Inspection · 2022-02-17
Date
2022-02-17
Complaint Related
No
Licensing Inspector
Arlene Agustin
(804) 629-7519
(804) 629-7519
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.
8VAC20-770 Background Checks (22VAC40-191)
22.1 Early Childhood Care and Education
Inspector Notes
This inspection was conducted by licensing staff both on-site and using an alternate remote protocol, including telephone contacts, documents review, interviews and a tour of the program.
A renewal inspection was initiated on 2/9/22 and concluded on 2/17/22. The center director was contacted by telephone to initiate the inspection and an on-site inspection was conducted on 2/17/22 from 11:05am until 3:05pm. At the time of the on-site inspection, there were 57 children in care with 10 staff present. A sample of 5 children's records and 5 staff records were reviewed. Children were observed engaging in learning activities, playing on the playground, eating lunch and resting quietly during nap time. Restroom and handwashing procedures, lunch service and diapering procedures were also observed. First aid and emergency supplies, documentation of emergency practice drills, children's injury reports and required center postings 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
6Standard 22.1-289.035-B-4
Based on record review and interview, it was determined that the center did not ensure that a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry is obtained from any state in which the individual has resided in the preceding five years.
Evidence:
1. Staff 1 has a hire date of 11/16/21. Staff 1 indicated on her sworn statement or affirmation that she has resided in the state of California within the past five years. The results of a criminal history record check, a sex offender registry check and a search of the child abuse and neglect registry were not available for staff 1 from the state of California.
2. Staff 2 has a hire date of 2/9/22. Staff 2 indicated on her sworn statement or affirmation that she has resided in the state of North Carolina within the past five years. The results of a sex offender registry check were not available for staff 2 from the state of North Carolina.
3. The center director confirmed that the required out-of-state background checks were not completed for staff 1 or staff 2.
Evidence:
1. Staff 1 has a hire date of 11/16/21. Staff 1 indicated on her sworn statement or affirmation that she has resided in the state of California within the past five years. The results of a criminal history record check, a sex offender registry check and a search of the child abuse and neglect registry were not available for staff 1 from the state of California.
2. Staff 2 has a hire date of 2/9/22. Staff 2 indicated on her sworn statement or affirmation that she has resided in the state of North Carolina within the past five years. The results of a sex offender registry check were not available for staff 2 from the state of North Carolina.
3. The center director confirmed that the required out-of-state background checks were not completed for staff 1 or staff 2.
Plan of Correction: The center responded with the following: The required out-of-state background checks will be requested for staff 1 and staff 2. Once received, the results will be placed in each staff's record and will be forwarded to the licensing inspector. Going forward, the center will ensure that all required out-of-state background checks are completed within the required timeframes.
Standard 8VAC20-770-60-C-2
Based on record review and interview, the center did not ensure that each staff person has a central registry finding within 30 days of employment.
Evidence:
1. The records for staff 1 (date of hire: 11/16/21) and staff 3 (date of hire: 9/20/21) do not contain documentation of a central registry finding.
2. The center director confirmed that the records for staff 1 and staff 3 are lacking the results of a central registry finding.
Evidence:
1. The records for staff 1 (date of hire: 11/16/21) and staff 3 (date of hire: 9/20/21) do not contain documentation of a central registry finding.
2. The center director confirmed that the records for staff 1 and staff 3 are lacking the results of a central registry finding.
Plan of Correction: The center responded with the following: The central registry requests for staff 1 and staff 3 were requested at the time of hire; however, the results have not been received. The center director will contact the Office of Background Investigations to follow-up on the results of the requests. Once received, the results will forwarded to the licensing inspector and placed in each staff's record.
Standard 8VAC20-780-160-A
Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening.
Evidence:
1. The records for staff 1 (date of hire: 11/16/21) and staff 2 (date of hire: 2/9/22) do not contain documentation of a negative tuberculosis screening.
2. The center director confirmed that the records for staff 1 and staff 2 are lacking documentation of negative tuberculosis screenings.
Evidence:
1. The records for staff 1 (date of hire: 11/16/21) and staff 2 (date of hire: 2/9/22) do not contain documentation of a negative tuberculosis screening.
2. The center director confirmed that the records for staff 1 and staff 2 are lacking documentation of negative tuberculosis screenings.
Plan of Correction: The center responded with the following: Staff 1 and staff 2 will obtain TB screenings and the results will be placed in their staff records.
Standard 8VAC20-780-330-B
Based on playground observation and measurement, the center did not ensure that when playground equipment is provided, resilient surfacing shall comply with minimum safety standards.
Evidence:
The mulch surrounding the play structure on the playground measures approximately 1 inch in all areas, where 6 inches are required.
Evidence:
The mulch surrounding the play structure on the playground measures approximately 1 inch in all areas, where 6 inches are required.
Plan of Correction: The center responded with the following: New mulch will be purchased and spread under the play structure and around the fall zones.
Standard 8VAC20-780-510-I
Based on medication review and interview, the center did not ensure that prescription medication that would normally be administered by a parent or guardian is maintained in the original, labeled container.
Evidence:
1. There is an epipen being stored at the center that is not in the original, labeled container.
2. The center director confirmed that the epipen is not being stored in it's original, labeled container.
Evidence:
1. There is an epipen being stored at the center that is not in the original, labeled container.
2. The center director confirmed that the epipen is not being stored in it's original, labeled container.
Plan of Correction: The center responded with the following: The parent will be contacted to obtain the medication's original container.
Standard 8VAC20-780-70
Based on record review and interview, the center did not ensure that staff records contain all the required information.
Evidence:
1. The record for staff 1 (date of hire: 11/16/21) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
2. The record for staff 2 (date of hire: 2/9/22) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
a. Staff 2's job title is documented in the record as program leader. The record for staff 2 does not contain documentation to demonstrate that she possesses the education required for the job position of program leader.
3. The record for staff 4 (date of hire: 12/13/21) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
a. Staff 4's job title is documented in the record as program leader. The record for staff 2 does not contain documentation to demonstrate that she possesses the education or experience required for the job position of program leader.
4. The record for staff 5 (date of hire: 11/2/21) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
5. The center director confirmed that the records for staff 1, staff 2, staff 4 and staff 5 are lacking required information.
Evidence:
1. The record for staff 1 (date of hire: 11/16/21) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
2. The record for staff 2 (date of hire: 2/9/22) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
a. Staff 2's job title is documented in the record as program leader. The record for staff 2 does not contain documentation to demonstrate that she possesses the education required for the job position of program leader.
3. The record for staff 4 (date of hire: 12/13/21) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
a. Staff 4's job title is documented in the record as program leader. The record for staff 2 does not contain documentation to demonstrate that she possesses the education or experience required for the job position of program leader.
4. The record for staff 5 (date of hire: 11/2/21) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
5. The center director confirmed that the records for staff 1, staff 2, staff 4 and staff 5 are lacking required information.
Plan of Correction: The center responded with the following: References for staff 1, staff 2 and staff 4 will be obtained and placed in their record. Staff 5 is no longer employed at the center. Documentation of program leader qualifications will be obtained for staff 2 and staff 4 and placed in their record.