Inspection · 2024-07-19
Licensing Inspector
Miranda Wright
(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.
Yes
Areas Reviewed
22.1 Background Checks Code
63.2 Child Abuse and Neglect
8VAC20-790 Subsidy Regulations
Inspector Notes
An unannounced, on-site Subsidy Health and Safety monitoring inspection was initiated on 07/19/2024, as a part of the licensure period. The on-site inspection began at 11:15 am and ended at 1:30 pm. The inspector reviewed compliance in the areas listed above. There were 39 children present and 8 staff. The inspector reviewed 3 children?s records and 4 staff records on-site. This inspection included document review (i.e. emergency drill logs, authorization forms, child records, staff records), tour of the facility, and observations.
Information gathered during the inspection determined non-compliance with applicable subsidy 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 July 29th. A POC submitted after this date will not appear on the public website.
Standard 8VAC20-790-600-B
Based on staff record review, the center did not ensure that all staff who work directly with children had completed the Virginia Preservice Training within 90 days of employment.
Evidence:
Staff members #1 (DOH 04/12/21), #2 (DOH 12/31/19) and #4 (DOH 6/9/2023) did not have documentation of their Virginia Preservice Training in their file.
Plan of Correction: Moving forward managers requires all paperwork to be on file before an employee's 1st day of employment. In addition, management will be using a training log to keep track of all required training/training updates.
Standard 8VAC20-790-600-D-1
Based on staff record review, the center did not ensure all staff who work directly with children had current CPR certification within 90 days of employment.
Evidence:
Staff #4 (DOH 06/09/2023) did not have documentation of CPR certification in their file.
Plan of Correction: Moving forward managers requires all paperwork to be on file before an employee's first day of employment. In addition management will be using a training log to keep track of all required training/training updates. Staff #4 did attend CPR and First Aid training, however their cards were not provided. NOCPR was contacted for the missing cards on 7/19/24.
Standard 8VAC20-790-600-D-2
Based on staff record review, the center did not ensure all staff who work directly with children had first aid certification within 90 days of employment.
Evidence:
Staff #4 (DOH 06/09/2023) did not have documentation of first aid certification in their file.
Plan of Correction: Moving forward managers requires all paperwork to be on file before an employee's first day of employment. In addition management will be using a training log to keep track of all required training/training updates. Staff #4 did attend CPR and First Aid training, however their cards were not provided. NOCPR was contacted for the missing cards on 7/19/24.
Standard 8VAC20-790-600-F
Based on staff record review, the center did not ensure each staff member who worked directly with children, completed the department's health and safety update course annually.
Evidence:
1. Staff # 1, 2, and 4 did not have documentation of the course in their file.
2. Staff # 3 had last completed the update 09/2022.
Plan of Correction: Moving forward managers requires all paperwork to be on file before an employee's 1st day of employment. In addition, management will be using a training log to keep track of all required training/training updates.