list will be kept with each room and posted in each class. The list will be removed from the kitchen.
Standard #:	8VAC20-780-80-A
Description:	Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. Evidence: 1)During inspection in the Infant classroom, there were 6 children present, but the written record reflected there were 5 children present. 2)During inspection in the Toddler classroom, there were 5 children present, but the written record reflected there were 6 children present. 3)During inspection in the Two?s classroom, there were 8 children present, but the written record reflected there were 11 children present. 4)During inspection in the School Age/Preschool combined classroom, there were 26 children present, but the written record reflected there were 28 children present.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the center did not ensure that all areas and equipment of the center, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: 1)On the Big playground there was a broken fence panel and the wood was splintering causing a sharp area on the fence that could snag skin. 2)On the Big playground, there was a fence panel separating from the support beam. There were 3 nails protruding from the board that were 1 ? inches in length that could snag skin.
Plan of Correction:	Will have handyman repair fence.
Standard #:	8VAC20-780-330-B
Description:	Based on observation and inspection of the playground, the center did not to ensure that the required amount of resilient surfacing was under playground equipment with moving parts or climbing apparatus to create a sufficient fall zone. Evidence: 1)On the Toddler playground there was a slide 17? from the ground with 1? of shredded rubber in the fall zone. The required depth of shredded rubber is 6 inches. 2)On the Toddler playground there was a seesaw 12? from the ground with 1? of shredded rubber in the fall zone. The required depth of shredded rubber is 6 inches. 3)On the Toddler playground there was a slide 26? from the ground with 2? of shredded rubber in the fall zone. The required depth of shredded rubber is 6 inches. 4)On the Toddler playground there was a slide 33? from the ground with 2? of shredded rubber in the fall zone. The required depth of shredded rubber is 6 inches. 5)On the Toddler playground there was a slide 18? from the ground with 1? of shredded rubber in the fall zone. The required depth of shredded rubber is 6 inches. 6)On the Big playground there was a spiral slide 57? from the ground with 2? of shredded rubber in the fall zone. The required depth of shredded rubber is 6 inches. 7)On the Big playground there was a merry-go-round 18? from the ground with 1? of shredded rubber in the fall zone. The required depth of shredded rubber is 6 inches. 8)On the Big playground there was a platform 47? from the ground with 2? of shredded rubber in the fall zone. The required depth of shredded rubber is 6 inches. 9)On the Big playground there was a platform 24? from the ground with 2? of shredded rubber in the fall zone. The required depth of shredded rubber is 6 inches. 10)On the Big playground there was a platform 14? from the ground with 1? of shredded rubber in the fall zone. The required depth of shredded rubber is 6 inches. 11)On the Big playground there were stairs to the equipment 40? from the ground with 3? of shredded rubber in the fall zone. The required depth of shredded rubber is 6 inches. 12)On the Big playground there was a riding spring toy 19? from the ground with 3? of shredded rubber in the fall zone. The required depth of shredded rubber is 6 inches. 13)On the Big playground there was a Large tree that children were climbing that was 40? from the ground with no resilient surfacing in the fall zone. Roots were protruding from the ground in this area. The required depth of shredded rubber is 6 inches. 14)On the Big playground there was a Large tree that children were climbing that had a branch accessible for climbing that went up to 91? from the ground with 1? of shredded rubber in the fall zone. The required depth of shredded rubber is 6 inches.
Plan of Correction:	All playground equipment will be removed by handyman. Will be buying mulch to fill in the playground. Children will not use equipment until brought into compliance.
Standard #:	8VAC20-780-350-B-1
Description:	Based on observation, the center did not maintain the required supervision ratio of staff to children whenever children are in care. Evidence: During the inspection, the center did not maintain the required supervision ratio of 1 staff for every 4 children in the infant classroom. A staff member left the infant classroom to use the restroom leaving 1 staff with 6 infants.
Plan of Correction:	Staff will call another staff member to cover while in restroom.
Standard #:	8VAC20-780-440-H
Description:	Based on observation, the Provider did not ensure cribs meet the U.S. Consumer Product Safety Commission standards at the time they were manufactured. Evidence: In the Infant classroom, 7 out of the 8 cribs have manufacture dates of 3/10/2011 while the U.S. Consumer Product Safety Commission requires cribs to have a manufacture date of 6/28/2011 or later.
Plan of Correction:	8 new cribs have been ordered.
Standard #:	8VAC20-780-570-E
Description:	Based on observation and staff interview, the center did not ensure that prepared infant formula was dated and labeled with the child?s name. Evidence: In the Infant classroom, there were 2 bottles of infant formula that staff stated belonged to Child #4, that were stored in the refrigerator that were not labeled with the child?s name and were not dated.
Plan of Correction:	The bottles are now labeled with a label maker.