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Ivy School House Preschool
5674 Three Notch'd Road
Crozet, VA 22932
(434) 823-4060

Current Inspector: Diann S. Reed (540) 280-0742

Inspection Date: March 1, 2017

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 General Provisions.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Comments:
Thank you for your time and assistance during the unannounced monitoring inspection conducted on March 1, 2017, between the hours of approximately 10:02 a.m. and 1:30 p.m. Twenty-four (24) children were enrolled and twenty-one (21) children were in the care of four staff members, in two/three groups, during the on site inspection. Three children's records were reviewed and four staff records were reviewed and/or updated. Two children's medications and accompanying authorization forms were reviewed. Posted information (license, licensing inspection documentation, emergency evacuation diagram and plan, emergency telephone numbers, snack menu and classroom schedule), safety equipment (first aid kit, flashlight and radio) and available documents (emergency evacuation drill and shelter-in-place drill records, injury reports and developmental assessment form) were reviewed. The daily schedule accurately reflected the activities provided. Lunch was provided by the children's parents. Program observation was completed. Activities observed on this date included: outdoor play; morning circle (songs, days of the week, weather and movement - stretching/balancing); indoor play (blocks, stories and dancing); directed art activity (gluing precut paper to make "Cat in the Hat"); diapering, restroom and handwashing procedures; lunch; stories; naptime and departure/pick-up. Staff/child interactions were observed to be positive and supportive of children's growth and development. The facility was observed to be clean and supplied with a variety of age/stage appropriate learning and play materials/toys. Children's artwork was displayed. A previously cited violation was reviewed for compliance (9/15/2016 inspection date); no repeat violations were cited. Exceptions to compliance were noted on the Violation Notice. Please contact me if you have concerns regarding this inspection, the licensing standards and/or if I may be of assistance to you (540) 430-9262.

Violations:
Standard #: 22VAC40-185-140-A
Description: Based on review of three children's records and discussion with staff #1 on March 1, 2017, the facility administration failed to ensure a physical exam report was on file within one month after attendance for one enrolled child. Evidence: 1. Review of child B's record, on this date, revealed that a physical exam report had not been obtained (date of initial attendance - 8/15/2016). 2. Staff #1 confirmed the lack of a physical exam report in child B's record.

Plan of Correction: A physical exam has been requested.

Standard #: 22VAC40-185-150-B
Description: Based on review of three children's records and discussion with staff #1 on March 1, 2017, the facility administration failed to ensure one child's immunization record was signed by a physician, designee or health department official. Evidence: 1. Review of child B's record, on this date, disclosed that the immunization record was not signed by the child's physician, designee or health department official. 2. Staff #1 confirmed the form had not been signed.

Plan of Correction: Immunization record w/ signature has been requested.

Standard #: 22VAC40-185-160-C
Description: Based on review and/or update of four staff records and discussion with staff #1 on March 1, 2017, the facility failed to ensure that one staff member obtained and submitted the results of a follow-up tuberculosis (TB) screening at least every two years from the date of the first initial screening or testing. Evidence: 1. Update of staff #3's record, on this date, determined that a TB update had not been obtained and the results submitted. The date of the staff member's initial TB report was 1/15/2015. 2. Staff #1 confirmed the date of the staff member's initial TB exam/screening report and lack of an updated screening.

Plan of Correction: A TB exam - screen has been requested.

Standard #: 22VAC40-185-330-B
Description: Based on playground observation, measurements taken of both the fall/use zone and the depth of the resilient surfacing and discussion with staff #1 on March 1, 2017, the program failed to ensure a fall/use zone of six feet surrounded the castle/slide. Within the fall/use zone, the resilient surfacing measured less than 6 inches in depth. Evidence: 1. Observation and measurements taken of the fall/use zone surrounding the castle/slide revealed that there was only approximately 41 inches from the tree to the castle and 47 inches from the castle to the fence. 2. The resilient surfacing (mulch) was completely disintegrated (dirt only). 3. Staff #1 confirmed that the fall/use zone surrounding the castle/slide lacked six feet of clearance and the depth of the resilient surfacing was less than 6 inches.

Plan of Correction: More mulch will be delivered to increase the fall zone around the castle.

Standard #: 22VAC40-191-40-D-1-C
Description: Based on review/update of four staff records and discussion with staff #1 on March 1, 2017, program administration failed to obtain a sworn statement or affirmation (SDS), a central registry finding (CPS) and/or a criminal history record check report (CRC) before three years since the dates of the last SDS, CPS and/or CRC clearances. Evidence: 1. Update of staff #1's record, on this date, determined that an updated sworn statement, central registry finding and criminal history record check had not been obtained. The date of the initial CRC was 12/19/2013, the date of the initial CPS was 11/21/13 and the date of the initial SDS was 2/06/2014. 2. Update of staff #2's record, on this date, determined that an updated sworn statement had not been obtained. The date of the initial SDS was 2/06/2014. The employee completed a new SDS immediately.

Plan of Correction: New forms will be sent to update staff #1's file.

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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