Inspection · 2022-02-17
Date
2022-02-17
Complaint Related
No
Licensing Inspector
Monique Anderson
(540) 309-2397
(540) 309-2397
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.
22.1 EARLYCHILDHOOD CARE AND EDUCATION
Inspector Notes
A renewal inspection was conducted onsite on 02/17/2022 and concluded with a virtual record review inspection on 02/18/2022. There were 43 children, ages 3 years-11 years, 5 staff providing direct care and supervision and various support staff present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, physical plant, staffing and supervision, programs, emergencies and nutrition. A total of 5 children?s records, 5 complete staff records, the background check requirements for 6 additional staff members, 2 applicant/agent records, and 2 medications were reviewed during the inspection.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.
Violations
8Standard 22.1-289.035-B-2
Based on record review and discussion with staff, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia.
Evidence: Staff 12 stated that the hire date for Staff 8 was 08/25/2021. The employment eligibility letter was dated 12/01/2021.
Evidence: Staff 12 stated that the hire date for Staff 8 was 08/25/2021. The employment eligibility letter was dated 12/01/2021.
Plan of Correction: All processes will now be handled by the Human Resources Office.
Standard 22.1-289.035-B-4
Based on record review and discussion with staff, the center failed to obtain a copy of a child abuse and neglect search and a sex offender registry check from any state in which the individual has resided in the preceding five years.
Evidence: The record for Staff 11 contained documentation that Staff 11 had resided outside of the state of Virginia within the preceding five years. Staff 12 stated that the hire date for Staff 8 was 01/05/2022. There was not a child abuse and neglect search nor a sex offender registry check from all of the states in which the individual had resided in the preceding five years available for review during the 02/18/2022 inspection.
Evidence: The record for Staff 11 contained documentation that Staff 11 had resided outside of the state of Virginia within the preceding five years. Staff 12 stated that the hire date for Staff 8 was 01/05/2022. There was not a child abuse and neglect search nor a sex offender registry check from all of the states in which the individual had resided in the preceding five years available for review during the 02/18/2022 inspection.
Plan of Correction: Will get those submitted right away.
Standard 8VAC20-770-60-B
Based on record review and discussion with staff, the center failed to ensure that an employee must not be employed until the agency has the person?s completed sworn statement or affirmation.
Evidence:
1. Staff 13 stated that the hire date for Staff 10 was 01/05/2022. The sworn statement was dated 02/18/2022.
2. Staff 13 stated that the hire date for Staff 11 was 08/25/2021. The sworn statement was dated 02/18/2022.
Evidence:
1. Staff 13 stated that the hire date for Staff 10 was 01/05/2022. The sworn statement was dated 02/18/2022.
2. Staff 13 stated that the hire date for Staff 11 was 08/25/2021. The sworn statement was dated 02/18/2022.
Plan of Correction: All process will now be handled by the Human Resources Office.
Standard 8VAC20-770-60-C-2
Based on record review and discussion with the staff, the center failed to obtain the finding from a search of the central registry within 30 days of employment.
Evidence: Staff 13 stated that the hire date for Staff 8 was 08/25/2021. The findings from a search of the central registry were dated 01/24/2022.
Evidence: Staff 13 stated that the hire date for Staff 8 was 08/25/2021. The findings from a search of the central registry were dated 01/24/2022.
Plan of Correction: All process will now be handled by the Human Resources Office.
Standard 8VAC20-780-40-K
Based on discussion with staff, the center failed to develop written procedures for prevention of shaken baby syndrome or abusive head trauma.
Evidence: Staff 12 stated that the center did not have written procedure for prevention of shaken baby syndrome or abusive head trauma.
Evidence: Staff 12 stated that the center did not have written procedure for prevention of shaken baby syndrome or abusive head trauma.
Plan of Correction: Will begin working on the written procedures.
Standard 8VAC20-780-500-A
Based on discussion, the center failed to ensure that children?s hands shall be washed with soap and running water or disposable wipes before and after eating meals and snacks.
Evidence: Staff 5 stated that children?s hands are not washed with soap and running water or disposable wipes after snack. Staff 5 stated that the children use hand sanitizer after snack instead.
Evidence: Staff 5 stated that children?s hands are not washed with soap and running water or disposable wipes after snack. Staff 5 stated that the children use hand sanitizer after snack instead.
Plan of Correction: Will use a disposable wipe or will return to the restroom to use soap and running water after snack.
Standard 8VAC20-780-560-M
Based on observation and discussion with staff, the center failed to ensure that no child shall be allowed to drink and eat while walking around.
Evidence: Two children were observed eating their snack food, a ziplock bag of Goldfish and a bag of Cheez-Its, while lining up and walking into the cafeteria for homework time.
Evidence: Two children were observed eating their snack food, a ziplock bag of Goldfish and a bag of Cheez-Its, while lining up and walking into the cafeteria for homework time.
Plan of Correction: Will speak with both the children and staff.
Standard 8VAC20-780-60-A
Based on record review and discussion with staff, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards.
Evidence:
1. The record for Child 1 did not contain the following information: work phone number of each parent (an employer was listed but the record did not contain a work phone number).
2. The record for Child 2 did not contain the following information: work phone number of each parent (an employer was listed but the record did not contain a work phone number); and the phone number of the child?s physician.
3. The record for Child 3 did not contain the following information: documentation of viewing proof of the child?s identity and age.
4. The record for Child 4 did not contain the following information: Previous child day care and schools attended by the child; and written agreement between the parent and the center as required by 8VAC20-780-420-E-3.
Evidence:
1. The record for Child 1 did not contain the following information: work phone number of each parent (an employer was listed but the record did not contain a work phone number).
2. The record for Child 2 did not contain the following information: work phone number of each parent (an employer was listed but the record did not contain a work phone number); and the phone number of the child?s physician.
3. The record for Child 3 did not contain the following information: documentation of viewing proof of the child?s identity and age.
4. The record for Child 4 did not contain the following information: Previous child day care and schools attended by the child; and written agreement between the parent and the center as required by 8VAC20-780-420-E-3.
Plan of Correction: Will get all of the missing information.