Inspection · 2024-10-22
(571) 596-3655
Areas Reviewed
8VAC20-780 Administration
8VAC20-780 Staffing and Supervision
8VAC20-780 Staff Qualifications and Training
63.2 Child Abuse & Neglect
8VAC20-78 0 Special Care Provisions and Emergencies
8VAC20-820 Hearings procedures
During the inspection, the inspector reviewed the areas listed above. Unless otherwise noted as a violation within this inspection report, the center was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.
Inspector Notes
An unannounced monitoring inspection was initiated on October 21, 2024 and completed on October 25, 2024, in response to a self-report received by the licensing office on October 17, 2024 relating to care and supervision of children. The inspector reviewed 1 child record and 2 staff records on-site. This inspection included document review interviews with staff, policies and procedures, emergency drill logs, medication administration logs, authorization forms. The investigation was re-opened on November 13, 2024 based on new information received by the licensing office from another agency. An additional review was initiated on November 14, 2024 and completed November 26, 2024. The on-site inspection began at 11:00am and ended at 12:15pm. The inspection included review of additional staff file, interviews with staff, medication forms, viewing of closed-circuit video footage from October 17, 2024.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Violations
5Staff were aware of the burn incident, and no one from the center reported it to CPS.
Child A was burned by hot coffee brought into the classroom and left in an area accessible to
children. Child A received medical care from a physician.
guidance.
1. On 10/17/2024, Child A (age 28 months) knocked over a mug of hot coffee that was placed, by a staff member, on a surface within reach of children.
2. Staff did not immediately perform first aid for Child A although blisters started to form on child's arm and chest.
1. Written parent authorization will be obtained;
2. These products shall be in the original container and labeled with the child's name;
3. A record will be kept that includes the child's name, date of use, frequency of application and any adverse reactions.
As noted on the incident report and confirmed with the director, the staff applied Vaseline ointment to the child's blisters 20 minutes after the burns occurred. There was no written permission given for the treatment by the parent.
Will refresh training for all staff on Hopkins House #24 ("Emergency Care & Sick Child"). This policy outlines proper labeling, recording, reporting on use of topical ointments and medications, and lists the types of permissible ointments and medications that may be used at the center, when and under what conditions.
Will also refresh training for all staff on Hopkins House Policy #38 ("Young Scholar Medication"). This policy requires that only MAT certified staff members are permitted to administer medication to children.
The parent was not notified of the child's injury until 20 minutes after the serious injury occurred.