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Honeytree Early Learning Center #4 - Lewis Gale
1980 Electric Road
Salem, VA 24153
(540) 769-2300

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: July 26, 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.
32.1 Report by person other than physician
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Please provide corrective action plans as soon as possible, but not later than 8-2-17. As of 8-2-17 the inspection is required to be synchronized with or without corrective action plans.

Comments:
The licensing inspector conducted an unannounced monitoring inspection, at which rest time, snack time, activities, and outdoor time were observed. Children were observed; and staff and children files and other documentation were reviewed. One hundred-seventeen (117) children were found to be in care, aged 2 months-7 years, with 15 staff, and administrative staff. Previous violations were reviewed, and one (1) of the violations from the previous inspection had not been corrected. There were 6 violations cited, in 4 areas of the standards, with 1 being a repeat. Please contact me if you need further assistance. Thank you for your cooperation. This inspection began at 1:30pm and concluded at 4:40pm.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on review of files the facility failed to maintain compliance with this standard as required relating to emergency contacts. Non-compliance with this standard was previously cited on 1/18/17, and again today. Therefore this is marked as a repeat violation. Evidence: The record for child #7 (previously #5) did not have addresses for the emergency contacts, and did not have a phone number for 1 of the 2 contacts listed.

Plan of Correction: The PD will obtain updated emergency contact information for the child?s file. 7/27/17 The PD will have AD to audit all children?s files to ensure compliance. 8/31/17

Standard #: 22VAC40-185-350-E-3
Description: Based on observations the facility failed to maintain compliance with this standard as required relating to ratios. Evidence: The LI and director observed the 2 year old class at 2:30pm on 7/26/17. There were 14 children in care with 1 staff. There were 12 of the 14 children awake using the rest room/being diapered, therefore this time was no longer consistent with rest time ratios where ratios are allowed to double if the children are sleeping/resting. The ratio of 1 staff to 8 children was not met from 2:30pm-2:45pm as required.

Plan of Correction: The PD will maintain ratio in classroom making sure both staff members are in classroom at designated times to meet proper ratio. 7/27/17

Standard #: 22VAC40-185-500-A
Description: Based on observations the facility failed to maintain compliance with this standard as required relating to hand washing. Evidence: The LI and director observed diapering in the 2 year old classroom at 2:30 pm, and the staff member did not wash her hands after each observed diaper change as required.

Plan of Correction: The PD will have staff member do training on proper handwashing procedures. 7/27/17

Standard #: 22VAC40-185-510-A
Description: Based on review of medications and related documents the facility failed to maintain compliance with this standard as required relating to authorization to administer medications. Evidence: The medication for child A, epi-pen, did not have parental authorization to administer as required.

Plan of Correction: The PD will provide proper authorization from parent to administer medication to the child. 8/4/17

Standard #: 22VAC40-185-510-C
Description: Based on review of medications and related documents the facility failed to maintain compliance with this standard as required relating to authorization to administer medications. Evidence: The medication for child A, epi-pen, did not have a current physicians authorization to administer for long term use, as the one on record had expired on 6/1/17.

Plan of Correction: The PD will provide proper documentation from the physician for staff to administer medication long term. 8/4/17

Standard #: 22VAC40-191-40-D-1-C
Description: Based on review of documents the facility failed to maintain compliance with this standard as required relating to background checks. Evidence: The criminal record check for staff #5 had expired as of June 23, 2017.

Plan of Correction: The PD will provide CRC record for employee that had expired. 8/13/17

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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