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Main Street Day Care
202 North Main Street
Suffolk, VA 23434
(757) 539-3431

Current Inspector: Melinda Popkin (757) 802-5281

Inspection Date: Dec. 12, 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.
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was conducted on 12/12/16 from 8:42am - 10:50am. During the inspection there were 69 children ages two months to five years old in care with 16 staff. A tour of the facility was conducted and children were observed in a variety of activities in the classrooms and eating brunch. Records were reviewed for five children and five staff. Medication, emergency procedures and emergency supplies were reviewed. Areas of non-compliance are identified on the violation notice, and were discussed during the exit interview.

Violations:
Standard #: 22VAC40-185-130-B
Description: Based on a review of six children's records, it was determined that the facility did not ensure that there was documentation of additional immunizations is obtained once every six months for children under the age of two years. Evidence: 1. The record for child #1 (date of birth 2/1/15) contained documentation of an immunization record that was dated 11/24/15. 2. Staff #7 (Assistant Director) confirmed that an updated immunization record had not been received for child #1.

Plan of Correction: The facility responded: An updated shot record has been requested and parent faxed the shot record on 12/14/16.

Standard #: 22VAC40-185-60-A
Description: Based on a review of six children's records and interview, it was determined that the facility did not ensure that they maintain and keep at the center a complete record for each child enrolled that contains all required information. Evidence: 1. The records for child #1 did not contain documentation for the annual update to ensure all information is correct and up-to-date. 2. The records for child #6 did not contain documentation for the annual update to ensure all information is correct and up-to-date, and documentation to demonstrate that the proof of identity was viewed. 3. Staff #7 (Assistant Director) reviewed the record for child #1 and and child #6 confirmed that the records did not contain all of the required items.

Plan of Correction: The facility responded: An updated shot record for child#1 was requested and received on 12/14/15. Child #6's updates and proof of identity have been requested. the child may not return until received by the center.

Standard #: 22VAC40-185-280-B
Description: Based on observation, it was determined that the facility did not ensure that hazardous substance are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the cubbies located over the diaper changing table in the Toddler classroom, there was a bottle of Febreeze, a bottle of glass cleaner, and a can of disinfectant spray. The bottles were all labeled with "keep out of the reach of children" and "harmful if swallowed. 2. Staff #6 (Program Director) confirmed the various bottles of cleaning agents were not being stored in a locked cabinet.

Plan of Correction: The facility responded: Hazardous substance was immediately gathered up to be stored and safely locked up and out of children's reach. Hazardous substance must be stored locked up and stored out of children's reach.

Standard #: 22VAC40-185-510-G
Description: Based on a review of medication being stored and interviews, it was determined that the facility did not ensure that all medication dispensed from a pharmacy is maintained in the original, labeled container. Evidence: 1. In the container used for storage for medication, there was a plastic zip lock bag for child #7 that contained a Ventolin Inhaler that was not in the original labeled container. 2. Staff #7 (Assistant Director) confirmed that the original labeled container for the Ventolin Inhaler was not at the facility.

Plan of Correction: The facility responded: The original labeled container has been requested. Medication sent home until returned with original labeled container.

Standard #: 22VAC40-185-550-D
Description: Based on a review of the emergency drill logs, it was determined that the facility did not ensure that a monthly practice evacuation drill was completed. Evidence: 1. There was no documentation of an emergency evacuation drill being completed for November 2016. 2. Staff #6 (Program Director) could not recall when asked if an emergency evacuation drill was not completed during November 2016.

Plan of Correction: The facility responded: A monthly fire drill was conducted and documented the fllowing day. this will continue to be done on the scheduled monthly basis.

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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