Inspection · 2022-02-09
Date
2022-02-09
Complaint Related
No
Licensing Inspector
Morgan Bryson
(540) 270-0057
(540) 270-0057
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
An unannounced renewal inspection was conducted from 1:30 - 3:00 pm with the director. There were 24 children present, ranging in age from six months to five years of age, with four staff supervising. The children were observed napping. Three children's records, three staff records, two vehicles and the emergency drill log were reviewed. There was no medication on site to review.
Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the violation notice, and then return a signed and dated copy to the licensing office by 4:00pm on Monday, 2/21/2022. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.
Violations
7Standard 8VAC20-780-160-A-1
Based on review of documentation, not all staff had documentation of a negative Tuberculosis (TB) test/screening at the time of employment and prior to coming into contact with children. Evidence: the record for staff #2 (date of hire: 8/2/2021) did not have documentation of a negative TB test/screening and was observed working in a classroom with children.
Plan of Correction: Staff member did provide TB test prior to 7/30/2021. A duplicate copy has been requested.
Standard 8VAC20-780-280-B
Based on observation, not all hazardous substances were kept in a locked place, using a safe locking method that prevents access by children. Evidence: there were two bottles of Multi Quat sanitizing solution sitting in an unlocked cabinet in the prep classroom.
Plan of Correction: Teacher has been reminded to always lock up cleaning solutions in designated cabinets in classroom.
Standard 8VAC20-780-40-M
Based on observation, and review of documentation, the facility failed to maintain a current written list of all children's allergies, sensitivities, and dietary restrictions. Evidence: staff stated the posted list of allergies, sensitivities and dietary restrictions was not current; some lists did not have dates and one was dated September, 2018.
Plan of Correction: Prior to 2/8/22 there were no children with any known allergies at the center. Two new students started this week and new list had not been created but teacher knew had been informed verbally.
Standard 8VAC20-780-560-G
Based on observation, not all bottles were dated as required. Evidence: none of the bottles in the babysteps 1 or babysteps 2 classroom refrigerators were labeled with the date.
Plan of Correction: All staff in infant room was reminded to make sure all bottles and food from home gets labeled every day and that the current date is also on the label.
Standard 8VAC20-780-60-A-8
Based on a review of documentation, not all children with a diagnosed food allergy had a written care plan, 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: the record for child #1, with a diagnosed food allergy, did not contain a written allergy action plan.
Plan of Correction: Student with dairy restriction is food preference. 2nd child who started 2/8/22, mom did not disclose till 2/9/22 that the child had allergies. Forms were given to mom for doctor to fill out immediately and that evening she returned all forms and provided medication needed to be kept at center.
Standard 8VAC20-780-70
Based on review of three staff records, not all records contained all required information. Evidence: 1) the record for staff #2 (date of hire: 8/2/2021)did not contain documentation that: two references were checked before employment; the individual possesses the education, certification, and experience required by the job position; and completion of orientation and training as required. 2) the record for staff #3 (date of hire: 9/28/2020) did not contain documentation that: the individual possesses the education, certification, and experience required by the job position; and completion of orientation and training as required.
Plan of Correction: #2, after review some paperwork was indeed missing from file. References will be updated. Trainings will be updated and verified for completion.
#3 records will be requested from corporate as management paperwork is submitted with application to HR.
#3 records will be requested from corporate as management paperwork is submitted with application to HR.
Standard 8VAC20-780-80-A
Based on review of documentation, and an interview with staff, the facility did not maintain an accurate written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: there was no written attendance record for the babysteps 1 or babysteps 2 classrooms (password required for access) and the prep room attendance listed eight children but nine children were observed.
Plan of Correction: Roll call sheets for the week had been printed out 2/8/22 in the evening as tech issues were being had with printer. All other rooms had updated the paper roll call provided weekly. Prep class had 8 children on print out because 1 new child had started that day and had not been added to paper attendance.