Inspection · 2022-02-01
Date
2022-02-01
Complaint Related
Yes
Licensing Inspector
Laura Lunceford
(571) 835-5058
(571) 835-5058
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 (22VAC40-191)
22.1 Early Childhood Care and Education
Inspector Notes
An unannounced monitoring/complaint inspection was conducted today between 9:45am-12:30pm. There were 58 children present with 13 staff members. Based on observation and staff interviews, the preponderance of evidence does not support the allegation of non compliance of ratios. Children were observed during centers, sensory activities, painting, story time, and engaged in group activities. A selection of staff and children records, medications and other documents were reviewed. The physical space, emergency supplies, evacuation drills, attendance records, and the Emergency Preparedness Plan were reviewed. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Karen.dickens@doe.virginia.gov.
Violations
12Standard 22.1-289.035-B-4
Based on record review, an out of state sex offender registry was not completed for staff that has resided out of the state of Virginia within the last five years.
Evidence:
1. Staff #2's record (Date of hire-10/18/21) contains a sworn statement that confirms that Staff #2 has lived in the state of Maryland in the last five years. There was no documentation of a Maryland Sex Offender Registry Search in the record.
Evidence:
1. Staff #2's record (Date of hire-10/18/21) contains a sworn statement that confirms that Staff #2 has lived in the state of Maryland in the last five years. There was no documentation of a Maryland Sex Offender Registry Search in the record.
Plan of Correction: A Maryland Sex Offender Registry search will be conducted and the record will be documented.
Standard 8VAC20-780-160-A-2
Based on record review, documentation of tuberculosis (TB) screening was not completed within the last 30 calendar days of the date of employment.
Evidence:
1. Staff #2's record (Date of hire-10/18/21) contained documentation of a TB screening that was not completed within the last 30 calendar days of the date of employment. The TB screening was dated 08/30/21.
Evidence:
1. Staff #2's record (Date of hire-10/18/21) contained documentation of a TB screening that was not completed within the last 30 calendar days of the date of employment. The TB screening was dated 08/30/21.
Plan of Correction: TB tests will be submitted at the time of employment or have been completed within the last 30 calendar days of the date of employment.
Standard 8VAC20-780-160-C
Based on record review, staff did not resubmit TB test results every two years.
Evidence:
1. Staff #4's record (Date of hire-06/02/2016) did not contain documentation of subsequent TB test results. The last TB test in the record was dated 08/23/2018).
Evidence:
1. Staff #4's record (Date of hire-06/02/2016) did not contain documentation of subsequent TB test results. The last TB test in the record was dated 08/23/2018).
Plan of Correction: A TB test will be completed and the record will be documented.
Standard 8VAC20-780-240-E
Based on record review, staff did not complete orientation training in first aid and cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care within 30 days of the first day of employment.
Evidence:
1. Staff #5's record (Date of hire-11/15/21) did not contain documentation of complete orientation training if first aid and CPR.
Evidence:
1. Staff #5's record (Date of hire-11/15/21) did not contain documentation of complete orientation training if first aid and CPR.
Plan of Correction: The staff will receive orientation in first aid and cpr.
Standard 8VAC20-780-280-B
Based on observation, hazardous substances were not kept in a place using a safe locking method that prevents access by children.
Evidence:
1. In the Toddler classroom, hand sanitizer was located on a shelf and not kept in a locked location.
2. In the three's classroom, hand sanitizer was not kept in a locked location.
Evidence:
1. In the Toddler classroom, hand sanitizer was located on a shelf and not kept in a locked location.
2. In the three's classroom, hand sanitizer was not kept in a locked location.
Plan of Correction: The hand sanitizer was locked up in each classroom during the time of the inspection.
Standard 8VAC20-780-290-A-3
Based on observation, electrical outlets did not have protective covers.
Evidence:
1. Two electrical outlets did not have protective covers in the three's classroom.
2. One electrical outlet did not have a protective cover in the Pre-K classroom.
Evidence:
1. Two electrical outlets did not have protective covers in the three's classroom.
2. One electrical outlet did not have a protective cover in the Pre-K classroom.
Plan of Correction: Electrical outlets will have protective covers.
Standard 8VAC20-780-350-F
Based on record review and interview, the center did not develop and implement a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff or team of staff members.
Evidence:
1. The center did not develop written policies and procedures that describe how the center will ensure that each group of children receives care by consistent staff.
2. Staff #6 confirmed that a written policy and procedure to ensure children receive consistent care had not been developed at the time of the inspection.
Evidence:
1. The center did not develop written policies and procedures that describe how the center will ensure that each group of children receives care by consistent staff.
2. Staff #6 confirmed that a written policy and procedure to ensure children receive consistent care had not been developed at the time of the inspection.
Plan of Correction: The center will develop and implement a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff.
Standard 8VAC20-780-380-A
Based on observation, a daily schedule that allows for flexibility as children's needs require was not posted.
Evidence:
1. There was not a posted schedule posted in the Toddlers, Twos, Three's and Preschool classrooms.
Evidence:
1. There was not a posted schedule posted in the Toddlers, Twos, Three's and Preschool classrooms.
Plan of Correction: Daily schedules will be posted in each classroom.
Standard 8VAC20-780-40-K
Based on record review and interview, the center did not develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.
Evidence:
1. The center did not develop written procedures for prevention of shaken baby syndrome or abusive head trauma.
2. Staff #6 confirmed that written procedures for prevention of shaken baby or abusive head trauma had not been developed at the time of the inspection.
Evidence:
1. The center did not develop written procedures for prevention of shaken baby syndrome or abusive head trauma.
2. Staff #6 confirmed that written procedures for prevention of shaken baby or abusive head trauma had not been developed at the time of the inspection.
Plan of Correction: The center will develop a written plan for procedures for prevention of shaken baby syndrome or abusive head trauma.
Standard 8VAC20-780-550-G
Based on record review, documentation was not maintained for emergency evacuation, shelter in place, and lockdown drills.
Evidence:
1. The method used for the notification of drill and weather conditions were not documented for emergency evacuation drills for the months of November, December, and January.
Evidence:
1. The method used for the notification of drill and weather conditions were not documented for emergency evacuation drills for the months of November, December, and January.
Plan of Correction: Documentation for these drills will be added to the emergency evacuation record.
Standard 8VAC20-780-570-E
Based on observation, prepared infant formula was not dated.
Evidence:
1. Three bottles for Child #5 were not dated with today's date in the refrigerator.
2. Two bottles for Child #6 were not dated with today's date in the refrigerator.
Evidence:
1. Three bottles for Child #5 were not dated with today's date in the refrigerator.
2. Two bottles for Child #6 were not dated with today's date in the refrigerator.
Plan of Correction: The bottles will be dated with the current date.
Standard 8VAC20-780-60-A
Based on record review, children's records did not contain required information.
Evidence:
1. Child #4's record (Date of enrollment-12/13/21) did not contain an address for a second emergency contact.
2.Child #1's record (Date of enrollment-01/03/22) did not have documentation of proof of the child's identity and age.
Evidence:
1. Child #4's record (Date of enrollment-12/13/21) did not contain an address for a second emergency contact.
2.Child #1's record (Date of enrollment-01/03/22) did not have documentation of proof of the child's identity and age.
Plan of Correction: The center will get this information from the parents and update the records.