Inspection · 2023-07-28
Date
2023-07-28
Complaint Related
No
Licensing Inspector
Christine Mahan
(757) 404-0568
(757) 404-0568
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.
Yes
Areas Reviewed
8VAC20-790 Introduction
8VAC20-790 Administration 8VAC20-790 Staff Qualifications & Training
8VAC20-790 Physical Plant
8VAC20-790 Staffing & Supervision
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services
8VAC20-770 Background Checks (22VAC40-191)
22.1 Early Childhood Care and Education
Inspector Notes
A subsidy health and safety (SHSI) inspection was completed on February 14, 2024 the inspection was conducted from 11:50am - 3:05pm. There were 75 children present. During the inspection children were observed transitioning from nap time and extended care and eating snack. Nine children records were reviewed and eight staff records were reviewed.
Information gathered during the inspection determined non-compliance(s) with applicable requirements and violations were documented on the violation notice issued to the program.
Violations
10Standard 8VAC20-790-550-5
REPEAT
Based on record review and staff interview, the vendor did not have completed documentation of orientation training including the dat completed, the total hours of session and the names of the trainer and of any sponsoring organization.
Evidence:
Staff #1 ( hire date 01/23/2024) , Staff #2 ( hire date 6/12/2023) and Staff #3 ( hire date 09/18/2023) did not have documentation of orientation training.
Based on record review and staff interview, the vendor did not have completed documentation of orientation training including the dat completed, the total hours of session and the names of the trainer and of any sponsoring organization.
Evidence:
Staff #1 ( hire date 01/23/2024) , Staff #2 ( hire date 6/12/2023) and Staff #3 ( hire date 09/18/2023) did not have documentation of orientation training.
Plan of Correction: Director in process editing previous outdated orientation training.
Standard 8VAC20-790-560-A
REPEAT
Based on record review and staff interview, the vendor did not ensure documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment .
Evidence:
During the inspection on Febuary 14, 2024 , Staff #1 hire date 1/23/2024, Staff #5 hire date 2/12/2024 and Staff #6 hire date 10/30/2023 did not have documentation of a completed TB test.
Staff #2 hire date 6/12/2023, the tuberculosis test results were completed 7/28/2023.
Staff #3 hire date 09/18/2023, the tuberculosis test results were completed 09/23/2023.
Staff #2 and Staff #3 did not have results submitted the time of employment and completed witin the last 30 calendar day of of the date of employment.
Based on record review and staff interview, the vendor did not ensure documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment .
Evidence:
During the inspection on Febuary 14, 2024 , Staff #1 hire date 1/23/2024, Staff #5 hire date 2/12/2024 and Staff #6 hire date 10/30/2023 did not have documentation of a completed TB test.
Staff #2 hire date 6/12/2023, the tuberculosis test results were completed 7/28/2023.
Staff #3 hire date 09/18/2023, the tuberculosis test results were completed 09/23/2023.
Staff #2 and Staff #3 did not have results submitted the time of employment and completed witin the last 30 calendar day of of the date of employment.
Plan of Correction: TB test will be completed prior to first day on job .
Staff #1 scheduled TB on 3/13/2024
Staff #5 scheudled for 3/22/2024
Staff #6 to be scheduled.
Staff #2 TB already completed.
Staff #1 scheduled TB on 3/13/2024
Staff #5 scheudled for 3/22/2024
Staff #6 to be scheduled.
Staff #2 TB already completed.
Standard 8VAC20-790-560-B
Based on record review and staff interview, the vendor did not ensure at least every two years from the date of the initial screening, a tb screenings are completed.
Evidence:
Staff #8 most recent TB test was 11/03/2021 . The TB test is more than 2 years old.
Evidence:
Staff #8 most recent TB test was 11/03/2021 . The TB test is more than 2 years old.
Plan of Correction: Current TB test was on file for 12/12/23.
Standard 8VAC20-790-600-B
REPEAT
Based on record review, the vendor did not ensure within the first 90 days of employment all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff .
Evidence:
The following staff did not have Va Preservice Training within the first 90 days Staff #2 (hire date 6/12/2023), and Staff #3 (hire date 9/18/23) .
Based on record review, the vendor did not ensure within the first 90 days of employment all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff .
Evidence:
The following staff did not have Va Preservice Training within the first 90 days Staff #2 (hire date 6/12/2023), and Staff #3 (hire date 9/18/23) .
Plan of Correction: Staff #2 completed Va. Preservice on 3/16/2024 . Staff #3 is in progress.
Standard 8VAC20-790-600-D-1
REPEAT
Based on record review and staff interview, the vendor did not ensure all staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.
Evidence:
Staff #3 date of employment 09/18/2023 and Staff #6 date of employment 10/30/2023 work directly with children does not have current CPR within 90 days of employment.
Based on record review and staff interview, the vendor did not ensure all staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.
Evidence:
Staff #3 date of employment 09/18/2023 and Staff #6 date of employment 10/30/2023 work directly with children does not have current CPR within 90 days of employment.
Plan of Correction: CPR class scheduled
Standard 8VAC20-790-600-D-2
REPEAT
Based on record review and staff interview, the vendor did not ensure all staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care.
Evidence:
Staff #3 date of employment 09/18/2023 and Staff #6 date of employment 10/30/2023 work directly with children does not have current first aid within 90 days of employment.
Based on record review and staff interview, the vendor did not ensure all staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care.
Evidence:
Staff #3 date of employment 09/18/2023 and Staff #6 date of employment 10/30/2023 work directly with children does not have current first aid within 90 days of employment.
Plan of Correction: Scheduled CPR/First Aid class
Standard 8VAC20-790-600-F
Based on record review, the vendor did not ensure annually include in your 16 hours of training the health and safety update.
Evidence:
The staff #4 did not complete the annual health and saftey update course for 2023.
Evidence:
The staff #4 did not complete the annual health and saftey update course for 2023.
Plan of Correction: Training complete
Standard 8VAC20-790-800-A-1
Based on record review and staff interview, the vendor did not ensure a evacuation drill was conducted at least monthly.
Evidence:
The center did not have a evacuation drill in the month of March , April ,June, August, November and December.
Evidence:
The center did not have a evacuation drill in the month of March , April ,June, August, November and December.
Plan of Correction: Drills scheduled for upcoming months. Shelter in place 4/15
Standard 8VAC20-790-800-A-2
Based on record review and staff interview, the vendor did not ensure the shelter in place procedures shall be practiced twice a year.
Evidence:
Staff confirmed they did not conduct a shelter in place drill in 2023.
Evidence:
Staff confirmed they did not conduct a shelter in place drill in 2023.
Plan of Correction: Shelter in place drills schedule for next year.
Standard 8VAC20-790-800-A-3
Based on staff interview, the vendor did not ensure lockdown procedures shall be practiced at least annually.
Evidence:
The staff confirmed they did not conduct a lockdown.
Evidence:
The staff confirmed they did not conduct a lockdown.
Plan of Correction: Lockdown scheduled