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Community Improvement Council, Inc.
540 Holbrook Street
Danville, VA 24541
(434) 793-5710

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Sept. 7, 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.
32.1 Report by person other than physician
63.2 Child Abuse and Neglect
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Comments:
Today's visit was a routine monitoring inspection. The inspection began at 10:00am and concluded at 3:30pm. There were one hundred eighty five children present with twenty-four direct care staff and additional staff were present. During the inspection both buildings including twelve classrooms were viewed, children's activities were observed , emergency supplies were viewed, a sample of injury reports since last inspection were viewed, five out of forty-nine staff records were viewed, six out of two hundred children's records were reviewed, lunch time was observed, the start of nap time was observed, and some policies and procedures were reviewed. Thank you for your time, please call me at (540)309-2051

Violations:
Standard #: 22VAC40-185-150-B
Description: Based on the inspector's review of six out of two hundred children's records, the center failed toe ensure an immunization record for a child was signed by the physician, his designee, or a health department official. Evidence: The record for child #1 has an immunization record that is not signed in any manner.

Plan of Correction: A request has been made for the parent to provide a signed immunization record.

Standard #: 22VAC40-185-160-A
Description: Based on the inspector's review of a sample of five out of forty-nine staff records, the center failed to ensure a new staff member had completed a TB screening within 21 days after employment and a second satff member had a TB screening that was more than a year old upon their date of hire. Evidence #1: The record for staff member #1 had a documented start date of 8/1/17 and there is no documentation of the completion of a TB screening. The staff member has been employed for more than 21 days. Evidence #2: The record for staff member #2 had a documented start date of 8/7/17 and the TB screening was dated 10/15/15. A TB screening cannot be more than a year old upon the date of hire.

Plan of Correction: Both staff members will complete a TB screening within one week of today's visit. In the future TB screenings more than a year old upon the date of hire will not be accepted.

Standard #: 22VAC40-185-70-A
Description: Based on the inspector's review of five out of forty-nine staff records, the center failed to ensure a portion of the records had all of the required items. Evidence: The record for staff member #2 and #3 did not include emergency contact information to include a name, address, and phone number.

Plan of Correction: The staff members will be asked to completed emergency contact forms by the end of the next program day.

Standard #: 22VAC40-185-550-D
Description: Based on the inspector's review of the emergency drill logs, the center failed to document two shelter in place drill for last year. Evidence: There was only one shelter in place drill documented for last year.

Plan of Correction: A second shelter in place drill was conducted and was inadvertently not documented. Two shelter in place drills will be conducted and documented on the day they take place.

Standard #: 22VAC40-185-550-M
Description: Based on the inspector's review of a sample of two out five injury reports, the center failed to have the time the parent was notified with regards to a minor injury on the report. Evidence: The form used to report minor injuries to parents by the end of the program day does not include an area for the time when parents were notified.

Plan of Correction: The time parents were notified will be added to form.

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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