Inspection · 2023-10-13
Date
2023-10-13
Complaint Related
Yes
Licensing Inspector
Whitney Mcgrath
(571) 835-4717
(571) 835-4717
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)
20 Access to minor?s records
22.1 Background Checks Code
63.2 Child Abuse & Neglect
Inspector Notes
A complaint was received in the licensing office on 10/4/2023 regarding classroom ratios and supervision. On 10/13/2023 an on-site investigation was conducted. Interviews were conducted and observations were made. At the time of this investigation, the preponderance of evidence supports the allegation and the complaint is deemed valid. During the investigation, additional non-complaint related violations were found. Areas of non-compliance are identified on the Violation Notice.
Should you have any questions, please email me at whitney.mcgrath@doe.virginia.gov with any questions or clarifications needed.
Violations
7Standard 8VAC20-780-270-A
Systemic Deficiency
Based on observation, areas and equipment of the center were not maintained in a clean and safe condition.
Evidence:
1. The soft blue childrens couch in toddler classroom had several tears and rips along the seams.
2. A wall in the pre-k classroom next to where the cots are stacked has large holes, peeling paint and the plaster is exposed.
Based on observation, areas and equipment of the center were not maintained in a clean and safe condition.
Evidence:
1. The soft blue childrens couch in toddler classroom had several tears and rips along the seams.
2. A wall in the pre-k classroom next to where the cots are stacked has large holes, peeling paint and the plaster is exposed.
Plan of Correction: The childrens couch was removed from the classroom during the inspection. We can submit a maintenance ticket for the wall to be fixed.
Standard 8VAC20-780-340-D
Based on interview, there is not at least one staff member regularly present who meets the qualifications of a program leader in each grouping of children.
Evidence: The staff person observed leading the toddler classroom does not meet the qualifications of a program leader.
Evidence: The staff person observed leading the toddler classroom does not meet the qualifications of a program leader.
Plan of Correction: We plan to do additional hiring. We will do additional training with our current staff.
Standard 8VAC20-780-350-B-2
Repeat Violation
Based on observation, the staff-to-children ratio of 1:5 for children 16 months-24 months was not followed when children were in care.
Evidence: At approximately 9:10am, there were 6 children observed with 1 staff in the toddler classroom.
Based on observation, the staff-to-children ratio of 1:5 for children 16 months-24 months was not followed when children were in care.
Evidence: At approximately 9:10am, there were 6 children observed with 1 staff in the toddler classroom.
Plan of Correction: Corrected during the inspection. We had enough staff but because all of the children hadn't been signed in, we weren't alerted that the classrooms were over. We will retrain our staff to make sure children are signed in and for staff to notify management if they go over ratios.
Standard 8VAC20-780-350-B-4
Repeat Violation
Based on observation, the staff-to-children ratio of 1:10 for children 3 years up to school age was not followed when children were in care.
Evidence: At approximately 8:55am, 21 children were observed with 2 staff in the Pre-K classroom.
Based on observation, the staff-to-children ratio of 1:10 for children 3 years up to school age was not followed when children were in care.
Evidence: At approximately 8:55am, 21 children were observed with 2 staff in the Pre-K classroom.
Plan of Correction: Corrected during the inspection. We had enough staff but because all of the children hadn't been signed in, we weren't alerted that the classrooms were over. We will retrain our staff to make sure children are signed in and for staff to notify management if they go over ratios.
Standard 8VAC20-780-530-A-1
Based on observation and interview, there was not at least one staff person present in each classroom where children were present with current cardiopulmonary resuscitation (CPR) certification.
Evidence:
1. Center management confirmed that the individual staff member observed in the toddler classroom does not have current CPR certification.
2. Center management confirmed that the two staff members observed in the pre-k2 classroom do not have current CPR certification.
Evidence:
1. Center management confirmed that the individual staff member observed in the toddler classroom does not have current CPR certification.
2. Center management confirmed that the two staff members observed in the pre-k2 classroom do not have current CPR certification.
Plan of Correction: We can schedule a group training.
Standard 8VAC20-780-530-A-2
Based on observation and interview, there was not at least one staff person present in each classroom where children were present with current first aid certification.
Evidence:
1. Center management confirmed that the individual staff member observed in the toddler classroom does not have current first aid certification.
2. Center management confirmed that the two staff members observed in the pre-k2 classroom do not have current first aid certification.
Evidence:
1. Center management confirmed that the individual staff member observed in the toddler classroom does not have current first aid certification.
2. Center management confirmed that the two staff members observed in the pre-k2 classroom do not have current first aid certification.
Plan of Correction: We can schedule a group training.
Standard 8VAC20-780-550-P
Based on interview, the center did not maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence.
Evidence: On 10/4/2023, child #1 tripped in the pre-k classroom and needed to receive stitches in their lip. Center management was not able to produce the injury report when requested on 10/13/2023.
Evidence: On 10/4/2023, child #1 tripped in the pre-k classroom and needed to receive stitches in their lip. Center management was not able to produce the injury report when requested on 10/13/2023.
Plan of Correction: We will remind staff to complete injury reports the day of an accident.