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Victory Children's Center

Inspection · 2024-07-17

Date
2024-07-17
Complaint Related
No
Licensing Inspector
Angela Farmer
(276) 608-2283
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
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced, on-site monitoring inspection was initiated on 7/17/2024 and completed on 7/17/2024. The on-site inspection began at 9:00 am and ended at 11:40 am. The inspector reviewed compliance in the areas listed above. There were 21 children present and seven staff. The inspector reviewed five children?s records and four staff records on-site. This inspection included.

? document review (i.e. Injury logs, policies and procedures, emergency drill logs, medication administration logs, authorization forms),
? tour of the facility,
? interviews

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 7/26/24. A POC submitted after this date will not appear on the public website.

Violations

9
Standard 8VAC20-780-140-A
Based on record review, 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 firs day of attendance.
Child #1 has been in care for seven months and there is no physical exam in the file.
Plan of Correction: Updated child's folder with current physical exam.
Standard 8VAC20-780-160-C
Based on record reviews, the center failed to ensure that at least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department, staff members and individuals from independent contractors shall obtain and submit the results of a follow-up tuberculosis screening as stated in subsection B of this section.
Evidence:
Staff #1 has a TB screen/test that was conducted over two years ago.
Plan of Correction: Will ensure that employee #1 has an updated TB screen/test.
Standard 8VAC20-780-210-A-4-a
Based on records review, the center failed to ensure that within six months before being promoted or beginning work or one month after being promoted or beginning work, a minimum of 24 hours of training shall be received related to the care of children.
Evidence:
Staff #1, 2, and 4 did not have information on file that proving they are qualified for the lead teacher position.
Plan of Correction: Will insure employees have the 24 hours of training to show they are qualified for lead teacher.
Standard 8VAC20-780-245-A
Based on record reviews, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.
Evidence:
The last documented annual training for staff #1 was dated 2022.
Staff #2 had 6 (six) hours of documented annual training.
Plan of Correction: Will insure that all employees have the annual 16 hours of age appropriate training.
Standard 8VAC20-780-270-A
Based on observation the center failed to ensure that Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.
Evidence:
In the infant room the intake vent was bent, causing the metal piece to protrude out which could snag skin.
The toddler/2 playground has a red climber, slide, tunnel piece of equipment. The tunnel is cracked which could be a pinch point or snag skin.
Plan of Correction: Intake vent in infant room has been fixed. 7/25/24

The tunnel on the Toddler/N2 playground climber/slide with crack has been removed.
Standard 8VAC20-780-280-B
(REPEAT VIOLATION)
Based on observation the center failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence:
In the infant room, on a shelf approximately five feet high, was a spray bottle of bleach water not locked.
Located in the five year old's bathroom was four refill bottles of antibacterial hand soap. These items were on a shelf approximately four feet high.
The bathroom cabinet above the toilet had a bottle of Hydrogen Peroxide not locked. This bathroom is located in the office. The office had three bottles of gummy multivitamins, rubbing alcohol and furniture polish on top of a filing cabinet, not locked.
Plan of Correction: All hazardous substances has been locked in a secured place away from children.
Standard 8VAC20-780-420-E-3
Based on record reviews, the center failed to ensure that staff shall request at lest annually parent confirmation that the required information in the child's record is up to date.
Evidence:
Child #4 does not have an annual update on file.
Plan of Correction: Child's folder has been updated with new enrollment papers.
Standard 8VAC20-780-500-B
Based on observation the center failed to ensure that a nonabsorbent surface for diapering or changing shall be used.
Evidence:
The diapering surface in the toddler room has a tear making the surface absorbent.
Plan of Correction: Changing table pad has been replaced.
Standard 8VAC20-780-70
Based on record reviews, the center failed to ensure that all the required information for staff records was kept at the center.
Evidence:
Staff # 1, 2, 3, 4 did not have job titles listed.
Staff #1,2,4 did not have emergency contacts addresses listed.
Staff #1, 2, 3 did not have documentation of education.
Plan of Correction: Will updated employees files to contain job titles, emergency contact address and documentation of education.
View original record on Virginia Department of Social Services