Inspection · 2023-01-19
Date
2023-01-19
Complaint Related
No
Licensing Inspector
Karen Dickens
(571) 423-6978
(571) 423-6978
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.
? 8VAC20-820 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
? 8VAC20-790 Subsidy Regulations.
Inspector Notes
An unannounced monitoring inspection was conducted today between the hours of 9:00am-12:30 pm. There were a total of 78 children with 13 supervising staff members present. Children were observed during circle time, engaged in group activities and outdoor play time. A selection of staff and children records, medications and other documents were reviewed. The physical space, emergency supplies, evacuation drills, attendance records, and accident/injury reports. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Karen.dickens@doe.virginia.gov.
Violations
10Standard 22.1-289.035-B-4
Based on record review and interview, the center did not obtain out of state Child Abuse and Neglect Search results for staff who resided outside the state of Virginia in the last five years.
Evidence:
1. According to a Sworn Statement, Staff #1 lived in the state of Maryland in the last five years. Staff #1's record (Date of hire-12/19/22) did not contain documentation of a Maryland Child Abuse and Neglect Search.
2. Staff #4's record (Date of hire-09/26/22) did not contain Out of State Child Abuse and Neglect results for the state of New Jersey and Maryland. Staff #4 confirmed that the New Jersey Child search was conducted, but there had been no follow up within 45 days of employment.
3. Staff #5's record (Date of hire-11/7/22) did not contain out of state criminal history check for Washington DC.
Evidence:
1. According to a Sworn Statement, Staff #1 lived in the state of Maryland in the last five years. Staff #1's record (Date of hire-12/19/22) did not contain documentation of a Maryland Child Abuse and Neglect Search.
2. Staff #4's record (Date of hire-09/26/22) did not contain Out of State Child Abuse and Neglect results for the state of New Jersey and Maryland. Staff #4 confirmed that the New Jersey Child search was conducted, but there had been no follow up within 45 days of employment.
3. Staff #5's record (Date of hire-11/7/22) did not contain out of state criminal history check for Washington DC.
Plan of Correction: All of the out of state child abuse and neglect searches will be completed today. There will be follow up to the New Jersey Child Abuse and Neglect Search.
Standard 8VAC20-770-60-C-2
Based on record review and interview, the center did not ensure that staff obtained a central registry finding within 30 days of employment.
Evidence:
1. Staff #4's record (Date of hire-09/26/22) did not contain documentation of a central registry finding.
2. Staff #4 confirmed that the Central Registry Search was sent off, but the results have not been obtained. Staff #4 also confirmed that there was no follow up after 30 days with the Office of Investigations.
Evidence:
1. Staff #4's record (Date of hire-09/26/22) did not contain documentation of a central registry finding.
2. Staff #4 confirmed that the Central Registry Search was sent off, but the results have not been obtained. Staff #4 also confirmed that there was no follow up after 30 days with the Office of Investigations.
Plan of Correction: A new central registry search was completed today through the portal.
Standard 8VAC20-780-160-A
Based on record review, the center did not ensure that each staff member submitted documentation of a negative tuberculosis screening.
Evidence:
1. Staff #1's record (Date of hire-12/19/22) did not contain documentation of a negative tuberculosis screening.
Evidence:
1. Staff #1's record (Date of hire-12/19/22) did not contain documentation of a negative tuberculosis screening.
Plan of Correction: The staff member will get another tb screening to document the record.
Standard 8VAC20-780-240-E
Based on record review and interview, the center did not ensure that staff completed orientation training in first aid and cardiopulmonary resuscitation(CPR) within 30 days of the first day of employment.
Evidence:
1. Staff #1's (Date of hire-12/19/22) record did not contain documentation of orientation training of first aid and CPR.
2. Staff $3 confirmed that Staff #1 did not complete orientation in first aid and cpr within the first 30 days of employment.
Evidence:
1. Staff #1's (Date of hire-12/19/22) record did not contain documentation of orientation training of first aid and CPR.
2. Staff $3 confirmed that Staff #1 did not complete orientation in first aid and cpr within the first 30 days of employment.
Plan of Correction: The staff member will be trained on first aid and cpr.
Standard 8VAC20-780-240-I
Based on record review, 3 of 5 staff records did not contain documentation of orientation.
Evidence:
1. Staff #1's (Date of hire-12/19/22), Staff #4's (Date of hire-9/26/22), and Staff #5's (Date of hire-11/7/22) records did not contain documentation of orientation.
Evidence:
1. Staff #1's (Date of hire-12/19/22), Staff #4's (Date of hire-9/26/22), and Staff #5's (Date of hire-11/7/22) records did not contain documentation of orientation.
Plan of Correction: The department's model forms will be completed for each staff member.
Standard 8VAC20-780-350-B-1
Based on observation, the center did not ensure that the required ratio of 1 staff person for every 4 children from birth to age 16 months was maintained.
Evidence:
1. At approximately 9:10am, the licensing inspector entered the infant classroom and observed 9 infants with two teachers.
2. According to the attendance sheet, the last infant arrived to the classroom at 8:50am. A third staff member entered the classroom at approximately 9:15am. The classroom was left out of ratio for 25 minutes.
Evidence:
1. At approximately 9:10am, the licensing inspector entered the infant classroom and observed 9 infants with two teachers.
2. According to the attendance sheet, the last infant arrived to the classroom at 8:50am. A third staff member entered the classroom at approximately 9:15am. The classroom was left out of ratio for 25 minutes.
Plan of Correction: Management will check classrooms at different intervals to ensure ratios are met at all times.
Standard 8VAC20-780-510-P
Based on medication and record review, a written medication authorization was expired.
Evidence:
1. Child #6 has a long term emergency medication on site. The medication authorization had expired on 08/26/2022 and the medication had expired on 06/2022.
Evidence:
1. Child #6 has a long term emergency medication on site. The medication authorization had expired on 08/26/2022 and the medication had expired on 06/2022.
Plan of Correction: The parents have been notified of the expired medication authorization and medication. The parent will pick up the medication and get another authorization completed by the physician.
Standard 8VAC20-780-520-C
Based on record review, a diaper cream did not have written parent authorization.
Evidence:
1. A container of petroleum jelly was located in the toddler room without written parent authorization.
Evidence:
1. A container of petroleum jelly was located in the toddler room without written parent authorization.
Plan of Correction: Parents must stop by the front desk to complete an authorization form for skin products before they enter the classrooms. The petroleum jelly was removed from the classroom and the parents will be contacted to complete an authorization form.
Standard 8VAC20-780-550-G
Based on record review, documentation of emergency evacuation, shelter in place, and lockdown drills did not include all required information.
Evidence:
1. Documentation for evacuation drills did not contain the method of notification and the weather conditions on the emergency evacuation drill log.
Evidence:
1. Documentation for evacuation drills did not contain the method of notification and the weather conditions on the emergency evacuation drill log.
Plan of Correction: The department's model form will be used moving forward.
Standard 8VAC20-780-60-A-8
Based on record review, the center did not obtain a written care plan for each child with a diagnosed food allergy.
Evidence:
1. Child #6's record did not contain a written care plan.
Evidence:
1. Child #6's record did not contain a written care plan.
Plan of Correction: A written care plan or FARE plan will be completed by the physician.