VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Meadowbrook Child Development Ctr
555 Winchester Street
Warrenton, VA 20186
(540) 349-4354

Current Inspector: Angela Dudek (804) 629-8167

Inspection Date: Dec. 12, 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 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 32.1 Report by person other than physician 63.2 Child Abuse & Neglect

Technical Assistance:

Provided consultation on the following: 8VAC20-780-40M Allergy lists should be kept with each group of children 8VAC20-780-130E Immunizations for children under the age of 2 are needed every 6 months. 8VAC20-780-420E3 An update for parents on their child?s file should be completed annually. 8VAC20-780-550P A plan to prevent recurrence of injuries is required on injury reporting.

Comments:

An unannounced monitoring inspection was conducted on 12/12/2023 from 8:15am to 9:40am. There were 29 children ages 7 months to age 4 years old supervised by 5 staff. The physical plant, programming, attendance, menus, 3 staff records, 3 children?s records, emergency drills, injury reports, emergency supplies, and policies were reviewed. Children were observed participating in free play, eating and television time. There were no medications on site. Diapering and handwashing procedures were also observed. There was an adequate number of staff present with current certification in Medication Administration Training (MAT), CPR and First Aid, and Daily Health Observation (DHO) training. Areas of non-compliance are identified in the Violation Notice. Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the Violation Notice, and then return a signed and dated copy to the licensing office by 5pm on 12/29/23. Please email me at angela.dudek@doe.virginia.gov with any questions.

Violations:

Standard #:	8VAC20-780-160-C
Description:	(Repeat Violation) Based on review of 3 staff records, the center did not obtain documentation of a negative tuberculosis (TB) test or screening for staff every 2 years from the date of the initial screening or testing. Evidence: The record for Staff #2 did not have documentation of a negative TB test or screening within 2 years of the last TB test. The most recent TB test on file was dated 12/7/21.
Plan of Correction:	Staff member went to go well urgent care and had a TB test performed 12/12/23, Negative result confirmed 12/14/23.
Standard #:	8VAC20-780-80-A
Description:	Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. Evidence: 1)During inspection in the Infant classroom, there were 7 children present, but the written record reflected there were 4 children present. 2)During inspection in the Twos classroom, there were 6 children present, but the written record reflected there were no children present.
Plan of Correction:	The master attendance is updated as each child enters the facility The classrooms were in the process of separating into their rooms. The individual class attendance was done immediately when class was settled.
Standard #:	8VAC20-780-290-A-3
Description:	Based on observation, the center did not ensure that electrical outlets have protective covers. Evidence: In the Twos classroom, there were 4 outlets that did not have protective covers.
Plan of Correction:	Staff replaced all covers immediately with new child proof covers
Standard #:	8VAC20-780-500-A
Description:	Based on observation, the center did not ensure that staff wash their hands with soap and running water after a diaper change and after contact with body fluids. Evidence: In the Twos classroom, staff did not wash their hands after changing a child?s diaper and before touching other surfaces and children in the classroom.
Plan of Correction:	The staff member wore gloves during the diaper change. The staff member has had a refresher class on proper handwashing steps.
Standard #:	8VAC20-780-500-B
Description:	Based on observation the center did not ensure that the diapering surface was cleaned and sanitized after each use. Evidence: In the Twos classroom, a staff member changed a child's diaper then sprayed a cleaner on the diapering surface and wiped it clean. No sanitizer was used as required. To properly sanitize the diapering surface, the sanitizer should be sprayed on the surface and the solution allowed to dry for at least 2 minutes.
Plan of Correction:	The staff member washed the changing table after the diaper change. She was nervous with someone watching and missed the last step. She has been update on the diapering policy.
Standard #:	8VAC20-780-570-E
Description:	(Repeat Violation) Based on observation, the center did not ensure that prepared infant formula was refrigerated, dated and labeled with the child?s name. Evidence: In the Infant classroom, there was a bottle of infant formula that was stored on top of the refrigerator and was not dated.
Plan of Correction:	Staff had just made the bottle and dated bottle immediately after she realized it wasn't.