Inspection · 2022-09-12
Date
2022-09-12
Complaint Related
Yes
Licensing Inspector
Miranda Wright
(571) 596-3661
(571) 596-3661
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
X 8VAC20-780 Administration.
X 8VAC20-780 Staff Qualifications and Training.
X 8VAC20-780 Physical Plant.
X 8VAC20-780 Staffing and Supervision.
X 8VAC20-780 Programs.
X 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
8VAC20-790 Subsidy Regulations
Inspector Notes
A complaint investigation regarding staff:child classroom ratios, illness notification, classroom equipment, and diapering procedures was conducted on 9/12/2022. Based on a thorough review of all topics, this complaint was deemed valid. All applicable staff interviews and classroom observations were completed on 9/12/2022. In addition the Inspector reviewed compliance in the areas of caregiver training, children's records, staff records, and medications.
Ongoing compliance with the Minimum Standards is the responsibility of the licensee.
Thank you for meeting with me for this investigation. If you have any questions please email me at sandra.dimperio@doe.virginia.gov
Violations
13Standard 8VAC20-780-130-A
Based on a review of children?s records, it was determined that the center did not obtain documentation showing that each child received required immunizations before entering care.
Evidence:
Child A attended drop-in care on 9/7/2022 and 9/8/2022. There was no documentation of an immunization record on file for this child.
Evidence:
Child A attended drop-in care on 9/7/2022 and 9/8/2022. There was no documentation of an immunization record on file for this child.
Plan of Correction: Shot record was in email from BUC. [sic]
Standard 8VAC20-780-270-A
Based on observations, it was determined that the Pre-K classroom has not been maintained in a clean, safe, and operable condition.
Evidence:
In the Pre-K classroom one toilet is not working and there is paint peeling from the walls in multiple places.
Evidence:
In the Pre-K classroom one toilet is not working and there is paint peeling from the walls in multiple places.
Plan of Correction: Work order put in. [sic]
Standard 8VAC20-780-280-B
Based on observations, it was determined that potentially hazardous substances were not kept in a locked place.
Evidence:
In the Toddler classroom the spray bottles of cleaning solution were stored in upper level cabinets that were not locked.
Evidence:
In the Toddler classroom the spray bottles of cleaning solution were stored in upper level cabinets that were not locked.
Plan of Correction: Locked up during visit. [sic]
Standard 8VAC20-780-290-A-3
Based on observations, it was determined that the center did not ensure all electrical outlets had protective covers.
Evidence:
In the Pre-K classroom three electrical outlets were not covered.
Evidence:
In the Pre-K classroom three electrical outlets were not covered.
Plan of Correction: Outlets covered during visit. [sic]
Standard 8VAC20-780-350-B-1
Based on staff interviews and a review of attendance records, it was determined that the Infant classroom operated beyond the allowable staff:child ratio of 1 staff per 4 children on two occasions between 9/6/2022 ? 9/7/2022.
Evidence:
1 - On 9/6/2022 from 7:50-8:00am the classroom operated over ratio with 1 staff:6 infants.
2 - On 9/7/2022 from 7:45-8:00am the classroom operated over ratio with 1 staff:6 infants.
Evidence:
1 - On 9/6/2022 from 7:50-8:00am the classroom operated over ratio with 1 staff:6 infants.
2 - On 9/7/2022 from 7:45-8:00am the classroom operated over ratio with 1 staff:6 infants.
Plan of Correction: Expecting teachers to show up when scheduled for work. [sic]
Standard 8VAC20-780-350-B-2
Based on staff interviews and a review of attendance records, it was determined that the Toddler classroom operated beyond the allowable staff:child ratio of 1 staff per 5 children on multiple occasions between 9/6/2022 ? 9/9/2022.
Evidence:
1- On 9/6/2022 the classroom operated over ratio at the following times: 7:50-8:00am 1 staff:11 toddlers; 10:00am-12:00pm 2 staff:11 toddlers; and 2:00-4:00pm 2 staff:11 toddlers.
2- On 9/7/2022 the classroom operated over ratio from 9:00-10:00am with 2 staff:11 toddlers.
3- On 9/8/2022 the classroom operated over ratio from 9:30-10:00am with 2 staff:12 toddlers.
4- On 9/9/2022 the classroom operated over ratio at the following times:
8:00-9:00am 1 staff:10 toddlers; and 2:00-3:00pm 1 staff:12 toddlers.
Evidence:
1- On 9/6/2022 the classroom operated over ratio at the following times: 7:50-8:00am 1 staff:11 toddlers; 10:00am-12:00pm 2 staff:11 toddlers; and 2:00-4:00pm 2 staff:11 toddlers.
2- On 9/7/2022 the classroom operated over ratio from 9:00-10:00am with 2 staff:11 toddlers.
3- On 9/8/2022 the classroom operated over ratio from 9:30-10:00am with 2 staff:12 toddlers.
4- On 9/9/2022 the classroom operated over ratio at the following times:
8:00-9:00am 1 staff:10 toddlers; and 2:00-3:00pm 1 staff:12 toddlers.
Plan of Correction: Expecting teachers to show up for work when scheduled. [sic]
Standard 8VAC20-780-40-M
Based on staff interviews and a review of administrative records it was determined that the center has not maintained a current list of children?s food allergies and sensitivities.
Evidence:
It was reported to the Inspector that the children?s food allergy/insensitivity list was dated 6/22/2022 and is no longer current and correct.
Evidence:
It was reported to the Inspector that the children?s food allergy/insensitivity list was dated 6/22/2022 and is no longer current and correct.
Plan of Correction: Allergy list updated. [sic]
Standard 8VAC20-780-430-B
Based on observations, it was determined that one classroom was not equipped with an adequate supply of toys and materials readily available for the children to use.
Evidence:
In the Pre-K classroom there was a lack of supplies available to the children. Multiple shelves were empty, leaving limited toys and materials available for the children to use.
Evidence:
In the Pre-K classroom there was a lack of supplies available to the children. Multiple shelves were empty, leaving limited toys and materials available for the children to use.
Plan of Correction: Supplies are getting rotated more was put out, more ordered. [sic]
Standard 8VAC20-780-440-B
Based on observations, it was determined that the children?s cots were not identified for use by a specific child.
Evidence:
The cots in the Toddler classroom were not labeled for each child.
Evidence:
The cots in the Toddler classroom were not labeled for each child.
Plan of Correction: Children's cots are labeled with their names. [sic]
Standard 8VAC20-780-510-N
Based on a review of children?s medication records, it was determined that the center did not keep a record of medication given to one child.
Evidence:
Staff administered eye drops to child B twice on 7/21/2022 and twice on 7/22/2022. There was no documentation to show that this medication administered was recorded.
Evidence:
Staff administered eye drops to child B twice on 7/21/2022 and twice on 7/22/2022. There was no documentation to show that this medication administered was recorded.
Plan of Correction: Documentation was in med binder. [sic]
Standard 8VAC20-780-510-P
Based on a review of children?s medications, it was determined that one medication was neither returned to the parent nor disposed of within 14 days after no longer needed on site.
Evidence:
The last day of care for Child C was 4/9/2022. This child?s over-the-counter medication was still on site as of this inspection date on 9/12/2022.
Evidence:
The last day of care for Child C was 4/9/2022. This child?s over-the-counter medication was still on site as of this inspection date on 9/12/2022.
Plan of Correction: Medication disposed of during visit. [sic]
Standard 8VAC20-780-520-C
Based on observations, it was determined that over-the-counter diaper ointment products were not labeled with each child?s name.
Evidence:
In the Toddler classroom three containers of diaper ointment were not labeled with each child?s name.
Evidence:
In the Toddler classroom three containers of diaper ointment were not labeled with each child?s name.
Plan of Correction: Teachers put the kids names on it immediately. [sic]
Standard 8VAC20-780-60-A-8
Based on a review of children?s records, it was determined that one child with a diagnosed food allergy does not have a written care plan on file.
Evidence:
Child D has a diagnosed food allergy to peanuts and milk documented in the child?s record. There is no food allergy action plan, signed by the physician, on file for this child.
Evidence:
Child D has a diagnosed food allergy to peanuts and milk documented in the child?s record. There is no food allergy action plan, signed by the physician, on file for this child.
Plan of Correction: Printed and asked parent to fill out additional paperwork. [sic]