Inspection · 2024-11-12
Licensing Inspector
Morgan Bryson
(540) 270-0057
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
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.
Inspector Notes
An unannounced renewal inspection was initiated on 11/12/2024 and completed on 11/12/2024. The on-site inspection began at 1:15pm and ended at 3:15pm. The inspector reviewed compliance in the areas listed above. There were 52 children present and 7 staff. The inspector reviewed 5 children?s records and 5 staff records on-site on 11/12/2024. This inspection included document review, a tour of the facility, interviews, observations, and measurements. 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 12/2/2024. A POC submitted after this date will not appear on the public website.
Standard 8VAC20-770-70-A
Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #3, who has been working at the center for six weeks, did not have two completed reference verifications on file.
Plan of Correction: Reference calls were made on 11/26/2024 for sta? member #3. Moving forward management ensure all required paperwork is on ?le before an employee?s ?rst day of employment.
Standard 8VAC20-780-130-A
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #2, enrolled for two days, did not have documentation of an immunization record on file.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-C
(Repeat Violation) A tuberculosis (TB) screening is required every two years from the last screening. The updated screening for Staff #2 was due nine months ago.
Plan of Correction: Sta? member A resubmitted TB test results to management, dated 09/06/2024. Sta? member B completed a TB test at a facility on 11/22/2024 and submitted the results to management on 11/25/2024. Both tests were negative. Moving forward management will use a tracking system that will be monitored monthly to ensure timely updates on TB tests The plan to prevent reoccurrence is to monitor sta? ?les monthly.
Standard 8VAC20-780-245-J-3
Any child for whom emergency medications have been prescribed shall always be in the care of a staff member who has been trained to administer the medication. Child #1 has emergency rectal medication on site for seizures but there are no staff trained in administering emergency rectal medication.
Plan of Correction: The child who required rectal medication for seizures is no longer enrolled at the school, with their last day being 11/16/2024. The AD is MAT trained, with certification expiring in April 2025 as well as Sta? Member with certi?cate expiring in 01/21/2025. Additional sta? will be MAT certi?ed by 01/01/2025. Moving forward management will use a tracking system that will be monitored monthly to ensure timely updates on immunizations.
Standard 8VAC20-780-270-A
(Repeat Violation) The facility shall ensure that all areas inside and outside the center are maintained in a clean, safe and operable condition. The roof is leaking in the preschool room and there has been a tarp on the roof for six weeks; the cabinets in the kitchen are deteriorating and crumbling and debris was observed on the kitchen counter.
Plan of Correction: The school submitted a formal request on 11/25/24 for professional cleaning of the facility's windows and floors. Waiting on quote and approval. Additionally the school will retrain and retain teachers on proper cleaning techniques on 12/10/24.
Standard 8VAC20-780-280-B
(Repeat Violation) Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. There was a bottle of bleach water solution sitting in a basket on the changing table in the toddler room and in an unlocked cabinet above the sink in the preschool room.
Plan of Correction: Sta? were retrained and reminded on 11/25/24 that all materials must be locked and stored away when not in use. Sta? signatures were taken on 11/26/24 con?rming training and reminders.
Parnell Coleman conducted training for sta? on both CPR and First Aid on 11/19/2024. CPR certifications have been added to sta? ?les.
Standard 8VAC20-780-530-A
At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid. Staff #1, staff #4, and staff #5 were observed alone with a group of children. The CPR and first aid certification for staff #1 expired six months ago; for staff #4 it expired two months ago; and for staff #5 it expired six months ago.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-D
The center shall implement a monthly practice evacuation drill. There were no documented evacuation drills for the last six months.
Plan of Correction: A drill log was not identified after the abrupt center director departure. On 11/27/2024, current management reviewed corporate emergency logs to update and maintain a new record, ensuring compliance.
Standard 8VAC20-780-60-A
(Repeat Violation) Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. Child #2, enrolled for two days, did not have a record. Child #3, enrolled for seven weeks, was missing proof of birth.
Plan of Correction: The Acting Director, who started on 11/18/24, is working to reorganize the child files for all currently enrolled children by creating new individual files. The AD is also requesting that all families resubmit updated immunizations records for children under 2 years old by 12/13/24. Moving forward management will use a tracking system that will be monitored monthly to ensure timely updates on immunizations. The plan to prevent reoccurrence is to monitor child files monthly.