Inspection · 2022-06-16
Date
2022-06-16
Complaint Related
No
Licensing Inspector
Heather Harrell
(757) 334-4329
(757) 334-4329
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 (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
A monitoring inspection was conducted on 6/16/22 from 11:00am until 1:10pm. At the time of the inspection, there were 25 children in care with 6 staff present. A sample of 5 children's records and 4 staff records were reviewed. Children were observed participating in learning activities, engaging in free play, eating lunch and resting quietly during nap time. Lunch service, diapering procedures and restroom and handwashing procedures were also observed. First aid and emergency supplies, the emergency preparedness plan, documentation of emergency practice drills and required center postings were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law. Violations are listed on the violation notice issued to the center and were discussed with the center director during the exit interview.
Violations
8Standard 8VAC20-780-140-A
Based on record review and interview, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance.
Evidence:
1. The record for child 1 (date of enrollment: 3/17/22) does not contain documentation of a physical examination.
2. The center director confirmed that the record for child 1 is lacking documentation of a physical examination.
Evidence:
1. The record for child 1 (date of enrollment: 3/17/22) does not contain documentation of a physical examination.
2. The center director confirmed that the record for child 1 is lacking documentation of a physical examination.
Plan of Correction: The center responded with the following: The parent of child 1 will be contacted to obtain a copy of the child's physical.
Standard 8VAC20-780-160-A
Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening and that documentation shall have been completed within the last 30 calendar days of the date of employment.
Evidence:
1. The record for staff 3 (date of hire: 2/14/22) contains documentation of a negative tuberculosis screening dated 9/20/21, which is more than 30 days prior to the date of employment.
2. The assistant director confirmed that the TB screening for staff 3 was not completed with in the required timeframe of no more than 30 days before the date of employment.
Evidence:
1. The record for staff 3 (date of hire: 2/14/22) contains documentation of a negative tuberculosis screening dated 9/20/21, which is more than 30 days prior to the date of employment.
2. The assistant director confirmed that the TB screening for staff 3 was not completed with in the required timeframe of no more than 30 days before the date of employment.
Plan of Correction: The center responded with the following: Staff 3 will obtain an updated TB screening. Going forward, center management will ensure all new staff obtain TB screenings within the required timeframe.
Standard 8VAC20-780-240-A
Based on record review and interview, the center did not ensure that new staff complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.
Evidence:
1. The records for staff 2 (date of hire: 2/21/22) and staff 3 (date of hire: 2/14/22) do not contain documentation that the Virginia Department of Education-sponsored orientation course has been completed within 90 calendar days of employment.
2. The assistant director confirmed that staff 2 and staff 3 have not completed the Department of Education-sponsored orientation course.
Evidence:
1. The records for staff 2 (date of hire: 2/21/22) and staff 3 (date of hire: 2/14/22) do not contain documentation that the Virginia Department of Education-sponsored orientation course has been completed within 90 calendar days of employment.
2. The assistant director confirmed that staff 2 and staff 3 have not completed the Department of Education-sponsored orientation course.
Plan of Correction: The center responded with the following: Staff 2 and staff 3 will complete the 10 hour orientation training by the end of the month.
Standard 8VAC20-780-270-A
Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.
Evidence:
1. The wooden lattice fencing covering the electrical box on the playground is broken and has protruding nails and staples and is accessible to the children in care.
2. The assistant director confirmed that the items listed above are not currently in a safe and operable condition.
Evidence:
1. The wooden lattice fencing covering the electrical box on the playground is broken and has protruding nails and staples and is accessible to the children in care.
2. The assistant director confirmed that the items listed above are not currently in a safe and operable condition.
Plan of Correction: The center responded with the following: Maintenance will be contacted to repair the lattice fencing. Until repairs can be completed, staff will ensure children do not play near the fencing.
Standard 8VAC20-780-340-F
Based on observation and interview, the center did not ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.
Evidence:
1. The licensing inspector observed 4 infants, ages 10 months to 15 months, and 1 school-aged child alone and without staff supervision in the infant classroom from 11:00am until 11:06am.
a. Child 2 (age 11 years) stated that staff 1 was in the restroom.
2. Staff 1 returned to the infant classroom and confirmed that she left the children alone without staff supervision and stated she did so because she had to use the restroom.
Evidence:
1. The licensing inspector observed 4 infants, ages 10 months to 15 months, and 1 school-aged child alone and without staff supervision in the infant classroom from 11:00am until 11:06am.
a. Child 2 (age 11 years) stated that staff 1 was in the restroom.
2. Staff 1 returned to the infant classroom and confirmed that she left the children alone without staff supervision and stated she did so because she had to use the restroom.
Plan of Correction: The center responded with the following: Staff will be retrained on ensuring appropriate sight and sound supervision of children at all times.
Standard 8VAC20-780-350-C
Based on observation and interview, the center did not ensure that when children are in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group.
Evidence:
1. There were 4 infants, ages 10 months to 15 months, and 1 school-age child (age 11 years) in the infant room with 1 staff present. The number and ages of the children require two staff to be present.
2. The assistant director confirmed that the number and ages of children in the infant room required two staff to be present.
Evidence:
1. There were 4 infants, ages 10 months to 15 months, and 1 school-age child (age 11 years) in the infant room with 1 staff present. The number and ages of the children require two staff to be present.
2. The assistant director confirmed that the number and ages of children in the infant room required two staff to be present.
Plan of Correction: The center responded with the following: Center management will ensure that all classrooms remain in appropriate ratios at all times.
Standard 8VAC20-780-60-A
Based on record review and interview, the center did not ensure that children's records contain all the required information.
Evidence:
1. The record for child 1 (date of enrollment: 3/17/22) does not contain the addresses for the two designated people to call in an emergency if a parent cannot be reached.
2. The assistant director confirmed that the record for child 1 is lacking the addressed for the two emergency contacts.
Evidence:
1. The record for child 1 (date of enrollment: 3/17/22) does not contain the addresses for the two designated people to call in an emergency if a parent cannot be reached.
2. The assistant director confirmed that the record for child 1 is lacking the addressed for the two emergency contacts.
Plan of Correction: The center responded with the following: The parent of child 1 will be contacted today to obtain the addresses for the emergency contacts.
Standard 8VAC20-780-70
Based on record review and interview, the center did not ensure that staff records contain all the required information.
Evidence:
1. Staff 2's (date of hire: 2/21/22) job title is documented in the record as program leader. The record for staff 2 does not contain documentation to demonstrate that she possesses the education and experience required for the job position of program leader.
2. The assistant director confirmed that the record for staff 2 is lacking the required documentation of education and experience for the position of program leader.
Evidence:
1. Staff 2's (date of hire: 2/21/22) job title is documented in the record as program leader. The record for staff 2 does not contain documentation to demonstrate that she possesses the education and experience required for the job position of program leader.
2. The assistant director confirmed that the record for staff 2 is lacking the required documentation of education and experience for the position of program leader.
Plan of Correction: The center responded with the following: The documentation of education and experience for staff 2 will be obtained and placed in the staff record.