Inspection · 2025-04-14
Date
2025-04-14
Complaint Related
No
Licensing Inspector
Adrianna Walden
(757) 404-2487
(757) 404-2487
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 monitoring inspection was completed on 04/14/2025 as a part of the licensure period. The on-site inspection began at 12:30pmand ended at 3:30pm. The inspector reviewed compliance in the areas listed above. This inspection included: document review, tour of the facility, interviews, observations and measurements. There were 24 children present and 6 staff. The inspector reviewed 2 children?s records and 3 staff records. 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.
Violations
10Standard 22.1-289.035-B-4
Out of state background checks to include a criminal record check, central registry check and sex offender check, are required for staff who have lived outside of Virginia within the past 5 years. Staff C listed living outside the state of Virginia on her sworn statement of affirmation and did not have documentation of sending off for the required background checks for the state that was listed.
Plan of Correction: The director will send for the out-of-state background checks this week and will ensure all other staff have the required background checks if applicable.
Standard 8VAC20-780-240-B
Staff shall complete orientation training in subsection C of this section prior to the
staff member working alone with children and no later than seven days of the date of
assuming job responsibilities.
Staff A, Staff B and Staff C did not have documentation that they completed the required orientation training.
staff member working alone with children and no later than seven days of the date of
assuming job responsibilities.
Staff A, Staff B and Staff C did not have documentation that they completed the required orientation training.
Plan of Correction: The director will contact admin to find out if staff have had the required orientation and obtain documentation of them having received it. If not, she will conduct an orientation with the staff.
Standard 8VAC20-780-245-A
Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff A did not have documentation of having completed the required 16 hours of annual training for 2024.
Plan of Correction: The director will contact admin to find out if staff have had the required training hours in 2024. The director is working on a new filing system to better keep track of the files and required records.
Standard 8VAC20-780-270-A
(REPEAT VIOLATION) Areas and equipment of the center shall be maintained in a safe condition. There was peeling paint on the walls of the rooms used for the care of children.
Plan of Correction: A work order had already been placed to fix the peeling paint. The director will place another request and follow-up with admin.
Standard 8VAC20-780-280-B
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. There was an unlocked cabinet with various cleaning products in the front room and a large container of multipurpose cleaner in an unlocked cabinet in the boys bathroom.
Plan of Correction: Staff will be reminded and retrained how and where to store hazardous substances.
Standard 8VAC20-780-340-A
When staff are supervising children, they shall always ensure their care, protection, and guidance.
1. The designated person in-charge, Staff B did not know the real names of the staff that were supervising children nor was he able to identify which children at the camp had medication. 2. When asked how many children she had in care, Staff A replied, "21 children." The attendance sheet showed there were 24 children in care. It was later confirmed that there were in fact 24 children present at the time of inspection.
1. The designated person in-charge, Staff B did not know the real names of the staff that were supervising children nor was he able to identify which children at the camp had medication. 2. When asked how many children she had in care, Staff A replied, "21 children." The attendance sheet showed there were 24 children in care. It was later confirmed that there were in fact 24 children present at the time of inspection.
Plan of Correction: The director will be meeting with the staff to discuss supervision and basic policies and procedures. Medication will also be addressed and the current policy for administration will be retrained for those who are MAT trained.
Standard 8VAC20-780-40-E
The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with the terms of the current license issued by the department. The center has been using the first floor izone area, which is not a approved by the Department for childcare. The terms of the license only permits use of the first floor multipurpose room.
Plan of Correction: The director has been newly hired and did not realize that the izone area was not approved for the licensed childcare program. Childcare will no longer be held in that room.
Standard 8VAC20-780-530-A
At least one staff in each classroom or area where children are present shall have Current certification in cardiopulmonary resuscitation (CPR). Staff A and Staff B were supervising an area where children were present. Staff A did not have a current CPR and First Aid Certification and Staff B did not have a current CPR certification.
Plan of Correction: Staff are scheduled to attend a CPR/First Aid class on 04/26/2025.
Standard 8VAC20-780-550-G
The center is required to maintain documentation of emergency evacuations, shelter-in-place, and lockdown drills. The center did not have any emergency drills documented for January, February and March 2025.
Plan of Correction: The center had done the emergency drills, however the director forgot to document them. Moving forward all drills will be documented.
Standard 8VAC20-780-60-A-8
The center is required to maintain a written care plan for each child with a diagnosed food allergy, 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.
Child #2 had a documented food allergy, however did not have a written care plan in his record.
Child #2 had a documented food allergy, however did not have a written care plan in his record.
Plan of Correction: The director will audit all children's files for documented food allergies and ensure care plans are obtained for each.