Inspection · 2024-08-28
(757) 404-2601
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.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced, on-site renewal inspection was initiated and completed on August 28, 2024, as a part of the licensure period. The on-site inspection began at 7:25am and ended at 8:42am. The inspector reviewed compliance in the areas listed above. There were 35 children present and four staff. The inspector reviewed five children?s records on site and four staff records electronically on the same date. This inspection included document review,tour of the facility,
interviews, and observations.
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.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on September 5, 2024. A POC submitted after this date will not appear on the public website.
Violations
5Evidence:
1 - The right side door on the large red metal storage cabinet fell off the hinges during the inspection. The cabinet door was rigged into place.
a. However, the broken door was within reach of children. u
b. The cabinet was sed to house medication and confidential records.
2 - Staff #3 stated that he was aware of the door being broken prior to the onset of the new school year.
1 - The allergy list provided during the inspection was not dated and does not have allergy action plan attached as required.
2 - Staff #3 confirmed that the list was not dated and the action plans were not attached.
Evidence:
1 - There are to medications in the locked medication bag that does not have any parent written authorization.
2 - Staff #3 stated that he was told to accept the medication into the center without parent authorization.
Evidence:
1 - Child #2 had two prescription medications present in the center with authorizations that expired on July 17/2024.
2 - Child #3 had two prescription medication present in the center with authorizations that expired on June 7, 2024.
Evidence:
1 - Upon arrival none of four staff present, providing direct care to children had documentation of the required onsite staff record available for review at the center. There was no documentation of each staff name, address, verification of age requirement, job title, and date of employment and name, address, and telephone number of a person to be notified in an emergency at the center.
2 - Staff #3 stated that the required staff information was not present at the center.
3 - The record for Staff #2 upon electronic review did not contain documentation orientation was completed.
a. Staff #2 had documented date of hire as May 18, 2024.
b. Staff #2 was present providing direct care to children during the inspection.