Inspection · 2023-11-16
Date
2023-11-16
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 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 Checks Code, Carbon Monoxide.1 Background
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced renewal inspection was conducted on 11/30/2023 from 4:55 pm - 6:15 pm with an inspection of the program. Staff records were reviewed on 12/01/2023 at the Y on Granby.
There were 21 children, ages 4 years - 12 years, in care with 3 staff when the inspector arrived on 11/30/2023. A 4th staff arrived at approximately 5:40 pm. Children were observed engaged in various table games and large motor games with staff in the cafeteria. Records were reviewed for 3 children in care.
Four staff records were reviewed on 12/01/2023 at the Y on Granby where staff records are maintained.
Based on the information gathered violations were found in the areas of administration, staff training, staff background checks and required postings. These violations are listed on the violation notice issued to the facility.
Violations
8Standard 22.1-289.011-F
Based on observation, the center failed to ensure that the findings of the most recent inspection were posted in a conspicuous place on the licensed premises.
Evidence:
1. The inspection summary and violation notice from the most recent inspection, conducted on 03/30/2023, were not posted.
2. Administrative staff confirmed that a copy of the inspection documents from the 03/30/2023 monitoring inspection were not on hand nor were they posted.
Evidence:
1. The inspection summary and violation notice from the most recent inspection, conducted on 03/30/2023, were not posted.
2. Administrative staff confirmed that a copy of the inspection documents from the 03/30/2023 monitoring inspection were not on hand nor were they posted.
Plan of Correction: Inspection report has been displayed on licensing board for public viewing.
Standard 8VAC20-770-60-C-2
Based on record review and interview, the center failed to ensure that staff have a central registry finding within 30 days of employment.
Evidence:
1. Staff 1, hire date 06/08/2023, lacks the results of a central registry finding.
a. Staff 1 was observed caring for children during the inspection on 11/30/2023.
2. Administrative staff confirmed that the results of a central registry check were not available for staff 1.
Evidence:
1. Staff 1, hire date 06/08/2023, lacks the results of a central registry finding.
a. Staff 1 was observed caring for children during the inspection on 11/30/2023.
2. Administrative staff confirmed that the results of a central registry check were not available for staff 1.
Plan of Correction: Central Registry Checks will be completed as part of the onboarding process to ensure all staff are in compliance. Central Registry Checks will be completed 1 month prior to expiration date to ensure staff remain in compliance.
Standard 8VAC20-780-130-A
Based on record review and interview, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
1. Child 1, enrollment date 09/18/2023, lacked documentation of required immunizations.
2. Administrative staff confirmed that immunization information was not on file for child 1.
1. Child 1, enrollment date 09/18/2023, lacked documentation of required immunizations.
2. Administrative staff confirmed that immunization information was not on file for child 1.
Plan of Correction: Hard copy of all child records will be filed and kept on premises for staff usage.
Administrative staff stated that all children's records will be checked for completeness prior to beginning care.
Administrative staff stated that all children's records will be checked for completeness prior to beginning care.
Standard 8VAC20-780-140-A
Based on record review and interviewed, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance:
Evidence:
1. Child 1, enrollment date 09/18/2023, lacks documentation of a physical exam.
2. Administrative staff confirmed that a documented physical exam was not available for child 1.
Evidence:
1. Child 1, enrollment date 09/18/2023, lacks documentation of a physical exam.
2. Administrative staff confirmed that a documented physical exam was not available for child 1.
Plan of Correction: Hard copy of all child records will be filed and kept on premises for staff usage.
Administrative staff stated that all children's records will be checked for completeness prior to beginning care.
Administrative staff stated that all children's records will be checked for completeness prior to beginning care.
Standard 8VAC20-780-160-A
Based on record review, the center failed to ensure that the documentation of the tuberculosis screening shall have been completed within the last 30 calendar days of the date of employment.
Evidence:
1. The TB screening for staff 2 was obtained after her hire date of 06/08/2023.
a. The TB screening was completed on 11/16/2023.
Evidence:
1. The TB screening for staff 2 was obtained after her hire date of 06/08/2023.
a. The TB screening was completed on 11/16/2023.
Plan of Correction: Staff will be required to obtain TB clearance as part of the hiring process prior to first day of on the floor training and will be required to retest 1 month prior to expiration date to remain in compliance.
Standard 8VAC20-780-240-A
Based on record review and interview, the center failed to ensure that The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment for all staff.
Evidence:
1. Staff 1, hire date 06/08/2023, lacks documentation of completion of the 10-hour preservice training.
2. Administrative staff confirmed that staff 1 had not completed this training.
Evidence:
1. Staff 1, hire date 06/08/2023, lacks documentation of completion of the 10-hour preservice training.
2. Administrative staff confirmed that staff 1 had not completed this training.
Plan of Correction: 10 hour Virginia preservice trainings will be required in the first 30 days as part of the staff onboarding process.
Standard 8VAC20-780-60-A
Based on record review and interview, the center failed to ensure that children's records contain all of the required elements:
Evidence:
1. The enrollment record for child 1 lacked the following required information:
a. Name, home address, and home phone number of each parent who has custody;
b. Work phone number and place of employment of each parent who has custody;
c. Name, address, and phone number of two designated people to call in an emergency if a parent can not be reached;
d. Allergies and intolerance to medication or any other substances, and actions to take in an emergency situation.
2. The enrollment record for child 2 lacked the following required information:
a. Name, home address, and home phone number of each parent who has custody;
b. Work phone number and place of employment of each parent who has custody;
c. Name, address, and phone number of two designated people to call in an emergency if a parent can not be reached;
d. Allergies and intolerance to medication or any other substances, and actions to take in an emergency situation.
3. Administrative staff confirmed that this information was not on file in the hard copy of the enrollment records and the electronic copy of children's records were not accessible on tablet.
Evidence:
1. The enrollment record for child 1 lacked the following required information:
a. Name, home address, and home phone number of each parent who has custody;
b. Work phone number and place of employment of each parent who has custody;
c. Name, address, and phone number of two designated people to call in an emergency if a parent can not be reached;
d. Allergies and intolerance to medication or any other substances, and actions to take in an emergency situation.
2. The enrollment record for child 2 lacked the following required information:
a. Name, home address, and home phone number of each parent who has custody;
b. Work phone number and place of employment of each parent who has custody;
c. Name, address, and phone number of two designated people to call in an emergency if a parent can not be reached;
d. Allergies and intolerance to medication or any other substances, and actions to take in an emergency situation.
3. Administrative staff confirmed that this information was not on file in the hard copy of the enrollment records and the electronic copy of children's records were not accessible on tablet.
Plan of Correction: Hard copy of all child records will be filed and kept on premises for staff usage.
Administrative staff stated that all children's records will be checked for completeness prior to beginning care.
Administrative staff stated that all children's records will be checked for completeness prior to beginning care.
Standard 8VAC20-780-90-A
Based on record review and interview, the center failed to ensure that a written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The agreement shall be signed by the parent.
Evidence:
1. A signed parent agreement was not on file for child 1 and child 2 who were in care during the inspection on 11/30/2023.
a. The signed agreement was not a part of the hard copy on file at the site and the electronic copy could not be accessed electronically.
Evidence:
1. A signed parent agreement was not on file for child 1 and child 2 who were in care during the inspection on 11/30/2023.
a. The signed agreement was not a part of the hard copy on file at the site and the electronic copy could not be accessed electronically.
Plan of Correction: Hard copy of all child records will be filed and kept on premises for staff usage.
Administrative staff stated that all children's records will be checked for completeness prior to beginning care.
Administrative staff stated that all children's records will be checked for completeness prior to beginning care.