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Churchland KinderCare #1348
6025 Churchland Boulevard
Portsmouth, VA 23703
(757) 484-9377

Current Inspector: Heather Harrell (757) 334-4329

Inspection Date: Jan. 29, 2016

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.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Reminder: *A January fire drill needs to be conducted. +++Beginning October 1, 2013, all facilities that want to care for children requiring rectal seizure or rectal nausea medication must complete the applicable MAT course prior to administering these medications. Information regarding MAT training is located on the DSS web site. Please keep an eye on the missing areas of resilient surfacing located on the edge of the "poured in place" boarder. (Toddler/Two-year old playground). Also, there is a circular area of resilient surfacing missing on the edge of the "poured in place" surfacing on the preschool playground. Additionally, the area of mud on the SA playground should be filled in before this becomes a safety hazard.

Comments:
An unannounced renewal inspection was conducted on 1/29/2016 from 9:55am - 1:25pm. The following staff to child ratios were observed: *Infants - 7 x 1 staff *Toddlers - 9 x 2 staff *2's - 10 x 2 staff *3's - 20 x 2 staff *4's - 8 x 1 staff *SA - 6 x 1 staff Children were observed during morning program time, lunch and nap. Transportation procedures were reviewed which included arrival and departure from public school as well as one bus used to transport children. Hand washing was observed in all classrooms. Additionally reviewed: medication, emergency supplies, written policies & procedures, six children's records, six staff records, 26 injury reports, documentation of emergency practice drills, outdoor play areas and the posted menu. Please complete the "plan of correction" for each violation cited on the violation notice and return it to me within 10 calendar days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word "corrected" is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s).

Violations:
Standard #: 22VAC40-185-40-J
Description: Based on record review and interview, the center failed to ensure that injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: 1. The injury prevention plan had not been updated as required based on a review of the center injury prevention plan. 2. Administrative staff confirmed that the plan had not been updated for 2015.

Plan of Correction: Corrected Monday, 2/1/16.

Standard #: 22VAC40-185-60-A
Description: Based on record review, the center failed to ensure that children's record contain a complete address for two emergency contacts. Evidence: 1. The enrollment record and emergency card for child #1 lacked an address for the second emergency contact.

Plan of Correction: Having parent update info today.

Standard #: 22VAC40-185-510-C
Description: Based on record review and interview, the center failed to ensure that 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 work days. Long-term prescription drug use and over-the-counter medication may be allowed with written authorization from the child's physician and parent. Evidence: 1. The parent authorization for one emergency "as needed" medication was completed on 9/8/2015. The parent indicates that the authorization is "ongoing." a. The medication is a class IV controlled substance. 2. There is no written physician authorization on file for this medication. 3. Administrative staff confirmed that no written physician authorization was obtained for this medication.

Plan of Correction: Contacted parents for physicians note.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review and interview, the center failed to obtain a central registry finding within 30 days of employment for staff. Evidence: 1. There is no central registry finding on file for staff #1. Staff #1 has a hire date of 10/14/2015 and was observed working in the center during the inspection. a. The central registry request form was returned to the center on 11/23/2015 for additional information. However, the check was not resubmitted to CPS for completion. 2. There is no central registry check on file for staff #2. Staff #2 has a hire date of 10/6/2015 and was observed working in the center during the inspection. a. Administrative staff confirmed that documentation could not be located to confirm that a central registry check had been requested for staff #2.

Plan of Correction: Going forward CPS checks copied before mailing and mailed within 3 days of hiring. _Awaiting the 2 missing checks in the mail now.

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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