Inspection · 2021-12-16
Date
2021-12-16
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 SPECIAL SERVICES.
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks (22VAC40-191)
Inspector Notes
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, and staff interviews. An in-person inspection component was conducted on 01/05/2022 and 01/06/2022.
A renewal inspection was initiated on 12/16/2021 and completed on 01/06/2022. During the in-person component of the inspection there were 26 children present, ranging in ages from 4 years - 11 years, with 4 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 3 children's records and 8 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.
Violations
7Standard 8VAC20-770-60-C-2
Based on record review and interview, the center failed obtain a central registry finding within 30 days of employment for staff.
Evidence:
1. Staff 1, hire date 11/01/2021, lacks a central registry finding.
2. Staff 2, hire date 10/15/2021, lacks a central registry finding.
3. Administrative staff confirmed that a central registry check was not on file for staff 1 and staff 2.
Evidence:
1. Staff 1, hire date 11/01/2021, lacks a central registry finding.
2. Staff 2, hire date 10/15/2021, lacks a central registry finding.
3. Administrative staff confirmed that a central registry check was not on file for staff 1 and staff 2.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Based on record review and interview, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening within the last 30 calendar days of the date of employment.
Evidence:
1. Staff 1, hire date 11/01/2021, lacks a TB screening.
2. Staff 2, hire date 10/15/2021, lacks a TB screening.
3. Administrative staff confirmed that a TB screening had not been obtained for staff 1 and staff 2.
Evidence:
1. Staff 1, hire date 11/01/2021, lacks a TB screening.
2. Staff 2, hire date 10/15/2021, lacks a TB screening.
3. Administrative staff confirmed that a TB screening had not been obtained for staff 1 and staff 2.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-340-A
Based on observation and interview, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection.
Evidence:
Center staff failed to provide care and protection of children as demonstrated by the following observation at approximately 4:10 pm on 01/05/2022:
1. The inspector observed child 3, age 11 years, walking down the hall way without any adult supervision.
a. Child 3 stated he was going to alert child 2 that her parent had arrived for pick-up.
b. Child 3 stated that no one had asked him to retrieve child 2 - he was on his way down the hall without knowledge of center staff.
c. Center staff stated they were not aware that child 3 had left the cafeteria .
2. The inspector observed child 2 walking down the hallway away form her group that was using the restroom.
a. When the inspector asked staff 1, who was responsible for child 2, how she was alerted that child 2's parent had arrived , staff 1 stated that no one had told her that the parent of child 2 was in the cafeteria.
b. Staff 1 additionally stated she was not aware that child 2 had left her group.
Evidence:
Center staff failed to provide care and protection of children as demonstrated by the following observation at approximately 4:10 pm on 01/05/2022:
1. The inspector observed child 3, age 11 years, walking down the hall way without any adult supervision.
a. Child 3 stated he was going to alert child 2 that her parent had arrived for pick-up.
b. Child 3 stated that no one had asked him to retrieve child 2 - he was on his way down the hall without knowledge of center staff.
c. Center staff stated they were not aware that child 3 had left the cafeteria .
2. The inspector observed child 2 walking down the hallway away form her group that was using the restroom.
a. When the inspector asked staff 1, who was responsible for child 2, how she was alerted that child 2's parent had arrived , staff 1 stated that no one had told her that the parent of child 2 was in the cafeteria.
b. Staff 1 additionally stated she was not aware that child 2 had left her group.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-340-F
Based on observation, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.
Evidence:
1. During the on-sight inspection on 01/05/2022 at approximately 4:10 pm child 2, age 7 years, was observed walking down the hallway alone without any adult supervision.
a. The staff person responsible for child 2, staff 1, was supervising a group of children using the restroom.
b. This area is not within sight and sound supervision of the area of the hall way where child 2 was observed by the inspector.
2. When the inspector inquired with staff 1 about the whereabouts of child 2 , staff 1 stated she was not aware that child 2 had left her group.
Evidence:
1. During the on-sight inspection on 01/05/2022 at approximately 4:10 pm child 2, age 7 years, was observed walking down the hallway alone without any adult supervision.
a. The staff person responsible for child 2, staff 1, was supervising a group of children using the restroom.
b. This area is not within sight and sound supervision of the area of the hall way where child 2 was observed by the inspector.
2. When the inspector inquired with staff 1 about the whereabouts of child 2 , staff 1 stated she was not aware that child 2 had left her group.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A-8
Based on record review and interview, the center failed to obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
Evidence:
1. The enrollment record for child 1 indicated a diagnosed food allergy however, there was no written allergy care plan on file.
2. Administrative staff confirmed that an allergy care plan had not been obtained for child 1.
Evidence:
1. The enrollment record for child 1 indicated a diagnosed food allergy however, there was no written allergy care plan on file.
2. Administrative staff confirmed that an allergy care plan had not been obtained for child 1.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Based on record review, the center failed to maintain documentation of the name, address and telephone number of a person to be notified in an emergency which shall be kept at the center.
Evidence:
1. Emergency contact information was not available for staff 3 and staff 4 who were working in the licensed program during the on-sight inspection on 01/05/2022.
Evidence:
1. Emergency contact information was not available for staff 3 and staff 4 who were working in the licensed program during the on-sight inspection on 01/05/2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-80-A
Based on interview and observation, the center failed to maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.
Evidence:
1. When the inspection arrived at 3:15 pm on 01/05/2022 for the on-sight inspection a written attendance sheet was not on hand.
2. Center staff stated they did not have an attendance sheet indicating the names and arrival times of the children in care.
Evidence:
1. When the inspection arrived at 3:15 pm on 01/05/2022 for the on-sight inspection a written attendance sheet was not on hand.
2. Center staff stated they did not have an attendance sheet indicating the names and arrival times of the children in care.
Plan of Correction: Not available online. Contact Inspector for more information.