VIRGINIA DEPARTMENT OF SOCIAL SERVICES

James Madison University
821 South Main Street
Harrisonburg, VA 22807
(540) 568-6089

Current Inspector: Michelle Argenbright (540) 848-4123

Inspection Date: Nov. 16, 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 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

8VAC20-780-10: Definition of ?Volunteer?

Comments:

An unannounced monitoring inspection was conducted on 11/16/2023 from 9:30 a.m. to 1:05 p.m. There were 73 children present, ranging in ages from two to five years old with 15 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 eight child records and six 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 (804) 629-3923.

Violations:

Standard #:	8VAC20-780-40-M
Description:	(REPEAT VIOLATION) Based on observation and interview, the center failed to maintain, in a way that is accessible to all staff who work with children, a current written list of all children?s allergies, sensitivities, and dietary restrictions which is dated and kept confidential in each room or area where children are present. Evidence: 1. In each classroom, staff were unable to locate a current written list of all children?s allergies, sensitivities, and dietary restrictions. 2. Staff #7 confirmed the classrooms did not contain a written list of all children?s allergies, sensitivities, and dietary restrictions.
Plan of Correction:	List of all student allergies posted in each classroom.
Standard #:	8VAC20-780-60-A
Description:	Based on review of records, the center failed to ensure that each child?s record contained the required information. Evidence: 1. Child #1?s record was missing the phone number of the child?s physician. 2. Child #2?s record was missing the phone number for the place of employment for both parents. 3. Child #3?s record was missing the phone number of the child?s physician. 4. Child #6?s record was missing the phone number for the place of employment for both parents. 5. Child #7?s record was missing the name and phone number of the child?s physician. 5. Staff #7 confirmed that the items were missing from the children?s records.
Plan of Correction:	Requested from parent.
Standard #:	8VAC20-780-60-A-8
Description:	Based on interview, the center did not have a written care plan for each child with a diagnosed food allergy. Evidence: 1. Staff #3 confirmed that Child #8 had an epinephrine pen for a food allergy. There was not a written care plan available for Child #8.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	(REPEAT VIOLATION) Based on record review and interview, the center failed to ensure staff records contained documentation to demonstrate that the individual possessed the education, certification, and experience required by the job position. Evidence: 1. Staff #3?s record did not contain evidence of qualifications. Staff #7 confirmed that the record did not contain the required documentation.
Plan of Correction:	Requested transcript.
Standard #:	8VAC20-780-330-B
Description:	Based on measurement, the center failed to ensure that when playground equipment is provided, resilient surfacing complies with the minimum safety standards. Evidence: 1. The mulch depth was measured in various places on the toddler and preschool playgrounds. The mulch did not meet the minimum safety requirement of six inches in depth. 2. Staff #7 confirmed the mulch was not six inches in depth.
Plan of Correction:	Mulch ordered. Work order submitted.
Standard #:	8VAC20-780-560-G
Description:	Based on observation and interview, the center failed to ensure that when food is brought from home, food containers are clearly labeled in a way that identifies the owner. Evidence: 1. In the Purple Pups classroom, there was four cups without names, nine cups without date and eight lunchboxes without dates. Staff #3 confirmed that the contents of the cups and lunchboxes were brought from home and were missing the dates and names. 2. In the Gold classroom, there was eight cups without names, 14 cups without dates and four lunchboxes without dates and names. Staff #6 confirmed that the contents of the cups and lunchboxes were brought from home and were missing the dates and names. 3. In the Purple classroom, there was four cups without dates, two cups without names, four lunchboxes without dates and three lunchboxes without names. Staff #2 confirmed that the contents of the cups and lunchboxes were brought from home and were missing the dates and names. 4. In the Royal Dukes classroom, there was nine lunchboxes without dates and nine cups without dates. Staff #7 confirmed that the contents of the cups and lunchboxes were brought from home and were missing the dates and names. 5. In the Madison Mini?s classroom, there was 12 lunchboxes without dates and 15 cups without dates. Staff #4 confirmed that the contents of the cups and lunchboxes were brought from home and were missing the dates and names. 6. In the Duke Dogs classroom, there was 14 lunchboxes without dates, five lunchboxes without dates, four cups without a name and seven cups without dates. Staff #1 confirmed that the contents of the cups and lunchboxes were brought from home and were missing the dates and names.
Plan of Correction:	Tape & sharpies provided to each classroom for labels.