Inspection · 2024-01-22
Date
2024-01-22
Complaint Related
No
Licensing Inspector
Emily Walsh
(757) 404-2575
(757) 404-2575
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
Inspector Notes
A monitoring/renewal/complaint inspection was initiated and concluded on 01/22/2024. The inspector arrived at 10:10 AM and departed at 1:00 PM. There were 39 children present, ranging in ages from 2 yrs to 5 yrs, with 6 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 5 staff records were reviewed.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program and discussed with the during the exit interview.
Violations
9Standard 8VAC20-780-270-A
Based upon observation, the facility has not ensured that areas and equipment of the center, inside and outside, are maintained to be in a safe and operable condition.
Evidence:
1. The fence and fence gate between the two playgrounds was crushed by a tree limb during a recent storm, revealing sharp pieces of metal and wire.
2. The multi-colored children's climber has two green two foot high slides. The rubber mulch at the base of the slides was measured at 3 inches deep.
3. A plastic coated piece of metal wire was protruding out of the rubber mulch at the base of the green slide 8 inches. The wire could scratch a child.
Evidence:
1. The fence and fence gate between the two playgrounds was crushed by a tree limb during a recent storm, revealing sharp pieces of metal and wire.
2. The multi-colored children's climber has two green two foot high slides. The rubber mulch at the base of the slides was measured at 3 inches deep.
3. A plastic coated piece of metal wire was protruding out of the rubber mulch at the base of the green slide 8 inches. The wire could scratch a child.
Plan of Correction: The facility responded with the following:
the conditions described were caused by a major wind & rain storm, in which a large tree fell. We have made necessary arrangements to fix playground conditions
the conditions described were caused by a major wind & rain storm, in which a large tree fell. We have made necessary arrangements to fix playground conditions
Standard 8VAC20-780-280-B
Based upon observation, the facility has not ensured that hazardous substances are kept in locked places using safe locking methods that prevent access by children.
Evidence:
1. There was sanitizing spray, 2 spray air freshener cans and disinfecting solution with "caution" and "keep out of reach of children" on a high open shelf in the bathroom by the cafeteria. Children were observed using this bathroom.
2. There was a container of sanitizing wipes and hand sanitizer with warning labels on an open cabinet in the three year old classroom,
3. The door to the office off of the younger two's classroom was standing open. There were sanitizing wipes on a shelf in the office.
Evidence:
1. There was sanitizing spray, 2 spray air freshener cans and disinfecting solution with "caution" and "keep out of reach of children" on a high open shelf in the bathroom by the cafeteria. Children were observed using this bathroom.
2. There was a container of sanitizing wipes and hand sanitizer with warning labels on an open cabinet in the three year old classroom,
3. The door to the office off of the younger two's classroom was standing open. There were sanitizing wipes on a shelf in the office.
Plan of Correction: The facility responded with the following:
We will purchase a locking cabinet, but these things have been there for years on a 7 foot shelf - OUT OF THE REACH OF CHILDREN
2 & 3 were also OUT OF THE REACH OF Children - but have been moved
We will purchase a locking cabinet, but these things have been there for years on a 7 foot shelf - OUT OF THE REACH OF CHILDREN
2 & 3 were also OUT OF THE REACH OF Children - but have been moved
Standard 8VAC20-780-510-E
Based upon observation of the facility's medication procedures and the medication stored for potential administration to children, the facility has not ensured that the procedures ensure written parental authorization for the administration of medication.
Evidence:
There was albuterol and an Epi-pen stored for emergency administration to child 1. There was no written parent authorization for the medication to be administered.
Evidence:
There was albuterol and an Epi-pen stored for emergency administration to child 1. There was no written parent authorization for the medication to be administered.
Plan of Correction: The facility responded with the following:
Parents inform 2 days end
Form was faxed by Doctor's Office...
Parents inform 2 days end
Form was faxed by Doctor's Office...
Standard 8VAC20-780-550-E
Based upon review of the facility's emergency drill records, the facility has not ensured that shelter-in-place procedures are practiced a minimum of twice per year.
Evidence:
There were no recorded shelter-in-place drills in 2023.
Evidence:
There were no recorded shelter-in-place drills in 2023.
Plan of Correction: The facility responded with the following:
Will Post a separate form for Shelter in Place drills
Will Post a separate form for Shelter in Place drills
Standard 8VAC20-780-550-F
Based upon review of the facility's emergency drill records, the facility has not ensured that lockdown procedures are practiced at least annually.
Evidence:
There were no recorded lockdown drills in 2023.
Evidence:
There were no recorded lockdown drills in 2023.
Plan of Correction: The facility responded with the following:
Will post these along with Shelter in Place drills
Will post these along with Shelter in Place drills
Standard 8VAC20-780-560-F
Based upon observation, the facility has not ensured that when the facility provides meals and snacks, a menu for the current week is posted.
Evidence:
The menu posted in the facility foyer is dated for last week - January 15 - January 19.
Evidence:
The menu posted in the facility foyer is dated for last week - January 15 - January 19.
Plan of Correction: The facility responded with the following:
It was Monday and hadn't been posted yet.
Will now post on Friday.
It was Monday and hadn't been posted yet.
Will now post on Friday.
Standard 8VAC20-780-60-A
Based upon review of children's records, the facility has not ensured that each child's record includes the names, addresses and telephone numbers for two persons other than parents to be contacted in an emergency when a parent cannot be reached.
Evidence:
The record provided for child 2 did not include the street addresses for the emergency contact persons.
Evidence:
The record provided for child 2 did not include the street addresses for the emergency contact persons.
Plan of Correction: The facility responded with the following:
Was corrected by day end.
Was corrected by day end.
Standard 8VAC20-780-70
Repeat violation
Based upon review of staff records, the facility has not ensured that each staff record includes the job title of the staff person.
Evidence:
The records provided for staff 2, 3 and 4 did not include the job titles.
Based upon review of staff records, the facility has not ensured that each staff record includes the job title of the staff person.
Evidence:
The records provided for staff 2, 3 and 4 did not include the job titles.
Plan of Correction: The facility responded with the following:
Done by day's end - Was not aware that job title had to be n the file.
Done by day's end - Was not aware that job title had to be n the file.
Standard 8VAC20-780-90-A
Based upon review of children's records, the records do not include a statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately.
Evidence:
The records provided for child 1, 2, 3, and 4 do not include the parent agreement to inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately.
Evidence:
The records provided for child 1, 2, 3, and 4 do not include the parent agreement to inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately.
Plan of Correction: The facility responded with the following:
This statement is in our handbook - the center will also add the new DOE registration form to our new booklets
This statement is in our handbook - the center will also add the new DOE registration form to our new booklets