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Gingerbread House Day Care Center
305 Crescent Drive
Franklin, VA 23851
(757) 569-8658

Current Inspector: Anita Drewry (757) 404-5261

Inspection Date: Feb. 3, 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 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Crib spacing was reviewed with infant room staff. Suggest updating the injury report to more clearly describe the injury occurrence.

Comments:
An unannounced renewal inspection was conducted on 2/3/2016 from 9:30am - 12:00pm. The following staff to child ratios were observed: *Infants - 12 x 3 staff *Toddler/2's - 10 x 2 staff *3's - 10 x 2 staff *4's - 9 x 1 staff Children were observed during morning program time and during outdoor play. Nap was observed in the infant room. Morning snack was reviewed in the preschool classrooms. Additionally reviewed: medication, emergency supplies, diapering and hand washing procedures, written polices, documentation of emergency practice drills, the posted menu, five staff records, four children's records, topical ointments, documentation of injuries, and transportation procedures.

Violations:
Standard #: 22VAC40-185-440-J
Description: Based on observation, the center failed to ensure that there shall be at least thirty inches of space between service sides of occupied cribs and other furniture where that space is the walkway for staff to gain access to any occupied crib. Evidence: One occupied crib was placed next to a wall. The service side was placed 11 inches from another crib.

Plan of Correction: The crib was moved during the inspection to allow for 30 inches of space as required. All staff have been apprised of this requirement which will continued to be monitored by the director.

Standard #: 22VAC40-185-560-F
Description: Based on observation, the center failed to ensure that meals and snacks follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: 1. The juice served for morning snack was not 100% fruit juice. 2. The label on the juice served stated, "contains 10% fruit juice."

Plan of Correction: The director will go to the grocery store tomorrow and purchase fruit juice that meets USDA guidelines.

Standard #: 22VAC40-185-560-G
Description: Based on observation and interview, the center failed to ensure that when food is brought from home the food container shall be clearly dated. Evidence: The following food items, located in the infant room storage cabinet, were not dated: a. Opened container of rice cereal; b. Plastic container of powdered infant formula; c. Plastic bottle of powdered infant formula. 2. Staff in the infant class confirmed that these food items had been brought from home. Staff further confirmed that the formula has been placed in these plastic containers by the parents of the children.

Plan of Correction: All of the items were dated during the inspection. Staff have been reminded to date all food as it comes in. Additionally, director will check daily to ensure food items are properly dated.

Standard #: 22VAC40-185-560-K
Description: Based on observation, the center failed to ensure that tables are sanitized after each use for feeding. "Sanitized" means treated in such a way to remove bacteria and viruses from inanimate surfaces through using a disinfectant solution (i.e., bleach solution or commercial chemical disinfectant) or physical agent (e.g., heat). The surface of item is sprayed or dipped into the disinfectant solution and allowed to air dry after use of the disinfectant solution. Evidence: 1. The tables in the three and four year old class were not sanitized in the manner required by CDC standards after morning snack. a. Staff #1 sprayed each table with bleach and water and then used a cloth dish towel to wipe the tables down.

Plan of Correction: All staff will be reminded today of proper sanitizing procedures for tables.

Standard #: 22VAC40-185-570-K
Description: Based on record review and interview, the center failed to ensure that staff shall feed semisolid food with a spoon unless written instructions from a physician or physicians designee state differently. Evidence: 1. Written information from the parent of child #2 indicated that staff were to add cereal to the infant's bottle for feeding. 2. Center staff confirmed they were putting cereal in the bottle of child #2 for feeding at the request of the parent. 3. There was no written information on file from the physician of child #2 granting authorization for cereal to be placed in the bottle of formula. 4. The director confirmed that she did not have written authorization from the child's physician.

Plan of Correction: The parent will be contacted today and asked to provide written authorization from the physician in order to continue this practice.

Standard #: 22VAC40-191-40-D-1-C
Description: Based on record review and interview, the center failed to ensure that employees shall have an updated central registry finding every three years. Evidence: 1. The most recent central registry finding for staff #3 was conducted on 6/14/2012. 2. There was documentation that an updated central registry check had been requested on 1/11/2016.

Plan of Correction: An updated central registry check was requested on 1/11/2016. All staff files will be reviewed to ensure all background checks are updated on time.

Standard #: 22VAC40-191-60-B
Description: Based on record review, the center failed to ensure that an employee shall not be employed until the person has completed a sworn statement or affirmation. Evidence: 1. Staff #4 has a hire date of 11/4/2015. The sworn statement or affirmation was not completed until 12/31/2015. 2. The director confirmed the accuracy of this sworn statement.

Plan of Correction: From this time forward, all staff will complete a sworn statement or affirmation prior to employment.

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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