Inspection · 2022-09-07
Date
2022-09-07
Complaint Related
No
Licensing Inspector
Brandie Viscayda
(757) 636-3427
(757) 636-3427
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 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks (8VAC20-770)
22 Checks Code, Carbon Monoxide.1 Background
Inspector Notes
An unannounced monitoring inspection was conducted on 09/07/2022 from 10:00 am - 12:45 pm. At the time of entrance there were 79 children in care with 14 staff. The children in care ranged in age from infant - five years. Children were observed during morning program time and nap. Records reviewed for five children and six staff.
The information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the facility.
Violations
6Standard 8VAC20-770-60-C-2
Based on record review and interview, the center failed to obtain the results of a central registry check within 30 days of employment.
Evidence:
1. Staff 4, hire date 06/15/2022, lacks the results of a central registry check.
a. A central registry check was requested and returned for additional information on or about 07/19/2022.
b. The facility failed to resubmit a revised central registry check for processing.
Evidence:
1. Staff 4, hire date 06/15/2022, lacks the results of a central registry check.
a. A central registry check was requested and returned for additional information on or about 07/19/2022.
b. The facility failed to resubmit a revised central registry check for processing.
Plan of Correction: Employee has not been working so missing information could not be obtained. Form has been corrected and resubmitted on 9/9/22. Management will ensure that all requested information is complete on day one, prior to submitting to the agency.
Standard 8VAC20-780-130-E
Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years.
Evidence:
1. The most recent immunizations on file for child 1, age 18 months, were administered on 11/19/2021.
2. The most recent immunizations on file for child 2, age 22 months, were administered on 11/12/2020.
3. Administrative staff confirmed that updated immunizations records had not been obtained for child 1 and child 2.
Evidence:
1. The most recent immunizations on file for child 1, age 18 months, were administered on 11/19/2021.
2. The most recent immunizations on file for child 2, age 22 months, were administered on 11/12/2020.
3. Administrative staff confirmed that updated immunizations records had not been obtained for child 1 and child 2.
Plan of Correction: Update immunization records were obtained on 9/8/22. Mgmt. will audit children's files monthly for children 2 and under to ensure updated records are received.
Standard 8VAC20-780-130-F
Based on record review, the center failed to obtain documentation of additional immunizations once between each child's fourth and sixth birthdays.
Evidence:
1. The most recent immunizations for child 3, age six years, were administered on 08/15/2017.
2. Administrative staff confirmed that an updated immunization record had not been obtained for child 3.
Evidence:
1. The most recent immunizations for child 3, age six years, were administered on 08/15/2017.
2. Administrative staff confirmed that an updated immunization record had not been obtained for child 3.
Plan of Correction: Immunization record was obtained 9/8/22. Mgmt. will audit children's files for children 2 & up bi-annually to ensure compliance.
Standard 8VAC20-780-160-A
Based on record review and interview, the center failed to ensure that staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.
Evidence:
1. Staff 1, hire date 08/29/2022, lacks documentation of a TB screening.
2. Staff 3, hire date 08/22/2022, lacks documentation of a TB screening.
3. Administrative staff confirmed that a TB screening was not on file for staff 1 and staff 3.
Evidence:
1. Staff 1, hire date 08/29/2022, lacks documentation of a TB screening.
2. Staff 3, hire date 08/22/2022, lacks documentation of a TB screening.
3. Administrative staff confirmed that a TB screening was not on file for staff 1 and staff 3.
Plan of Correction: Staff 1 and staff 3 obtained a TB screening on 09/09/2022. Mgmt. will audit new employee records on the first day of employment to ensure compliance. Mgmt. will additionally ensure that all staff have a current TB screening at the time of hire and prior to contact with children
Standard 8VAC20-780-270-A
Based on observation, the center failed to ensure that inside areas shall be maintained in a safe condition.
Evidence:
Areas of peeling paint were observed on the lower area of the wall behind the toilet in one of the kindergarten bathrooms.
Evidence:
Areas of peeling paint were observed on the lower area of the wall behind the toilet in one of the kindergarten bathrooms.
Plan of Correction: Work order was placed 4/20/22. We are working with facilities to have this completed within 30 days.
Standard 8VAC20-780-70
Based on record review and interview, the center failed to obtain documentation that two or more references as to character and reputation as well as competency were checked before employment.
Evidence:
1. Staff 1, hire date 08/29/2022, lacks documentation of two reference checks.
2. Staff 2, hire date 08/22/2022, lacks documentation of two reference checks.
3. Administrative staff verified that reference checks had not been documented in the files for staff 1 and staff 2.
Evidence:
1. Staff 1, hire date 08/29/2022, lacks documentation of two reference checks.
2. Staff 2, hire date 08/22/2022, lacks documentation of two reference checks.
3. Administrative staff verified that reference checks had not been documented in the files for staff 1 and staff 2.
Plan of Correction: Reference checks will be completed and documented prior to employee hire date. Mgmt. will audit new employee records on first day of employment to ensure compliance.