Inspection · 2023-11-08
Date
2023-11-08
Complaint Related
No
Licensing Inspector
Cassie Anderson-Leichty
(757) 409-4668
(757) 409-4668
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 Hearing Procedures.
8VAC20-770 Background Checks
20 Access to minors records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was started in the center on November 8, 2023 from 3:30 PM until 5:40 PM and concluded on November 8, 2023. At the time of entrance, 15 children were in care with 3 staff members. The sample size consisted of 5 children?s records and 5 staff records. Children were observed preparing for and eating snack, coloring and watching a video.
The playground is not being used a part of the program.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.
Please contact the Licensing Inspector, Christine Mahan (757) 404-0568 with any questions.
Violations
13Standard 22.1-289.035-A
Based on record review and staff interviews, the licensee did not ensure all staff shall undergo a background check every five years to include a sworn statement, criminal records check (CRC) and search of the central registry check.
Evidence: Staff #1?s most recent CRC was dated 9-26-2018.
Evidence: Staff #1?s most recent CRC was dated 9-26-2018.
Plan of Correction: The Center Director has scheduled an appointment to update Staff #1's CRC & has developed a schedule to ensure that staff CRC don't expire
Standard 8VAC20-770-60-C-2
Based on record review and staff interviews, the licensee did not ensure each staff member had obtained by the end of the 30th day of hire the results of the Central Registry (CPS) finding for the state of Virginia.
Evidence: Staff # 4?s, hire date 8-9-2023 and Staff #5?s hire date 9-26-23 did not have documentation of CPS results.
Evidence: Staff # 4?s, hire date 8-9-2023 and Staff #5?s hire date 9-26-23 did not have documentation of CPS results.
Plan of Correction: The center director followed up with CPS to obtain the results of the CPS document for Staff #4 & Staff #5
Standard 8VAC20-780-160-A
Repeat
Based on record review and staff interview the licensee did not ensure documentation of the Tuberculosis screening shall be submitted at the time of employment and prior to coming into contact with children.
Evidence: 1) Staff #1 came in contact with children 8-22-23 (verified by Center Director) and TB screening was dated 10-13-23
2) Staff #5 came in contact with children 9-26-23 (verified by Center Director) and TB screening was dated 9-27-23
Based on record review and staff interview the licensee did not ensure documentation of the Tuberculosis screening shall be submitted at the time of employment and prior to coming into contact with children.
Evidence: 1) Staff #1 came in contact with children 8-22-23 (verified by Center Director) and TB screening was dated 10-13-23
2) Staff #5 came in contact with children 9-26-23 (verified by Center Director) and TB screening was dated 9-27-23
Plan of Correction: Staff #1 date of hire has been udpated
Standard 8VAC20-780-160-C
Based on record review and staff interviews, the licensee did not ensure that each staff member had obtained at least every two years from the date of the initial screening or testing, the results of a follow- up tuberculosis screening.
Evidence: The records for Staff #1 did not include updated TB screening as the most recent screening for was dated 5-25-23.
Evidence: The records for Staff #1 did not include updated TB screening as the most recent screening for was dated 5-25-23.
Plan of Correction: Staff #1 has obtained new TB screening on 11/17/2023
Standard 8VAC20-780-240-C
Repeat
Based on record review and staff interviews, the licensee did not ensure all staff shall complete orientation training in prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
Evidence: Center Director verified the records for Staff #2 (date of hire, DHO 8-22-23), Staff #3, (DHO 8-22-23) Staff #4 (DHO 8-9-23) and Staff #5 (DHO 9-26-23) did not include information indicating orientation training had been completed on all required topics and no later than 7 days after assuming job responsibilities.
Based on record review and staff interviews, the licensee did not ensure all staff shall complete orientation training in prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
Evidence: Center Director verified the records for Staff #2 (date of hire, DHO 8-22-23), Staff #3, (DHO 8-22-23) Staff #4 (DHO 8-9-23) and Staff #5 (DHO 9-26-23) did not include information indicating orientation training had been completed on all required topics and no later than 7 days after assuming job responsibilities.
Plan of Correction: The Center Director made sure that on boarding package is made for new staff members including orientation
Standard 8VAC20-780-245-A
Based on record review and staff interviews, the licensee did not ensure staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.
Evidence: Staff # 1 did not have 16 hours of annual training. Center Director verified Staff #1 was hired in 2018.
Evidence: Staff # 1 did not have 16 hours of annual training. Center Director verified Staff #1 was hired in 2018.
Plan of Correction: Center Director provide Staff #1 with training for 16 hours annual training
Standard 8VAC20-780-260-A
Based on documentation review and staff interviews, the licensee did not ensure to obtain an annual fire inspection report from the appropriate fire official having jurisdiction.
Evidence: The most recent copy of the fire inspection available was dated 11-3-2022.
Evidence: The most recent copy of the fire inspection available was dated 11-3-2022.
Plan of Correction: The Center Director has arranged a fire inspection with Newport News fire marshal for 12/14/2023
Standard 8VAC20-780-280-B
Based on observation and staff interviews, the licensee did not ensure 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.
Evidence: The following hazardous chemicals were observed, and they were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".
1.In room #103, hand sanitizer was on the bathroom counter
2.In the fellowship/snack room on the snack table there 2 containers of hand sanitizer and a container of disinfectant wipes.
Evidence: The following hazardous chemicals were observed, and they were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".
1.In room #103, hand sanitizer was on the bathroom counter
2.In the fellowship/snack room on the snack table there 2 containers of hand sanitizer and a container of disinfectant wipes.
Plan of Correction: The Center Director ensures all hazardous substances are put up & locked away . provide training with staff about hazardous chemicals.
Standard 8VAC20-780-550-K
Based on observation and staff interviews, the licensee did not ensure to prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools etc. This document must be kept in vehicles that centers use to transport children to and from the center.
Evidence:
Staff #1 confirmed there was not a document in the vehicles that transported the before and after school children that had the required emergency procedures.
Evidence:
Staff #1 confirmed there was not a document in the vehicles that transported the before and after school children that had the required emergency procedures.
Plan of Correction: The Center Director made sure that emergency procedures were placed in each van transports students to and from school.
Standard 8VAC20-780-560-F
Based on observation and staff interviews, the licensee did not ensure to follow the recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA) when they choose to provide meals and snacks .
Evidence:
The afternoon snack observed served to 10 children on 11-8-2023 was milk and Oreo cookies. This snack does not meet the USDA guidelines as 2 out of 5 of the food groups are required to be served.
Evidence:
The afternoon snack observed served to 10 children on 11-8-2023 was milk and Oreo cookies. This snack does not meet the USDA guidelines as 2 out of 5 of the food groups are required to be served.
Plan of Correction: The Center Director updated the menu to ensure that it followed the USDA guidelines
Standard 8VAC20-780-580-C
Based on observation and staff interviews, the licensee did not ensure all the required information was in transportation vehicles.
Evidence: Staff #1 confirmed they did not have the following information in the vehicle transporting the children to and from school.
1.Phone numbers for the police, fire and emergency medical services and the number of the regional poison control center
2. A list of the names of the children being transported
Evidence: Staff #1 confirmed they did not have the following information in the vehicle transporting the children to and from school.
1.Phone numbers for the police, fire and emergency medical services and the number of the regional poison control center
2. A list of the names of the children being transported
Plan of Correction: The Center Director placed emergency procedures in each van that transports students back & forth to school
Standard 8VAC20-780-60-A
Based on review of 5 children?s records and staff interviews, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which contained the required information.
Evidence: The record for Child #4 did not include the appropriate legal paperwork on file when the custodial parent requests the center not to release the child to the other parent.
Evidence: The record for Child #4 did not include the appropriate legal paperwork on file when the custodial parent requests the center not to release the child to the other parent.
Plan of Correction: The Center Director contacted the parent to obtain a cop of the custody paper & informed them that it need to be on file. order for the parent to not pick up Child #4.
Standard 8VAC20-780-70
Repeat
Based on record review and staff interviews, the licensee did not ensure that all required items were in a staff record.
Evidence: Center Director verified the following items were missing from the following staff records;
1.Staff #1 and #4 are designated as program leader/ lead teachers there was not documentation they have the obtained all the required training/ certifications required for program leader.
2.Staff #1, #3, #4 and #5 did not have documentation of any health-related problems that my interfere with the job.
3. Staff #3, #4 and #5 did not have documentation of two references conducted prior to hire.
4. Staff #1 date of hire was not documented.
Based on record review and staff interviews, the licensee did not ensure that all required items were in a staff record.
Evidence: Center Director verified the following items were missing from the following staff records;
1.Staff #1 and #4 are designated as program leader/ lead teachers there was not documentation they have the obtained all the required training/ certifications required for program leader.
2.Staff #1, #3, #4 and #5 did not have documentation of any health-related problems that my interfere with the job.
3. Staff #3, #4 and #5 did not have documentation of two references conducted prior to hire.
4. Staff #1 date of hire was not documented.
Plan of Correction: Staff f#1 & Staff #4 completed training & documentation to qualify as program leaders.
The Center Director developed a form to put in employee file if the employee has any health related problems. Staff f#3 & Staff #4's file have been updated & documented to show that references were checked before they were hired.
The Center Director developed a form to put in employee file if the employee has any health related problems. Staff f#3 & Staff #4's file have been updated & documented to show that references were checked before they were hired.