Inspection · 2024-11-12
Licensing Inspector
Trisha Brown
(757) 404-2601
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.
Inspector Notes
An unannounced monitoring inspection and investigation was initiated on 11/12/2024 and completed on 4/1/2025 with local agencies, in response to a self-report received by the licensing office on 11/11/2024 relating to Staffing and supervision. The inspector reviewed 2 children?s records and 2 staff records electronically on 4/1/2025. 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 violation will be or has been corrected. Submit your POC within five business days from today, which will be the close of business on 4/9/2025. A POC submitted after this date will not appear on the public website
Standard 8VAC20-780-340-A
When staff are supervising children, they shall always ensure their care and protection. A four-month-old sustained a serious injury while in the care at the center that required outside medical treatment including surgery. None of the staff called 911 when they discovered that this infant?s diaper contained a significant amount of blood.
Plan of Correction: Our policy states that we must call 911 for certain situations, which includes internal bleeding and severe lacerations. Based on our observation during the incident, this situation did not appear to fall in either of those categories. Although we disagree with this violation, we are retraining all staff on this policy (Emergency Preparedness) at our next Staff Meeting on 4/16. We will discuss how to handle emergency situations and when to call 911.
Standard 8VAC20-780-40-E
The licensee shall ensure that the center's services are maintained in compliance with the center's own policies and procedures required by these standards. The center staff did not follow their emergency preparedness plan in regard to medical emergencies involving bleeding.
Plan of Correction: Our policy states that we must call 911 for certain situations, which includes internal bleeding and severe lacerations. Based on our observation during the incident, this situation did not appear to fall in either of those categories. Although we disagree with this violation, we are retraining all staff on this policy (Emergency Preparedness) at our next Staff Meeting on 4/16. We will discuss how to handle emergency situations and when to call 911.