Inspection · 2024-11-20
Licensing Inspector
Lynn Powers
(804) 840-8260
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 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.
Inspector Notes
An unannounced, on-site renewal inspection was initiated and completed on November 20, 2024. The on-site inspection began at 11:10am and ended at 1:30pm. The inspector reviewed compliance in the areas listed above. There were 47 children present and 10 staff. The inspector reviewed five children?s records and five staff records on-site. Five Board Officers? information were also reviewed. This inspection included document review, tour of the facility, interviews, and observations.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Standard 22.1-289.036-A
Every applicant or agent of an applicant for licensure is required to undergo a background check every five years. The most recent Sworn Statement for Board Officer #2 was overdue by four months.
Plan of Correction: A sworn statement form will be sent to the Board Officer to complete immediately.
Standard 8VAC20-780-140-A
Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of Child #1, who had been enrolled for two months.
Plan of Correction: We will obtain the required information and add it to the child's record.
Standard 8VAC20-780-160-A
Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. The documentation shall have been completed within the last 30 calendar day of the date of employment. The TB screening for Staff #5 was completed two months after first day of employment.
Plan of Correction: Going forward with new hires, we will ensure staff submit the required documents within the required timeframe.
Standard 8VAC20-780-560-G
When food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. Eight lunches that were brought from home were not labeled with the child?s name and dated.
Plan of Correction: We will remind all families that food brought from home need to be identified with the child's name and dated.
Standard 8VAC20-780-60-A-8
A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #1, who has been enrolled for two months, has a diagnosed food allergy and did not have a written care plan in their file.
Plan of Correction: We will obtain the required information and add it to the child's record.