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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: Oct. 13, 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)

Comments:
An unannounced monitoring inspection was conducted on 10/13/2016 from 2:05pm - 3:30pm. The following staff to child ratios were observed: *Infants - 12 x 3 staff *Toddlers - 9 x 2 staff *2's - 4's - 15 x 2 staff *SA - 8 x 1 staff Children were observed during nap, afternoon snack and afternoon outdoor play. Field trip procedures were reviewed for the SA children returning from the pumpkin patch. Records were reviewed for four staff and four children. Additionally reviewed: medication, emergency supplies, the posted menu, documentation of emergency practice drills, insurance, and attendance. 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 #: 22VAC40-185-240-D-4
Description: Based on record review and interview, the center failed to ensure that for any child for whom emergency medications (such as but not limited to albuterol, glucagon, and epipen) have been prescribed shall always be in the care of a staff member with current MAT training. Evidence: 1. There are two children in attendance at the center with current prescriptions for emergency medications. The medication is on hand at the center. a. There is no one working in the center on Wednesday with current MAT training. 2. The program director verified that a MAT trained staff is not on staff on Wednesday.

Plan of Correction: Two more employees are currently looking into a MAT class. Will send date of class ASAP. *Parents are informed no medication can be given on Wednesday.

Standard #: 22VAC40-185-270-A
Description: Based on observation, the center failed to ensure that outside areas of the center shall be maintained in a safe condition. Evidence: The fence surrounding the AC unit on the toddler playground had one loose board. Two rusty nails were protruding from the inside of this board.

Plan of Correction: Fixed

Standard #: 22VAC40-185-280-G
Description: Based on observation, the center failed to ensure that if hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents. Evidence: One spray bottle of bleach and water solution was not labeled to indicate the contents.

Plan of Correction: Fixed

Standard #: 22VAC40-185-380-A
Description: Based on observation, the center failed to ensure that there shall be a posted daily schedule. Evidence: The four-year old classroom lacked a posted daily schedule.

Plan of Correction: Fixed

Standard #: 22VAC40-185-430-C
Description: Based on observation, the center failed to ensure that S-hooks where provided may not be open more than the thickness of a penny. Evidence: One swing had three S-hooks that were open more than the thickness of a penny.

Plan of Correction: Fixed

Standard #: 22VAC40-185-510-C
Description: Based on medication review, the center failed to ensure that 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. There were two medications on hand for child #1. Written authorization from the physician of child #1 had been obtained however, the parent had failed to sign the authorization forms for both of these medications. 2. There were three medications on hand for child #2. Written authorization from the physician of child #3 had been obtained however, the parent had failed to sign the authorization forms for these medications.

Plan of Correction: Fixed

Standard #: 22VAC40-185-510-E
Description: Based on medication review, the center failed to ensure that medication shall be labeled with the child's name. Evidence: One bottle of over-the-counter medication was not labeled with the child's name.

Plan of Correction: Fixed

Standard #: 22VAC40-185-540-C
Description: Based on observation, the center failed to ensure that the required first aid kits shall include triangular bandages. Evidence: 1. The first aid kit located on the center van contained one triangular bandage. At least two are required. a. The van was used for a field trip on the date of the inspection.

Plan of Correction: Another bandage was placed in first aid box.

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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