VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Winwood Children's Center
14930 Holly Knoll Lane
Gainesville, VA 20155
(571) 248-6571

Current Inspector: Sharon Allen (540) 272-2941

Inspection Date: Sept. 25, 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

Comments:

An unannounced monitoring inspection was conducted from 10:30 am - 2:00 pm. There were 76 children in care being supervised by 14 staff. The children were observed eating lunch and preparing for rest. 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 six child records and five 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 questions regarding this inspection you may contact Sharon Allen at 540-272-2941 or sharon.allen@doe.virginia.gov.

Violations:

Standard #:	8VAC20-780-70
Description:	Based on review of five staff records it was determined that not all records were complete. Evidence: The record for Staff A (start date: 05/30/2023) did not contain documentation of at least two references on file as required.
Plan of Correction:	Administration will request two references for staff A and submit them for the file.
Standard #:	8VAC20-780-240-A
Description:	Based on review of five staff records it was determined that not all staff completed the Virginia Pre-Service Training within 90 days of employment. Evidence: The record for staff A (start date: 05/30/2023) did not contain documentation that staff A had completed Virginia Pre-Service Training.
Plan of Correction:	Staff A will complete Pre-Service Training and submit the certificate to administration.
Standard #:	8VAC20-780-245-J-3
Description:	Based on interviews and review of documentation it was determined that there was not always someone on site who had current Medication Administration Training. Evidence: Staff B is the only person on site who has current Medication Administration Training. The facility is open from 6:30 am - 6:00 pm and staff B's schedule does not cover the full hours that the center is in operation. Currently, there are children enrolled who require emergency medication such as epinephrine.
Plan of Correction:	Administration will schedule a Medication Administration Training (MAT) course and enroll enough staff to ensure that there is always someone on site during operating hours who is MAT certified.
Standard #:	8VAC20-780-510-P
Description:	Based on review of medication it was determined that not all medication was sent home within 14 days after the expiration of the medication authorization form. Evidence: The emergency authorization forms for two medications for child A expired 05/19/2023.
Plan of Correction:	Administration will request a new medication authorization form from the parents of child A.
Standard #:	8VAC20-780-550-D
Description:	Based on interviews and review of documentation it was determined that practice evacuation drills were not conducted monthly. Evidence: The most recent documentation that a practice evacuation drill had taken place was conducted on 04/20/2023.
Plan of Correction:	Emergency evacuation drills will be conducted and documented monthly.