VIRGINIA DEPARTMENT OF SOCIAL SERVICES

HoneyTree Early Learning Center - Riverwalk
1824 Jefferson Street, S.E.
Roanoke, VA 24014
(540) 343-5905

Current Inspector: Nicole Scott (804) 588-2372

Inspection Date: Sept. 3, 2024

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. 8VAC20-770 BACKGROUND CHECKS 20 ACCESS TO MINOR?S RECORDS 22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE 63.2 CHILD ABUSE AND NEGLECT

Comments:

An unannounced, on-site monitoring inspection was initiated on 9/3/2024 and completed on 9/25/2024, as part of the licensure period. The on-site inspection began at 10:40am ended at 3:50pm. The inspector reviewed compliance in the areas listed above. There were 79 children present and 14 staff. The inspector reviewed 7 children?s records and 6 staff records on-site. This inspection included document review, tour of the facility, and interviews. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program. Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 10/2/2024. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	22.1-289.035-B-3
Description:	Staff hired after 7/1/2024 must be supervised at all times by an individual with qualifying results of all required background checks until all background check results are returned for the newly hired staff person. The results from the Virginia central registry search for Staff 4 were requested prior to employment but the results have not been returned to the center. Staff 4 was observed during the inspection alone with 9 children ages 2 to 3 years old. Staff 4 has been employed for 6 weeks and stated they are alone with the children daily.
Plan of Correction:	Staff #4 had the copy back July 20th however did not give to us
Standard #:	8VAC20-780-130-A
Description:	Systemic Violation The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child 5, who had been attending for 2 days, did not have documentation of an immunization record on file.
Plan of Correction:	The CD will ensure that all children have immunizations on file before first day of attendance
Standard #:	8VAC20-780-130-E
Description:	Systemic Violation The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child 1(age 3), who had been attending for 2 years, did not have documentation of updated immunizations on file
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-140-A
Description:	Systemic violation Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record for Child 1 who had been enrolled for 2 years.
Plan of Correction:	The CD will ensure that all children have physical within 30 days of first day of attendance
Standard #:	8VAC20-780-150-B
Description:	Systemic Violation Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for Child 3 was not signed and dated.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-40-E
Description:	Systemic Violation Centers shall be in compliance with the center's own policies and procedures required by these standards. The center?s policy is that children shall remain under supervision of staff at all times. On 9/3/2024, Child 4 (age 4) was left alone and unsupervised in an empty classroom for approximately 10 minutes.
Plan of Correction:	HoneyTree does not admit the allegations included in the ?description of violation? but nevertheless has reviewed policy with the appropriate staff member and confirmed staff reorientation.
Standard #:	8VAC20-780-60-A
Description:	Repeat Violation, Systemic Violation Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. Child 4, enrolled for seven weeks, was missing proof of identity. Child 5, enrolled for 2 days, was missing proof of identity. Child 7, enrolled for 3 months, was missing proof of identity.
Plan of Correction:	The CD will ensure that proof of identity will be in the file before first day of attendance
Standard #:	8VAC20-780-210-A
Description:	The center shall ensure that each grouping of children has a qualified program lead. Staff 4 was observed working as a program leader on the day of the inspection. Staff 4 did not have documentation of the educational requirements for a program leader position.
Plan of Correction:	The staff member had all lead trainings except first aid/cpr has since completed
Standard #:	8VAC20-780-240-A
Description:	Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff 1, who had been employed 94 days, had not yet completed the required course.
Plan of Correction:	The CD will ensure that all staff have the VDOE online trainings within 90 days.
Standard #:	8VAC20-780-340-F
Description:	Children under 10 years of age shall always be within actual sight and sound supervision of staff. On 9/3/2024, Child 4 (age 4) was left alone and unsupervised in an empty classroom for approximately 10 minutes.
Plan of Correction:	HoneyTree does not admit the allegations included in the ?description of violation? but nevertheless has reviewed policy with the appropriate staff member and confirmed staff reorientation.
Standard #:	8VAC20-780-430-I
Description:	If personal articles are used, they shall be individually assigned. In classroom 4, there were children?s pacifiers not labeled or assigned to show ownership.
Plan of Correction:	The CD will ensure that all personal items are labeled.
Standard #:	8VAC20-780-440-E
Description:	There shall be at least 12 inches of space between occupied rest mats. 18 children were resting on rest mats in classroom 4. Multiple children on rest mats were directly touching other children?s rest mats.
Plan of Correction:	This was fixed the day the inspector was still there
Standard #:	8VAC20-780-500-A
Description:	Repeat Violation, Systemic Violation Children?s hands shall be washed with soap and running water or disposable wipes after eating meals or snacks. Preschool age children were not observed washing hands or using a disposable wipe after eating lunch.
Plan of Correction:	The PD will send out a training on handwashing before and after eating for Pre-School
Standard #:	8VAC20-780-500-B
Description:	Repeat Violation, Systemic Violation Children?s hands shall be washed with soap and running water after toileting. Preschool children were observed using the restroom after lunch. No handwashing was observed after toileting.
Plan of Correction:	The PD will send out a training on handwashing after restrooms
Standard #:	8VAC20-780-520-B
Description:	Systemic violation Sunscreen shall be inaccessible to children under five years of age. In classrooms 4 and 6, there was sunscreen located in children?s cubbies. The ages of the children were 2 to 3 years old. The cubbies were accessible to the children.
Plan of Correction:	The PD will ensure that sunscreen is out of reach of the children