Inspection · 2024-07-31
Date
2024-07-31
Complaint Related
Yes
Licensing Inspector
Adrianna Walden
(757) 404-2487
(757) 404-2487
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No
Areas Reviewed
8VAC20-780 Administration.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-770 Background Checks (8VAC20-770)
Inspector Notes
An unannounced complaint was completed on 07/31/2024 in response to a complaint received by the licensing office on 07/18/2024, relating to allegations of Nutrition and Food Services and Supervision. This inspection included: document review, tour of the facility, interviews and observations. The preponderance of evidence gathered during the investigation supports the allegation in Nutrition and Food Services therefore, the complaint is determined to be valid. Information gathered during the inspection determined non-compliance with applicable standards or law and the violations are documented on the violation notice issued to the program
Violations
6Standard 22.1-289.035-B-3
Based on record review the center did not ensure all background checks were complete.
Evidence:
Staff #1 (hired 06/17/2024), Staff #2 (date of hire unavailable) did not have documentation of a central registry check.
Evidence:
Staff #1 (hired 06/17/2024), Staff #2 (date of hire unavailable) did not have documentation of a central registry check.
Plan of Correction: The director will send out for the required central registry checks for staff.
Standard 8VAC20-780-160-A
Based on a record review the center did not have documentation all staff had submitted a negative tuberculosis screening.
Evidence:
Staff #1 (hired 06/17/2024), Staff #2 (hire date unavailable) and Staff #3 (hired 07/08/2024) did not have documentation of having a negative tuberculosis screening.
Evidence:
Staff #1 (hired 06/17/2024), Staff #2 (hire date unavailable) and Staff #3 (hired 07/08/2024) did not have documentation of having a negative tuberculosis screening.
Plan of Correction: The director will follow-up with staff and ensure that a tuberculosis screening is competed for each staff person.
Standard 8VAC20-780-270-A
Based on observation the center did not ensure all areas and equipment of the center were maintained in a safe and operable condition.
Evidence:
In the two year-old room 2 of the 4 toilets were inoperable.
a. Staff reported the third toilet is only operable on occasion.
b. Staff reported with only 1, sometime 2 working toilets, it is difficult for staff to potty train the children in a timely and safe manner.
c. Management confirmed that a work order had been previously placed with maintenance to repair the toilets, however did not have a date as to when it was going to be repaired.
Evidence:
In the two year-old room 2 of the 4 toilets were inoperable.
a. Staff reported the third toilet is only operable on occasion.
b. Staff reported with only 1, sometime 2 working toilets, it is difficult for staff to potty train the children in a timely and safe manner.
c. Management confirmed that a work order had been previously placed with maintenance to repair the toilets, however did not have a date as to when it was going to be repaired.
Plan of Correction: The District Manager has escalated this work order. The director will follow-up with maintenance to find out when the toilets will be repaired.
Standard 8VAC20-780-560-F
Children shall be allowed second helpings of food listed in the USDA's child and adult care meal patterns.
Evidence:
Staff have denied children second helping of food during meals.
1. In the preschool classroom, a child asked the staff for more fruit with his lunch. The staff told the child, "no."
2. The inspector asked the staff if there was anymore fruit available. She said she would have to c heck in the kitchen.
3. The director confirmed the center had enough fruit for the child to have a second serving.
4. Staff interviews confirmed there are occasions the center does not have enough food for each child to have seconds, so no one is provided with a second helping.
Evidence:
Staff have denied children second helping of food during meals.
1. In the preschool classroom, a child asked the staff for more fruit with his lunch. The staff told the child, "no."
2. The inspector asked the staff if there was anymore fruit available. She said she would have to c heck in the kitchen.
3. The director confirmed the center had enough fruit for the child to have a second serving.
4. Staff interviews confirmed there are occasions the center does not have enough food for each child to have seconds, so no one is provided with a second helping.
Plan of Correction: The program director was not aware that staff were denying children second helpings. This will be addressed with all staff and children will be permitted second helpings.
Standard 8VAC20-780-560-L
Based on observation the center did not ensure staff sit with children during meals.
Evidence:
Children were observed during lunch time. None of the staff in each classroom were observed sitting with the children during the meal.
Evidence:
Children were observed during lunch time. None of the staff in each classroom were observed sitting with the children during the meal.
Plan of Correction: The director will remind staff that they are supposed to be sitting with the children during meals. The director will monitor for compliance.
Standard 8VAC20-780-70
Based on a record review the center did not ensure all required information was kept for each staff person.
Evidence:
!. Staff #1 did not have documentation of having an orientation or high school diploma.
2. Staff #2 did not have a date of hire in the record.
3. Staff #3 and #4 did not have documentation of having a high school diploma.
Evidence:
!. Staff #1 did not have documentation of having an orientation or high school diploma.
2. Staff #2 did not have a date of hire in the record.
3. Staff #3 and #4 did not have documentation of having a high school diploma.
Plan of Correction: Staff files will be reviewed and updated with all the required information in each.