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Mill Creek Child Care Center
11475 Lee Highway
Fincastle, VA 24090
(540) 992-2232

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: May 24, 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.
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
As requested by the PD, information related to the Code changes of July, 2014, addressing criminal record check requirements was provided by the LI.

Comments:
An unannounced monitoring inspection was conducted in the Center on May 24, 2016. Upon arrival in the Center, the LI verified 35 preschool-age children were in care. According to their ages, the children were in 5 separate groups. The Program Director reported 107 children are currently enrolled in the program, 51 preschool-age children and 56 school-age children. An inspection of the Center was conducted. Several groups of children were observed outdoors on the playgrounds, children were observed during the lunch meal, and at nap/rest time. Twenty school-age children arrived to the Center after school. A sample of 5 children's and two staff records were reviewed. Medications and documentation were reviewed. Documentation of the program's annual fire and health inspections was reviewed. A discussion was held with the PD regarding background checks and time frames they are to be submitted and verified for staff. If you have any questions, please call 309-2310. The inspection was conducted from approximately 10:30am to 4:30pm. Thank you.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on a sample review of children's records, the Center failed to ensure all records were complete with the required information: 3.) when applicable, work phone number and place of employment of each parent who has custody; and 8.) chronic physical problems and pertinent developmental information and any special accommodations needed Evidence: The LI reviewed 5 children's records. The following information was not complete: Parents' work phone numbers (children 1, 2, 4) chronic physical problems and developmental information and any accommodations needed: (child 4).

Plan of Correction: The PD will review the records with each child's parent to have complete information for each child on file. Records will be reviewed on-going.

Standard #: 22VAC40-185-70-A
Description: Based on direct observations and a sample review of staff records, the Center failed to ensure background checks as required by the Code of VA, July 2014, were verified prior to a staff member working alone with the children. Evidence: 1. The LI observed staff 1 outdoors supervising a group of children. Through interview, it was determined that the staff was newly employed and was assigned to a classroom due to another staff's scheduled time off. 2. The record of staff 1 was reviewed, documentation of verified background checks was not available for review. The Center was operating with the understanding that a 30-day time frame was allowed.

Plan of Correction: The staff member will not work alone with children until the Criminal Record Check is verified. The PD will submit the background check requests immediately. Until the CRC is verified, other staff with verified background checks will be scheduled to work in the classroom with the staff member.

Standard #: 22VAC40-185-260-B
Description: Based on documentation reviewed, the Center failed to obtain annual approval from the health department to verify requirements were met for water supply; sewage disposal; and food service. Viewed documentation of the food inspection and food permit was current. Evidence: Documentation of the Health Environmental Report was dated 02/27/15.

Plan of Correction: The Program Director will contact the local health department immediately to request the environmental inspection form from the Health Inspector. Documentation will be maintained at the Center.

Standard #: 22VAC40-185-270-A
Description: Based on direct observations made by the LI, the Center failed to ensure outdoor play equipment was maintained in a safe and operable condition. Evidence: The inspection of the outdoor play equipment verified damage on 2 separate pieces of play equipment. A large crack was observed at the step of the slide on one plastic piece; and cracks and peeling paint were observed an another piece of equipment which had been modified by adding a wooden platform to the plastic composite piece.

Plan of Correction: The PD will have the 2 pieces of damaged play equipment removed from the fenced playground.

Standard #: 22VAC40-185-510-A
Description: Based on reviewed documentation, the Center failed to obtain parental written authorization to administer a prescribed medication to a child. Evidence: The LI reviewed all children's medications and required documentation currently in the Center. Written parental authorization was not obtained for one of eight children. The authorization form for child B. was not signed by a parent of the child.

Plan of Correction: The Program Director will notify the child's parent immediately, documentation will be maintained at the center. Staff will monitor medications and documentation on-going to ensure appropriate signatures are obtained and current.

Standard #: 22VAC40-185-510-C
Description: Based on a review of children's medications, the Center failed to follow their medication administration procedures: including methods to prevent use of outdated medication Evidence: The LI reviewed medications for 8 children. A prescribed medication to be used as needed for child A. had a manufacturer's expiration date of 12/2015. Documentation indicated the medication was administered to the child in March, 2016. The medication was observed at the center on the date of inspection, May 24, 2016.

Plan of Correction: Upon notice, the Program Director notified the child's parent and returned the medication to the parent. The PD will review the Center's medication policy and will develop policy to meet the Standards requirements. The Standards applicable to medication administration and the Center's medication policy will be reviewed with all staff who are trained in medication administration (MAT). Medications and documentation will be monitored ongoing by the Program Directors.

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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