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Caterpillar Clubhouse # 1
664 Village Highway
Rustburg, VA 24588
(434) 332-6078

Current Inspector: Victoria E Dawson (540) 309-2674

Inspection Date: July 23, 2015

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was done today, July 23, 2015 beginning at 10:20 AM and ending at 4:30 PM. There were sixty-eight children in care today. The children were observed during their outside time, eating snack/lunch and napping. They also played in the gym. The children in the infant house were playing on the floor with staff, sleeping and then preparing for lunch. The inspector reviewed medications, staff and children's files. The outside play equipment is currently not being used as the mulch is not in compliance. The director and inspector discussed the violations and corrective action plan. Also discussed: additional swing set on the playground needs to be removed, recommend that disposable gloves used for diapering should not be food service gloves , parents should sign medication authorizations with their full name and attendance sheets should only show who is actually present. A system should be in place to document when children leave the center after initial arrival and then return later in the day.

Violations:
Standard #: 22VAC40-185-130-B
Description: Based on observation the center did not request updates on all of the children's immunizations when required per their age. Evidence: 1. During the inspection the LI reviewed the files of four children two of which were not newly enrolled. Child # 9 enrolled 8/12/13 and turned age two in 5/15. The immunization form indicates the last immunization update was on 5/23/14 when the child was age 12 months. The file had no verification that updates had been done every six months under the age of two.

Plan of Correction: Our bulletin boards in both buildings have notices that we must be kept up to date on all physicals and immunizations. Have posted on both front doors our child acre manager's operating system also notifies us when an immunization record is due or past due. This particular case-immunization has been mailed to center 7/24/15 per doctor's office.

Standard #: 22VAC40-185-60-A
Description: Based on observation the center failed to keep emergency contact information on all children in care. Evidence: 1. During the inspection the LI asked to review files of children #'s 1 & 2. These files per contact with the director were not at the center. The LI asked staff #'s 3& 4 for a list of emergency contact information and staff # 3 provided the LI with a list of the children's parent's names, addresses and phone numbers. There was no other information available regarding emergency contact information.

Plan of Correction: Emergency contacts are also located in the director's computer. Will make sure all staff have access to the computer and can quickly access contacts. Also, will set up/maintain a 3 ring binder for emergency contacts.

Standard #: 22VAC40-185-420-E-3
Description: Based on observation the center failed to obtain annual updates to the children's files. Evidence: 1. During the inspection the LI reviewed the files of four children. Two children, #'s 6 & 9 did not have documentation that annual updates had been done to the children's files.

Plan of Correction: Have sent out to parents the application form of registration packet. Redone 2015 written at top of right hand corner each child must turn in updated form.

Standard #: 22VAC40-185-510-A
Description: Based on observation the center failed to label all over the counter medication with a staff/child's name. Evidence: 1. During the inspection the LI observed in the locked medication box a bottle of over the counter poison ivy spray-Ivarest. The medication did not have a staff or child's name on it.

Plan of Correction: All medications will be labeled using white labels that were placed on medication clipboard.

Standard #: 22VAC40-185-510-G
Description: Based on observation the center failed to obtain a parent's signature on an authorization form for the administration of medicine to a child. Evidence: 1 During the inspection the LI reviewed four medications and the authorization form for child # 4 was signed by a physician on 6/12/15 however it was not signed by the parent. It is noted that the authorization was for Epipens. There were three in the lock box for child # 4 and they all were expired as of 3/14 and 6/14.

Plan of Correction: Our MAT staff will make sure to check all info.(on medication sheet as well as the actual prescription). They have also worked out a "buddy" system to recheck behind each other. Also, the first business day of the month they will review any items (paper & medications) and give parent "heads up" of expirations.

Standard #: 22VAC40-185-560-F-4
Description: Based on observation the center failed to have a correct date on the menus posted. Evidence: 1. During the inspection the LI viewed the posted lunch/snack menu without a current date. The dates on the menus were for the weeks in June-2015.

Plan of Correction: During the summer months we receive USDA. We ask daily for menus, if we do not have menu we will write down both snacks, lunch, date and place it on the sign in table.

Standard #: 22VAC40-191-60-C-1
Description: Based on observation the center failed to obtain the required criminal history record check for all hired staff. Evidence: 1. During the inspection the LI reviewed the files of two staff. Staff # 2 was in need of a criminal history record check. There was no documentation that one had been sent. The staff person was hired 10/22/14.

Plan of Correction: Have filled out paper work to mail in. A copy of employees checklist is kept separately to help maintain upcoming renewals

Standard #: 22VAC40-191-60-C-2
Description: Based on observation the center failed to obtain the required child protective service form for all hired staff. Evidence: 1. During the inspection the LI reviewed the files of two staff. Staff # 2 was in need of a child protective service check. There was no documentation that one had been sent. The staff person was hired 10/22/14.

Plan of Correction: Have filled out paper work to mail in. A copy of employees checklist is kept separately to help maintain upcoming renewals

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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