VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Rainbow Riders Childcare Center-Knollwood Site
307 North Knollwood Drive
Blacksburg, VA 24060
(540) 951-3636

Current Inspector: Julia Kimbrough (804) 921-7596

Inspection Date: Dec. 8, 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 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect 8VAC20-790 Subsidy Regulations

Comments:

A renewal inspection was initiated on 12/8/23 and concluded on 12/8/23. There were 99 children present with 23 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 6 child records and 5 staff records were reviewed. The inspection started at 9:15am and concluded at 12pm. 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 #:	8VAC20-780-160-A
Description:	Based on review of staff files the facility failed to ensure that tuberculosis screenings were completed within the required time frame. Evidence: Staff record #1, hire date 9/6/23, had documentation of TB testing dated 10/5/22. Upon hire the TB test may not be older than 30 days per the standards.
Plan of Correction:	A new TB screening or test will be obtained for this staff member. In the future, TB documentation will be reviewed for the 30 day date for compliance.
Standard #:	8VAC20-780-160-C
Description:	Based on review of staff files the facility failed to ensure that tuberculosis tests or screenings are renewed every two years as required. Evidence: The record for staff #3 had an expired TB test. The test on file expired 8/19/23. These are to be renewed every two years per the standard.
Plan of Correction:	The staff will obtain a renewed TB test or screening. We will continue to renew required TB documentation as required for compliance.
Standard #:	8VAC20-780-500-B
Description:	Based on review of the facility and discussions with staff the facility failed to ensure that appropriate diapering receptacles were used as required. Evidence: In the Orange room the diapering receptacle used did not meet standards. Staff were using a receptacle that they had to open by hand when disposing of a soiled diaper, which is not allowed.
Plan of Correction:	A diaper receptacle that meets compliance will be placed in the room and used by the staff. Staff will inform administration if the receptacle begins not working so it can be fixed or replaced to ensure compliance.
Standard #:	8VAC20-780-510-I
Description:	Based on review of medications the facility failed to ensure that medication had not expired. Evidence: The emergency medication for child D had an expiration date of 09/2023. The medication was still in the active medication cabinet, to be administered in an emergency.
Plan of Correction:	The medication was immediately removed and placed in the office and the parent was notified of the expired medication and need of replacement. Medications will continue to be reviewed for compliance.