VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Heritage Child Development Center (Clarke Co)
224 Mosby Blvd.
Berryville, VA 22611
(540) 955-4194

Current Inspector: Barbara Workman (540) 430-9257

Inspection Date: Aug. 28, 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. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Comments:

A non-mandated monitoring inspection was conducted on August 28, 2023 from 10:40 A.M.-1:30 P.M There were 38 children present, ranging in ages from 4 months to five years of age , with 12 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 five child records and eight staff records were reviewed. 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. If you have any questions or concerns please contact the Licensing Inspector at 540-430-9257.

Violations:

Standard #:	8VAC20-780-130-A
Description:	Based on review of children records, the center failed to obtain immunizations before the child began attending the center. Evidence: 1. Child #3's date of enrollment was 06/19/2023. There were no immunization records in the file. 2. Staff #5 verified that there was not an immunization record in the file.
Plan of Correction:	Effective immediately (0828/2023), Heritage will require all physical and immunization records on file prior to a child's start date in order to ensure compliance. Administration have begun the process of auditing all child files to ensure all physicals and immuzinations are up to date.
Standard #:	8VAC20-780-140-A
Description:	Based on a review on children records, the center failed to obtain documentation of a physical examination before the child's first day of attendance or within 30 days after the first day of attendance. Evidence; 1. Child #4's first date of attendance was 06/19/2023. There was not documentation of a physical examination in the child's record. 2. Staff #5 verified that there was not a physical examination in the child's record.
Plan of Correction:	Effective immediately (08/28/2023), Heritage will require all physical and immunizations records on file prior to a child's start date in order to ensure compliance. Administration has begun the process of auditing all child files to ensure all physicals and immunizations are up to date.
Standard #:	8VAC20-780-60-A
Description:	Based on a review of children records, the center failed to ensure that all required information was in the records. Evidence: 1. Child #2's file was missing the business phone number for both parents, and the name, home address, and phone number of each parent who has custody. 2. Child #3's file was missing the name, home address, and phone number for each parent who has custody. 3. Child #4's file was missing the business phone number for the parents, and the address for the emergency contacts if the parents can't be reached. 4. Child #5's file was missing the business phone number for the parents.
Plan of Correction:	Administration has begun the process of auditing all child files to ensure that all forms are filled out correctly. Upon enrollment, parents will be asked to complete all areas of the form before their child's firs day. This has been added (as of 09/01/2023) to the enrollment checklist that is included with all paperwork upon enrollment.
Standard #:	8VAC20-780-70
Description:	REPEAT Based on review of staff files, the center failed to complete required information regarding references, and failed to obtain two or more references as to character and reputation as well as competency before employment. Evidence: 1. Reference checks for Staff #1, Staff #2 and Staff #3 did not contain the signature of the person making the call. 2. Staff #4's date of hire was 08/24/2023 there were no reference checks in the record. 3. Staff #5 verified that the reference checks did not contain a signature, and that reference checks had not been completed for Staff #4.
Plan of Correction:	New staff pre-hire checklist has been updated to specify that all reference checks are to be completed prior to coming in for orientation 09/01/2023. The staff person that completes the reference checks will sign and date each reference contacted.
Standard #:	8VAC20-780-270-A
Description:	REPEAT Based on observation, the center failed to ensure that all areas and equipment inside and outside shall be maintained in a safe and operable condition. Evidence: 1. In the Two Year Old Classroom there is a hole in the wall next to the storage closet. 2. In the Two Year Old Classroom the contact paper on the walls is peeling off in several different spots. A child was standing next to the storage area peeling off the contact paper. The Licensing Inspector observed the child put the contact paper in her mouth. 3. On the Waddler and Two Year old playground the pour in place to the right of the side was torn and ripping in several areas. Part of the pour in place were loose and could be considered a trip hazard. 4. In the Two Year Old Classroom the children's sink in the restroom was clogged and filled with water, and had very low water pressure. 5. On the Pre-K playground a storage closet was missing the door handle. 6. In the Pre-K restroom area 3 of the 4 fluorescent lightbulbs were burned out. 7. In the Pre-K Classroom 4 out of the 12 florescent lightbulbs were burned out. 8. In the Pre-K Classroom the little upholstered sofa ripped across most of the seating areas and on both arms. 9. In Pre-K 1 the screen beside the door to outside has a small hole.
Plan of Correction:	CHEERS has hired an individual to begin repairs within in the center. He will be fixing any holes, repainting as needed, replacing lightbulbs, replacing screens and fixing the outside closet door hands. He is scheduled to begin work the week of 09-11/2023-09/15/2023. Contact paper has been removed from the walls in the Toddler Classroom as of 08/30/2023. Furniture in disrepair was removed on 08/29/2023, and will be replaced. We have invited companies in to access our playgrounds and are waiting for quotes. (Assessed 08/24/2023 and 09/07/2023.) A plumber was brought in on 09/07/2023 to make repairs to the sink in the Toddler Classroom so that it now drains properly.
Standard #:	8VAC20-780-320-B
Description:	Based upon observation and a temperature reading, the facility failed to have hand washing sinks that have warm water that does not exceed 120 degrees Fahrenheit. Evidence: The hot water temperature at the hand washing sinks in the restrooms of Pre-K 1 and Pre-2 exceeded 120 degrees Fahrenheit. One sink reached 122 degrees Fahrenheit, and the other sink reached 123 degrees Fahrenheit.
Plan of Correction:	A plumber was brought in on 09/07/2023 to install water temperature control valves in both sinks for the preschool bathroom, the temperature will not go above 120 degrees Fahrenheit. The water temperature in all classrooms will be checked monthly.
Standard #:	8VAC20-780-510-B
Description:	Based on review of medications, the center failed to ensure that non-prescription medication was only given with written authorization from the parent. Evidence: 1. Child #5 had a tube of Maximum Strength Cortizone 10 1% hyrdrocortison Anti-Itch Cream at the center. The cream was applied five times between 01/05/2023-03/02/2023, there was no authorization on file from the parent. 2. Staff #5 verified that they did not have written authorization from the parent for the maximum Strength Cortisone 10 1% hydrocortisone Anti-Itch Cream to be applied.
Plan of Correction:	The medication in question was immediately returned to the family. We will have two MAT trained staff review all paperwork upon accepting medication to help identify any errors. Medications on site will be reassessed and checked by MAT trained staff for any errors and expiration once a month.
Standard #:	8VAC20-780-550-P
Description:	Based on review of injury reports, the center failed to ensure that all injury reports recorded all required information. Evidence: 1. An injury report dated 07/10/2023 did not contain the time the parents were notified, and documentation how the parent was notified. 2. Two injury reports dated 07/18/2023 did not contain the time the parents were notified. 3. An injury report dated 07/18/2023 did not contain information on how the injury occurred. 4. Staff #5 verified that the injury reports were missing the required information.
Plan of Correction:	Accident and incident procedures were reviewed with all staff on 08/30/2023. All staff will be re-trained on accident and incident reports, including proper notification and time recording as well as proper documentation on injuries during our monthly Staff meeting on 09/12/2023.