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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: June 13, 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.
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Technical assistance was provided in the following areas of the standards: 22VAC40-185-(4)-280-B (hazardous substances); 22VAC40-185-(8)-580 (Field Trips)

Comments:
An unannounced monitoring inspection was conducted on 6/13/17 from 8:40am - 12:30pm. During the inspection there were 72 children ages three months to four 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, playing outside, during rest period, and eating lunch. 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 five 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 2/21/13) contained documentation of an immunization record that was dated 4/21/13. 2. The record for child #5 (date of birth 7/21/15) contained documentation of an immunization record that was dated 7/25/16. 3. Staff #6 (Program Director) confirmed that an updated immunization record had not been received for child #1 or child #5.

Plan of Correction: The facility responded: 1 - Child #1 parent will be contacted for update of immunization or child made to get appt. for update. 2 - Child #5 parent will be contacted for update of immunization or child made to get appt. for update.

Standard #: 22VAC40-185-160-A
Description: Based on on a review of five staff records, it was determined that the facility did not ensure that each staff member shall submit documentation of a negative tuberculosis screening no later than 21 days after employment. Evidence: 1. The record for staff #5 (date of hire 4/26/17) did not contain a negative TB screening. 2. Staff #6 (Program Director) confirmed that the TB screening was not received for staff #5.

Plan of Correction: The facility responded: An appointment will be made for staff #5 to receive a negative TB screening.

Standard #: 22VAC40-185-60-A
Description: Based on a review of five 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 record for child #1 did not contain documentation for the annual update to ensure all information is correct and up-to-date. 2. The record for child #2 did not contain documentation for the annual update to ensure all information is correct and up-to-date. 3. The record for child #5 did not contain the address for the second emergency contact, the written polices between the center and the parent, documentation of previous child care, and documentation to demonstrate that the proof of identity was viewed. 4. Staff #6 (Program Director) reviewed the record for child #1, child #2, and child #5 and confirmed that the records did not contain all of the required items.

Plan of Correction: The facility responded: 1 - Child 1 will receive documentation of updated information needed to bring her record up to date. 2 - Child 2 will receive documentation of updated information needed to bring her record up to date. 3. Will receive the needed information to complete the address, policies and proof of identity was reviewed for child #5.

Standard #: 22VAC40-185-270-A
Description: Based on observation, it was determined that the facility did ensure that all areas and equipment of the center, inside and outside, are maintained in a safe and operable condition. Evidence: 1. On the wooden ramp leading to the Toddler playground, the bottom board of the wooden ramp was not attached and presented a tripping hazard. 2. Staff #6 (Program Director) confirmed the bottom board of the ramp was not in operable condition.

Plan of Correction: The facility responded: 1 - This item of maintenance will be presented to the property and grounds of the church.

Standard #: 22VAC40-185-510-N
Description: Based on a review of medication being stored at the center, it was determined that the facility did not ensure that when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: 1. There was a bottle of Ibuprofen for child #6 that had an authorization for medication that dated 5/18/17. 2. Staff #6 (Program Director) confirmed that the medication for child #6 had not been returned to the parent within 14 days of the expiration of the medication authorization.

Plan of Correction: The facility responded: medication was returned to child #6 parent to take home.

Standard #: 22VAC40-191-60-C-1
Description: Based on a review of five staff records, it was determined that the facility did not deny continued employment of a staff who did not have an original criminal history record report within 30 days of employment. Evidence: 1. The record for staff #5 (date of hire 4/26/17) did not contain documentation of a an original criminal history record report. 2. The record for staff #1 (date of hire 2/6/17) contained documentation of an original criminal history record report that was completed on 5/9/17, which is more than 30 days from the date of employment. 3. Staff #6 (Program Director) confirmed that the criminal history record report has not been received for staff #1.

Plan of Correction: The facility responded: 1. Staff 5 has a criminal history report pending. The original was mailed 4/28/17, completed last week per employee @chr - should receive anytime this week. 2. Staff 1 has a criminal history report completed .

Standard #: 22VAC40-191-60-C-2
Description: Based on a review of five staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 30 days of employment. Evidence: 1. The record for staff #1 (date of hire 2/6/17) did not contain documentation of a completed search of the central registry finding. 2. The record for staff #5 (date of hire 4/26/17) did not contain documentation of a completed search of the central registry finding. 3. Staff #6 (Program director) confirmed that there was not a search of the central registry finding for staff 31 or staff #5.

Plan of Correction: The facility responded: 1 - Staff 1 report pending will be investigated today. 2 - Staff 5 central registry finding will be investigated today.

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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