Inspection · 2024-09-18
Licensing Inspector
James R Basham
(804) 588-2370
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
An unannounced, on-site monitoring inspection was initiated on 9/18/2024 and completed on 9/20/2024, as a part of the licensure period. The on-site inspection began at 2:41PM and ended at 4:14PM. The inspector reviewed compliance in the areas listed above. There were 15 children present and 2 staff. The inspector reviewed 5 children?s records on-site on 9/18/2024 and 2 staff records electronically on 9/20/2024. This inspection included - document review (i.e. Injury logs, policies and procedures, emergency drill logs, medication administration logs, authorization forms), tour of the facility, and observations.
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.
Standard 22.1-289.011-F
The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The most recent license posted was expired 3/12/2024.
Plan of Correction: Provider will post current license.
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1, employed for 12 months, did not have documentation of requesting a central registry check from two states.
Plan of Correction: Provider will obtain out of state backgrounds
Standard 8VAC20-780-150-B
Each report shall include shall be signed by a physician, his designee, or an official of the local health department. Child #1, enrolled 1 month, did not have a signed immunization record during the inspection on 9/18/2024.
Plan of Correction: Provider will obtain a signed immunization record.
Standard 8VAC20-780-530-A
At least one staff in each classroom or area where children are present shall have within 90 days of October 13, 2021, current certification in cardiopulmonary resuscitation as appropriate to the age of the children in care and current certification in first aid. Staff #1, employed for 12 months, did not have CPR and first aid training appropriate to the age of the children in care.
Plan of Correction: Provider will ensure that staff receive age appropriate CPR and 1st aid training.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #3 , enrolled 1 month, did not contain the name of the child?s physician during the inspection on 9/18/2024.
Plan of Correction: Provider will obtain doctors name.
Standard 8VAC20-780-70
REPEAT VIOLATION
The following staff records shall be kept for each person. The record for Staff #1, employed for 12 months, did not contain a signature of the person verifying the reference. The record for Staff #2, employed for 3 months, did not contain a signature of the person verifying the reference.
Plan of Correction: Provider will sign reference checks.