VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ballad Health Center for Early Learning - Lebanon
554 Clydesway Drive
Lebanon, VA 24266
(276) 883-8450

Current Inspector: Angela Farmer (276) 608-2283

Inspection Date: Oct. 30, 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. 8VAC20-820 THE LICENSE. 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Early Childhood Care and Education 63.2 Child Abuse & Neglect

Technical Assistance:

Effective January 1, 2025, the VDOE will begin determining compliance with ? 22.1-289.057 of the Code of Virginia, which is legislation passed by the General Assembly in 2020. The law requires all licensed child day programs, religious exempt child day centers that serve preschool age children, and certified preschools to test potable drinking water. The law requires that programs submit their plans and test results to the Virginia Department of Health Office of Drinking Water (VDH ODW) and the Superintendent. If the results of the testing indicate elevated lead levels, the program shall remediate, retest, and resubmit results to VDH ODW and the Superintendent. There is an additional alternative bottled water option that comes with additional requirements. The statutory requirement can be found online at https://law.lis.virginia.gov/vacode/title22.1/chapter14.1/section22.1-289.057/. Resources are now available for providers on the "What's New" webpage on the ChildCareVA website at https://www.childcare.virginia.gov/providers/what-s-new.

Comments:

An unannounced, on-site monitoring inspection was initiated and completed on 10/3024, as a part of the conditional licensure period. The on-site inspection began at 9:30 am and ended at 1:20 pm. The inspector reviewed compliance in the areas listed above. There were 25 children present and 12 staff. The inspector reviewed nine children?s records and four staff records on-site. This inspection included: document review, tour of the facility, interviews, and observations. 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 violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 11/15/24. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	22.1-289.011-F
Description:	The center is required to post the most current violation notice and inspection summary. The inspection dated 7/2/2024 was not posted.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.035-B-1
Description:	The center is required to obtain a completed sworn statement prior to the employees? first day of employment. The sworn statements for Staff #2 & 3, who are currently working, were not dated.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.035-B-3
Description:	The center must request a search of the central registry prior to the employee's first day of employment. Staff #2 and Staff #3, who had been employed for three months, did not have a central registry search requested.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-A
Description:	Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #1, #2, and #3 had no documentation and had been employed for past three months.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	Each staff record shall have documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position. Staff #2, #3, and #4, who have been employed for three months, did not have documentation of education or certification on file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-210-A
Description:	Program leaders shall be at least 18 years of age, have fulfilled a high school program completion or the equivalent. Staff #3, who has been employed three months, did not have information on file showing how program leader qualifications were met. Staff #3 was working as program leader on the day of the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-C
Description:	During the stated hours of operation, there always shall be on the premises when one or more children are present one staff member who meets the qualifications of a program leader or director and an immediately available staff member, volunteer or other employee who is at least 16 years of age. Video footage on 10/30/24 showed that there was one staff member with one child from 6:02 am ? 6:20 am.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-B
Description:	Prescription and nonprescription medication shall be given to a child, only with written authorization from the parent. Child #1, medication given to center three months ago; child #2, medication given to center seven months ago; child #6, medication given to center four months ago; child #7, medication given to center one month ago; child #8, medication given to center two months ago; child #9, medication given to center four months ago. There were no written authorizations on file from the parents.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-E
Description:	The center?s procedures for administering medication shall include duration of the parent?s authorization for medication, provided that it shall expire or be renewed after 10 workdays. Long-term prescription drug use and over-the-counter medication may be allowed with written authorization form the child?s physician and parent. Six non-prescription medications were in the medication box. These medications have been at the center for one to six months with no written authorization available or renewed. There was no written authorization from Child 8?s physician and parent for the long-term prescription medication was in the medication box.
Plan of Correction:	Not available online. Contact Inspector for more information.