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HoneyTree Early Learning Center - Hunting Hills
4330 Franklin Road S.W.
Roanoke, VA 24014
(540) 725-3505

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: March 30, 2016 and March 31, 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.
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 was conducted on 3/30 and 3/31. The inspection began on 3/30 at 8:15am and concluded at 4:00pm and the second inspection day began at 9:30am and concluded at 1:00pm. During the inspection there were one hundred one children observed in care with fifteen staff members, both buildings were viewed, breakfast time was observed, all nine classrooms were observed during some point of the inspection, lunch time was observed, all three outdoor play areas were viewed, nap time was observed, emergency supplies were viewed, seven out of twenty staff records were reviewed, seven out of one hundred fourteen children's records were reviewed, and some policies and procedures were reviewed. A "best practices" document regarding potential choking hazards according to USDA was provided to the center during the final inspection day. The center has requested a ten day review of the issued Violation Notice. The VN is due in the licensing office no later than the close of business day on 4/8/16. Thank you for your time, please call me at (540)309-2051 if you have any questions.

Violations:
Standard #: 22VAC40-185-130-A
Description: Repeat Violation-Based on the inspector's review of a sample of seven out of one hundred fourteen children's records, the center failed to ensure a portion of the sample had documentation of immunizations before the child attended the center. Evidence: The record for child #6 has a start date of 11/24/14, a with drawl date of 5/29/15, and another start date of 9/14/15. The immunization record is dated 9/10/15 and is the only immunization record in the child's record. There is no documentation that the child had an immunization record when initially starting at the center on 11/24/14.

Plan of Correction: Children will not be allowed to begin care without documentation of immunization records. Additional children's records will be audited to ensure completeness.

Standard #: 22VAC40-185-150-B
Description: Repeat Violation-Based on the inspector's review of a sample of seven out of one hundred fourteen children's records, the center failed to ensure a portion of the sample had signature of the child's physician, his designee, or health department official on the immunization record. Evidence: The record for child #5 does not have a signature of the child's physician, his designee, or health department official on the immunization record as required by the standard.

Plan of Correction: The PD stated the parent has been notified previously regarding the requirement for a signed immunization record. The parent will be asked to provide a signed record within one week of today's inspection. Additional records will be audited for completeness.

Standard #: 22VAC40-185-160-A
Description: Based on the inspector's review of seven out of twenty staff records, the center failed to ensure a staff member had documentation of a TB screening twelve months prior to or twenty-one days after employment. Evidence: The record for staff member #6 has a documented start date of 10/20/15 and the staff member's record did not have the results of a TB screening.

Plan of Correction: The PD will ensure the staff member completes a TB screening within one week of today's inspection.

Standard #: 22VAC40-185-70-A
Description: Repeat Violation-Based on the inspector's review of a sample of seven out twenty staff records, a portion of the records did not contain all of the required information. Evidence: The record for staff member #7 has a documented start date of 2/24/16 and does not have two out of two required reference checks.

Plan of Correction: The references were provided by home office during the ime of the inspection.

Standard #: 22VAC40-185-340-D
Description: Systemic Deficiancy-Based on the inspector's observations and staff records review, the center failed to ensure a program lead qualified staff member was present in each grouping of children. Evidence #1: Staff member #6 was observed as the sole staff member in the Tiny Tigers II infant classroom during the first inspection day. The record for the staff member does not have documentation to substantiate Program Lead qualifications to include experience, education and/or training. Evidence #2: Staff member #5 was observed as the sole staff member during the afternoon of the first inspection day in the Little Lions II classroom and does not have documentation to substantiate Program Lead qualifications to include education and/or training.

Plan of Correction: The PD will ensure each grouping of children is with a documented PL. The PL qualifications for staff member #5 and #6 will be documented.

Standard #: 22VAC40-185-350-E-4
Description: Based on the inspector's observations in the lower building, the center failed to maintain a ratio of one staff member for every ten children for children three years of age to the age of eligibility to attend public school. Evidence #1: The inspector observed breakfast time for the Parrots III classroom with children ages three through five years of age. At one point during the meal there were two staff members observed with twenty-two children. The group remained out of ratio for ten minutes until the center's Program Director arrived to the group. Evidence #2: The inspector observed a portion of circle time for the Parrots I classroom with children ages three through four years of age. There were two staff members present with twenty-one children present.

Plan of Correction: Once the ratio problem was brought to the attention of a staff member, a child was sent to a neighboring classroom. A staff member had called out and the PD stepped into count in the ratio as soon as she was notified about the ratio problem. The center is in the process hiring Assistant PD for the lower building.

Standard #: 22VAC40-185-350-F
Description: Based on the inspector's observations and child record review, the center failed to ensure required assessments were completed when two children were observed in different age groups with lager staff to child ratios. Evidence #1: Child #3 who is under two years of age was observed in the Little Lions II classroom with two year old children with a ratio of one staff member with eight children. The ratio for children between the ages of sixteen months through two years of age is one staff member for every five children. The child did not have a written assessment conducted by the Program Director and an assessment conducted by the Program Leader demonstrating that the older age group with a lager staff to child ratio was more appropriate. Evidence #2: Child #1 who is currently two years of age was observed in the Pandas II classroom with three year old children, with a ratio of one staff member to ten children. The ratio for children two years of age is one staff member for every eight children. The child did not have a written assessment conducted by the Program Director and an assessment conducted by the Program Leader demonstrating that the older age group with a lager staff to child ratio was more appropriate.

Plan of Correction: The PD stated evaluations will be conducted by herself and each of the children's Program Lead's for their classrooms and placed in their records by the end of the program week. The children did have written parent permission for the children to move up to the older classrooms with larger staff to child ratio requirements.

Standard #: 22VAC40-185-430-I
Description: Based on the inspector's observations in the Tiny Tigers I infant classroom, the center failed to ensure a personal item was individually assigned. Evidence: The inspector observed a pacifier that was not labeled in any manner for individually use.

Plan of Correction: The staff member labeled the pacifier during the time of the inspection. The PD will remind staff to label all personal items as they arrive to the center if no already done so by the parent.

Standard #: 22VAC40-185-500-A
Description: Based on the inspector's observations, the center failed to ensure hand washing took place before a meal. Evidence: The inspector observed three children arrive late to the center and enter the cafeteria where breakfast was being served. The children did not wash their hands and were seated at the tables and began eating breakfast.

Plan of Correction: The PD will remind staff to ensure all children wash hands before and after all meals and snacks.

Standard #: 22VAC40-185-560-F
Description: Based on the inspector's observations, the center failed to ensure the posted menu was dated for the current week. Evidence: The menu posted on the parent board of the lower building was dated "Week 3/14". The current week's date is 3/28. No menu was observed posted in the upper building.

Plan of Correction: The menu will be changed out every Monday morning and the cook will be responsible for ensuring the current menu is posted.

Standard #: 22VAC40-185-560-F-4
Description: Based on the inspector's observations in the Playful Pandas I and Little Lions II classroom consisting of two year old children, the center failed to ensure foods that are considered to be potential choking hazards are not offered to children under three years of age. Evidence #1: The inspector observed lunch time in two classrooms consisting of two year old children. Fruit cocktail with whole grapes was served in both classrooms. Whole grapes are considered a choking hazard and were not prepared in a manner that would prevent choking.

Plan of Correction: The cook will be asked to become familiar with what constitutes a choking hazard and prepare foods in a manner that prevent choking for children three years of age or younger.

Standard #: 22VAC40-185-560-G
Description: Repeat Violation-Based on the inspector's observations, the center failed to ensure food brought from home was labeled with the child's name. Evidence: The inspector viewed a total of five individual containers of baby food that were not labeled in any manner that identifies the owner. Staff confirmed the food was provided from home.

Plan of Correction: The staff member labeled the food during the time of the inspection. The PD will remind staff to label food from home as it enters the center if not already done so by the parent.

Standard #: 22VAC40-185-560-K
Description: Based on the inspector's observations in the lowering building, the center failed to ensure tables were sanitized after each use for feeding. Evidence: The inspector observed a child sitting with a group finish breakfast and leave the table, a second child arriving late to the center sat in the same spot and began eating. The table was not sanitized after each use before feeding.

Plan of Correction: The staff will ensure tables that have already been sanitized will be used when children arrive late to the center.

Standard #: 22VAC40-185-560-M
Description: Based on the inspector's observations in the Playful Pandas I classroom, staff failed to sit with children during meal time. Evidence:The inspector observed lunch time in the Playful Pandas I classroom. At no time were either of the staff members observed seated with the children during the meal time.

Plan of Correction: The PD will remind staff to sit with children during meal times.

Standard #: 22VAC40-185-570-A
Description: Based on the inspector's observations in the Itsy Elephants I classroom with children ages sixteen months through two years of age, the center failed to ensure safety straps were used when children were seated at a feeding table. Evidence: The inspector observed three children seated at a feeding table and the safety straps were missing from all three seats. The seats manufactured to be equipped with safety straps.

Plan of Correction: The PD stated a request has been made to purchase additional safety straps for the seats.

Standard #: 22VAC40-191-60-C-2
Description: Based on the inspector's review of seven out of twenty staff records, the center failed to ensure a portion of the sample had the results of the search of the central registry within thirty days of employment. Evidence #1: Staff member #2 with a start date of 11/4/14 has a CPS background check stamped received on 12/4/14 and completed on 1/9/15. The background check was not completed within thirty days of employment as required by the standard. The background check was not requested until the staff member had been employed for thirty days. Evidence #2: Staff member #4 with a start date of 6/22/15 has a CPS background check stamped received on 7/15/15 and completed on 8/19/15. The background check was not completed within thirty days of employment as required by the standard.

Plan of Correction: Human Resources will ensure background check requests are made within one week of staff member's date of 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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