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Cambridge Learning Center
38 Ebco Circle
Waynesboro, VA 22980
(540) 337-5437

Current Inspector: Beth Orebaugh (540) 847-9173

Inspection Date: Oct. 19, 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.
32.1 Report by person other than physician
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
We discussed the requirements for staff records, children's records and background checks. The risk assessments for violations were provided. Also, we talked about evacuation drills and records to include all age groups. Arbor swings are not designed as playground equipment and should not be offered for children's play option like a to-fro swing. Also, we discussed the importance of regular maintenance of the mulch at fall zones of equipment. Increased raking and replenishment is required with frequent use. Staff need to report low levels of mulch and equipment made off-limits until the mulch is replenished.

Comments:
Thank you for your cooperation during the unannounced renewal inspection conducted from 10:50 AM to 5:20 PM. Today, there were one-hundred and twenty-seven children, infancy through school age, with sixteen to seventeen staff. I viewed daily routines, staffing, supervision, interactions with children, equipment, posted information, medication, injury records, emergency supplies and drill records, insurance, transportation, agency inspection reports, infant care and records, diaper ointment, sunscreen, nutrition/menu, ten records for children, ten staff records, business entity records, staff qualifications, staff training, indoor and outdoor areas. All age groups have had regular opportunities of outdoor experiences. Today, one group of pre-K children went on a field trip to a farm and pumpkin patch. There have been seasonal art activities for children, music, and stories. We discussed the importance of using tracking systems for record keeping and meeting operational responsibilities. Procedures for facility maintenance need ongoing consideration. Also, we talked about e-mail notices from the Division of Licensing. Let me know if you need any assistance. 540/430-9259

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on a review of ten records for children, and an interview with administrative staff, the center failed to obtain an immunization record for child 8 prior to initial attendance. Evidence: Child 8 began attending on April 28, 2017 and the immunization report was dated August 30, 2017.

Plan of Correction: With written permission from parents, the director immediately sent a request by FAX to the physician's office and will obtain a copy of the immunization record. In the future, the immunization records will be obtained from parents if the record is not provided from the physician's office before a child is enrolled to begin attending. An immunization record will be required for all children.

Standard #: 22VAC40-185-130-B
Description: Based on a review of ten records for children, and an interview with administrative staff, the center failed to obtain an additional immunization record for child 6 that is required at least once every six months for children under the age of two years. Evidence: The two immunization reports in the file were dated in September and November 2016. Another report was not obtained by May 2017 and child 6 became two years of age in September 2017.

Plan of Correction: With parent's written permission, the director sent a request for the updated immunization record by FAX to the pediatritian's office to obtain the updated immunization report. The administrative staff started reviewing all files of children who may need updated immunization records according to their age and is sending requests by FAX to the physician's offices or requesting information from parents so that updated information is in each file and on time if it is due by the end of December.

Standard #: 22VAC40-185-140-A
Description: Based on a review of ten records for children, and an interview with administrative staff, the physical examination report for child 8 was not obtained by the center within one month after initial attendance. Evidence: The first date of attendance was June 26, 2017 and the physical examination report was obtained on August 30, 2017.

Plan of Correction: The assigned administrative staff will make sure the physical examination report is obtained from the parents or by FAX from the physician's office no later than thirty days after the start date for new children. A system for tracking record needs for new children will be used so that records are obtained on time.

Standard #: 22VAC40-185-160-A
Description: Based on a review of ten records for staff, and an interview with administrative staff, the initial tuberculosis screenings and statements for staff members 3 and 4 were not submitted to the center and obtained for the staff records no later than twenty-one days after initial employment. (Repeat Violation.) Evidence: There was not a tuberculosis statement in the file for staff member 4 who started work on July 31, 2017. Staff member 3 began work on August 11, 2017 and the tuberculosis statement was completed late on October 6, 2017.

Plan of Correction: The director is arranging for staff member 4 to provide a TB statement. The director will continue to request TB statements at the time of hire and make sure new staff know they are due no later than twenty-one days. The director will use a system for tracking record needs for each staff file so that information is not missing or late.

Standard #: 22VAC40-185-70-A
Description: Based on a review of ten records for staff, and interviews with staff, there was required information missing from the record of staff member 1and 2. Evidence: During observations of the staffing and children in care, staff indicated that staff member 1 is a lead teacher for a group of children. The current position title after the promotion of staff member 1 was not written in the file and there was no documentation to verify the highest level of education, such as a high school diploma or transcripts. Staff member 2 began work as a lead teacher on September 6, 2017 and there was not any documentation of the highest level of education, such as high school diploma or transcripts.

Plan of Correction: The director immediately recorded the position title for staff member 1 which changed September 20, 2017. The director is requesting and obtaining copies of either high school diplomas or school transcripts from staff member 1 and 2. The director will request education verification at the time of hire or by the promotion date to demonstrate that all qualification requirements for lead teachers were met as required in the standards.

Standard #: 22VAC40-191-40-D-1-C
Description: Based on a review of background check records for ten staff and one business entity representative, and interviews with administrative staff, the criminal history record check for 11BE was not obtained before three years since the date of the most recent report. Evidence: The Virginia State Police criminal history record completed on September 3, 2013 was not updated until August 28, 2017.

Plan of Correction: The director is keeping the background check records for the business entity representative/officer in a separate file. Also, the director is adding the name and record dates for this officer to a spread sheet used to track the need for information. The spread sheet chart will be viewed monthly to determine if information is needed and to arrange for updated records before they are due.

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. To find programs participating in Virginia Quality, click here.

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