VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Main Street Day Care Center, Inc.
202 North Main Street
Suffolk, VA 23434
(757) 539-3431

Current Inspector: Melinda Popkin (757) 802-5281

Inspection Date: May 24, 2023

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 20 Access to minor's records 22.1 Early Childhood Care and Education 63.2 Child Abuse & Neglect

Technical Assistance:

Today we discussed the requirement for long term, short term, over the counter and prescription medication to include the requirements for having and administrating these medications to children in care. The standards regarding food allergies and required documentation and postings were reviewed. In addition, we discussed the importance of reviewing documentation at the time of enrollment and clarifying, in writing by the parent and/or the child's physician, whether documented food restrictions are due to allergy, sensitivity, or preference. If a food allergy has been diagnosed, then an Allergy Care Plan must be completed and signed by the child's medical provider and maintained in the child's record at the center and the allergy must be documented and posted confidentially where staff may reference it.

Comments:

A renewal inspection was initiated and concluded on 5/24/2023. There were 80 children present with 18 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 8 child records and 8 staff records were reviewed. The inspection started at 11:20 am and concluded at 3:35 pm. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	8VAC20-780-60-A-8
Description:	Based on a review of records and interview, the facility did not have a written care plan for each child with a diagnosed food allergy to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for child #3 whose record contained documentation of an allergy to peanuts, did not contain a written care plan with instructions from child #3's physician on case of a reaction. The center confirmed that the allergy was documented in the child's record, but that a care plan was not present at the center for child #3.
Plan of Correction:	The program director will contact the parent and request that they obtain an Allergy Action Plan, completed and signed by child #3's physician within 2 weeks.
Standard #:	8VAC20-780-510-E
Description:	Based on as review of medication stored at the center and medication authorization forms, the center did implement procedures for administering medication which ensures that the duration of the parent's authorization for over the counter medication is renewed after 10 work days unless the authorization form includes written authorization from the child's physician. Evidence: The authorization form for child A's over-the-counter Cold and Cough medication was completed by the parent for a duration of 2/4/2023 through 2/24/2023. The authorization form for child B's over-the-counter Acetaminophen was completed by the parent for a duration of 1/21/2022 through 1/2024. The authorization form for child C's two over-the-counter medications: Acetaminophen and teething gel, was completed by the parent for a duration of 5/11/2023 through 9/2023. Each of these over-the-counter authorization forms cover a duration of more than 10 days and do not include written authorization from the children's physician.
Plan of Correction:	The program director will speak with the parents of child A, child B and Child C today and have them take the medications home, or have them complete new short term authorizations, or ask that they have child's physician complete a long tern authorization form by the end of the week.