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Creative Kids
1631 Blue Hills Drive
Roanoke, VA 24012
(540) 344-0370

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: Aug. 24, 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.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
32.1 Report by person other than physician
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Comments:
Today's visit was a routine monitoring inspection. The inspection began at 10:30am and concluded at 4:40pm. There were sixty-nine children present with fourteen staff and the children were between the ages of eight weeks and ten years of age. During the inspection five out of twenty-three staff records were reviewed, six out of one hundred children's records were reviewed, lunch time was observed, nap time was observed, arrival of the school age children was observed, the playground was viewed, and some policies and procedures were reviewed. Thank you for your time, please call me at 309-2051 if you have any questions.

Violations:
Standard #: 22VAC40-185-80-A
Description: Based on the inspector's request to view the daily attendance, the center failed to ensure an attendance had been taken for the school age children. Evidence: The inspector observed the school age classroom and counted twenty-five children in care and asked the staff how many children were present. A staff member stated there were thirty-two children present. A re-count was conducted with all children standing still and there were twenty-five children present. Daily attendance had not been taken and the children had been in care for more than thirty minutes. In the event of an emergency an accurate head count may be required and without an attendance list it may not be possible to get an accurate account of children in care.

Plan of Correction: The PD will remind staff take attendance as children arrive to center.

Standard #: 22VAC40-185-270-A
Description: Based on the inspector's observations in the rest room in the classroom for two year old children, the center failed to ensure an area was kept in a safe condition. Evidence: The inspector observed three holes in dry wall, located next to a child size toilet, in the rest room connected to the two year old classroom. The areas have exposed dry wall measuring approximately three inches in diameter.

Plan of Correction: The toilet paper dispenser fell out of the wall on Friday and a maintance request has been made. Repairs will take plce by the end of the program week.

Standard #: 22VAC40-185-330-B
Description: Based on measurement taken in the fall/trajectory zones for two pieces of outdoor equipment, the center failed to ensure the depth of resilient surfacing was adequate as required by this standard. Evidence #1: The inspector inspector measured the depth of surfacing in three areas of a piece of outdoor equipment with a slide/swing/ and climbing wall. The wood mulch measured three inches in all three areas and has a required depth of six inches for the fall/trajectory zones. Evidence #2: The inspector measured the wood mulch used as resilient surfacing in two areas for a piece of outdoor equipment with a blue slide . The surfacing measured three inches in depth for both areas.

Plan of Correction: The center will follow it's policy and procedure for maintaining the resilient surfacing on the playground. Surfacing will be added within two weeks of today's inspection.

Standard #: 22VAC40-185-340-D
Description: Based on the inspector's review of a sample of five out of twenty-three children's records, observations, and staff interviews, the center failed to ensure the Bouncing Babies I infant classroom had a Program Leader in charge of the group of children with documented qualifications for the position. Evidence: There were no documented Program Leader qualifications for all three staff members in the Bouncing Babies I classroom. Staff member #3 was identified as the PL for the classroom and there was not sufficient evidence in the record to substantiate PL qualifications.

Plan of Correction: The PD is in the process of completing all training and documenting Program Leader qualifications for the staff member. Necessary documentation will be placed in the staff member's record by the end of the program week.

Standard #: 22VAC40-185-440-H
Description: Based on the inspector's observations in the Bouncing Babies I infant classroom with infant aged children, the center failed to ensure there was no more than between the mattress and the side of a crib. Evidence: The inspector observed a crib with all four corners of the mattress curled up allowing three inches between the crib and the mattress.

Plan of Correction: A staff member removed the sheet that was causing the mattress to curl up on the edges during the time of the inspection. The center will ensure sheets fit the mattress correctly at all times.

Standard #: 22VAC40-185-450-D
Description: Based on the inspector's observations during nap time in the first classroom, the center failed to ensure pillows had cases when used at nap time. Evidence: The inspector observed nap time in the first classroom and there were two children sleeping on pillows that were not equipped with cases.

Plan of Correction: The PD will remind all staff that pillows must have cases when used for nap time.

Standard #: 22VAC40-185-500-B
Description: Based on the inspector's observations in the toddler classroom, the center failed to ensure the diaper changing surface in the toddler classroom is nonabsorbent. Evidence: The inspector observed the diaper changing area in the toddler classroom and the diapering pad has a tear covered with tape that is peeling up. The surface is no longer considered to be nonabsorbent.

Plan of Correction: The diaper changing pad will be replaced or covered in a manner that ensures the surface is nonabsorbent. The changing pad was replaced during the time of the inspection.

Standard #: 22VAC40-185-510-N
Description: Based on the inspector's review of the medication lock box for the center, the center failed to ensure medication was returned to a parent within fourteen days of the authorization's expiration. Evidence: The inspector viewed a medication and authorization for child #1. The authorization to administer over the counter gas drops expired on 7/31/15 and the medication was still present at the center. Medication is required to be returned to the parent within fourteen days of the authorization expiring.

Plan of Correction: A MAT certified staff member will review medications and authorizations weekly. The medication will be returned to the parent by the end of the program day

Standard #: 22VAC40-185-550-D
Description: Based on the inspector's review of the supplied emergency drill documentation, the center failed to document a required monthly emergency evacuation drill. Evidence: The center did not have documentation of conducting an emergency evacuation drill for the month of July.

Plan of Correction: A review of the emergency drill documentation will be conducted the last week of every month to ensure all required emergency drills have been conducted and documented.

Standard #: 22VAC40-191-40-D-1-A
Description: Based on the inspector's review of five out of twenty-three staff records, the center failed to ensure background checks, for a portion of the sample, had completed within thirty days of beginning employment. Evidence #1: Staff member #1 with a hire date of 5/7/15 does not have the results of a criminal background check and child protective services background check. The staff member has been employed for more than thirty days. There was no evidence of follow-up conducted with the agencies responsible for conducting the background checks. Evidence #2: Staff member #5 with a hire date of 4/27/15 does not have the results of a child protective services background check. The staff member has been employed for more than thirty days. There was no evidence of follow-up conducted with the agencies responsible for conducting the background checks.

Plan of Correction: The PD will contact the agencies responsible for conducting the background checks and inquire as to the status of the requests. New background check requests will be submitted if necessary. In the future background checks will be submitted within on week and follow-up will take place within thirty days if not returned to the center.

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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