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Highland Children's House
61 Highland Center Drive
Monterey, VA 24465
(540) 468-1100

Current Inspector: Beth Orebaugh (540) 847-9173

Inspection Date: Dec. 4, 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 (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Comments:
A monitoring inspection was initiated on 12/04/2023 and concluded on 12/04/2023. There were 16 children present, ranging in ages from 13 weeks to 5 years, with 7 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 5 child records and 2 staff records were reviewed.

Information gathered during the inspection determined noncompliance with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations:
Standard #: 8VAC20-780-140-A
Description: Based on a review of children?s records, the center failed to obtain documentation of a physical examination by or under the direction of a physician for each child before the child's attendance or within one month after attendance.

Evidence:
1. The record of Child 2 (DOE 10/11/2023) did not contain documentation of a physical in the record.
2. The record of Child 1 (DOE 10/17/2022) contained documentation of a physical dated 01/03/2023.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-500-C
Description: Based on observation, the center failed to ensure toilet chairs were emptied promptly and cleaned and sanitized after each use.
Evidence:
1. Two toilet training chairs located in the Older Toddler and Two's Classroom
containing urine was observed at 11:38 am. All of the children and staff were outside on the playground at the time of observation.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-520-A
Description: Based on a review of diaper ointments, the center failed to ensure that all over-the-counter skins products shall not be kept beyond the expiration date.

Evidence:
1. In the Older Toddler and Two's Classroom there was a tube of Desitin Diaper Cream that had expired in 03/23 and a tube of Vitamin A & D ointment that expired in 12/21.
2. Staff verified that Desitin Diaper Cream and Vitamin A & D had expired.

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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