Inspection · 2024-05-28
Date
2024-05-28
Complaint Related
No
Licensing Inspector
D'Nae Goodwin
(757) 404-3063
(757) 404-3063
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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced monitoring inspection was initiated on 5/28/24 from 2:00pm to 4:50pm and continued 5/29/24 from 11:10am to 1:10pm. On 5/28/24 there were 31 children in care and seven staff members. Children were observed participating in activities such nap, transition, snack, and free play. Records were reviewed for four children and three staff members. Transportation, evacuation drills, emergency supplies and other required records and postings were also reviewed. The information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice and discussed during the exit meeting.
Violations
13Standard 8VAC20-770-60-B
Based on record review and interview the center did not ensure that all staff have a sworn statement or affirmation completed prior to the 1st day of employment.
Evidence:
1.The record for Staff #1 (hire date 5/13/24) did not contain a sworn statement or affirmation.
a. Staff #1 was present during the inspection.
2.The program director confirmed that there was no sworn statement or affirmation in Staff #1?s record.
Evidence:
1.The record for Staff #1 (hire date 5/13/24) did not contain a sworn statement or affirmation.
a. Staff #1 was present during the inspection.
2.The program director confirmed that there was no sworn statement or affirmation in Staff #1?s record.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Repeat Violation
Based on record review the center did not ensure that each staff member submit documentation of a negative tuberculosis (TB) screening prior to hire.
Evidence:
1. The documented TB screening for Staff #1 (hire date 5/13/24) was dated for 5/17/24, which is after the staff member was hired.
Based on record review the center did not ensure that each staff member submit documentation of a negative tuberculosis (TB) screening prior to hire.
Evidence:
1. The documented TB screening for Staff #1 (hire date 5/13/24) was dated for 5/17/24, which is after the staff member was hired.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-270-A
Based on observation the center did not ensure that areas and equipment of the center are maintained in a safe condition.
Evidence:
1.There were two empty plastic bags stored in children?s chairs and rubber gloves stored on a shelf in the orange classroom, posing as suffocation hazards.
2. There were cords hanging from the television and by a table located at the main entrance of the multi-purpose room. In addition, cords were hanging by a television cart in the green classroom.
a. Children were observed napping, eating snack, and participating in play in the multi-purpose room during the inspection.
Evidence:
1.There were two empty plastic bags stored in children?s chairs and rubber gloves stored on a shelf in the orange classroom, posing as suffocation hazards.
2. There were cords hanging from the television and by a table located at the main entrance of the multi-purpose room. In addition, cords were hanging by a television cart in the green classroom.
a. Children were observed napping, eating snack, and participating in play in the multi-purpose room during the inspection.
Plan of Correction: Bags and wires have been removed. Wires to security system have been covered.
Standard 8VAC20-780-280-B
Repeat Violation
Based on observation and interview the center did not ensure that hazardous substances such as cleaning materials are kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1. There were hazardous substances with ?Keep Out of Reach of Children? on the manufacturers label. These substances were unlocked and accessible to children.
a. In the blue classroom, there were cleaning materials such as disinfectant spray, four hand sanitizers, and carpet cleaner in an unlocked cabinet.
b. In the red classroom, there were cleaning materials such as air freshener and bathroom cleaner in an unlocked bathroom cabinet.
c. Classroom staff confirmed that the air freshener and bathroom cleaner were not kept in a locked place.
d. In the kitchen, there was an unlocked cabinet containing bleach, powder cleanser, and a table sanitizer. The kitchen was unlocked, giving children access to the kitchen area and unlocked cabinet.
e. There was a full propane tank located outside by the play yard entrance/exit.
Based on observation and interview the center did not ensure that hazardous substances such as cleaning materials are kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1. There were hazardous substances with ?Keep Out of Reach of Children? on the manufacturers label. These substances were unlocked and accessible to children.
a. In the blue classroom, there were cleaning materials such as disinfectant spray, four hand sanitizers, and carpet cleaner in an unlocked cabinet.
b. In the red classroom, there were cleaning materials such as air freshener and bathroom cleaner in an unlocked bathroom cabinet.
c. Classroom staff confirmed that the air freshener and bathroom cleaner were not kept in a locked place.
d. In the kitchen, there was an unlocked cabinet containing bleach, powder cleanser, and a table sanitizer. The kitchen was unlocked, giving children access to the kitchen area and unlocked cabinet.
e. There was a full propane tank located outside by the play yard entrance/exit.
Plan of Correction: Teachers have been trained on proper storage of these substances. In the blue room, the cabinet has been repaired.
Standard 8VAC20-780-290-A-3
Based on observation and the center did not ensure that all electrical outlets have protective covers.
Evidence:
1.There was an electrical outlet cover missing in the multi-purpose room, in the blue classroom, and in a hallway restroom.
a. children were seen in the multipurpose room and in the hallway bathroom during the time of the inspection.
Evidence:
1.There was an electrical outlet cover missing in the multi-purpose room, in the blue classroom, and in a hallway restroom.
a. children were seen in the multipurpose room and in the hallway bathroom during the time of the inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-320-B
Based on observation the center did not ensure that running water at the center does not exceed 120?F.
Evidence:
1.The water in a hallway bathroom used by children in care had a temperature reading of 131?F.
Evidence:
1.The water in a hallway bathroom used by children in care had a temperature reading of 131?F.
Plan of Correction: Temperature was turned down.
Standard 8VAC20-780-340-F
Based on observation and interview the center did not ensure that children under 10 years of age are always within actual sight and sound supervision of staff.
Evidence:
1.During nap time, staff left the room, where seven preschool children were napping. The children were out of sight and sound supervision of the staff.
a. Classroom staff confirmed that they were not in the room and had stepped out for a moment.
Evidence:
1.During nap time, staff left the room, where seven preschool children were napping. The children were out of sight and sound supervision of the staff.
a. Classroom staff confirmed that they were not in the room and had stepped out for a moment.
Plan of Correction: Reminded staff member of responsibilities.
Standard 8VAC20-780-550-B
Based on record review the center did not ensure to have a written emergency preparedness plan that addresses all procedural components.
Evidence:
1.The center?s emergency preparedness plan for did not include procedures for sounding of alarms or emergency communication.
2.The center?s emergency preparedness plan for evacuations did not include procedures for securing of essential documents, methods to ensure any health care needs, or accommodations/special requirements for children with special needs.
3.The center?s emergency preparedness plan did not include any emergency procedures in case of a shelter-in-place or lockdown.
Evidence:
1.The center?s emergency preparedness plan for did not include procedures for sounding of alarms or emergency communication.
2.The center?s emergency preparedness plan for evacuations did not include procedures for securing of essential documents, methods to ensure any health care needs, or accommodations/special requirements for children with special needs.
3.The center?s emergency preparedness plan did not include any emergency procedures in case of a shelter-in-place or lockdown.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-G
Based on record review the center did not ensure that documentation of emergency evacuation drills include all necessary information.
Evidence:
1.The documentation for 2024 monthly emergency evacuation drills did not include the following components: identity of the person conducting the drill, the method used for notification of the drill, the number of staff participating, the number of children participating, any special conditions simulated, and problems encountered, if any.
Evidence:
1.The documentation for 2024 monthly emergency evacuation drills did not include the following components: identity of the person conducting the drill, the method used for notification of the drill, the number of staff participating, the number of children participating, any special conditions simulated, and problems encountered, if any.
Plan of Correction: Forms that we have been using did not request the listed information. New forms has been made.
Standard 8VAC20-780-560-F
Based on record review and interview the center did not ensure to follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA).
Evidence:
1. On the day of the inspection, 5/28/24, the menu displayed that the children were only served four of five of the nutritional requirements. A grain component was missing from the day?s lunch.
2.The program director confirmed that the required grain component was missing from the lunch served for the day.
Evidence:
1. On the day of the inspection, 5/28/24, the menu displayed that the children were only served four of five of the nutritional requirements. A grain component was missing from the day?s lunch.
2.The program director confirmed that the required grain component was missing from the lunch served for the day.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-580-C
Based on observation and interview the center did not ensure that during transportation of children, all transportation requirements are followed.
Evidence:
1.19 school age children were observed arriving for after school services at the center.
a. 16 of the 19 arriving school age children were transported on a 13-seat passenger van, according to Staff #2.
2. Staff #2 (bus driver) confirmed that they transported all 16 school age children on the 13 passenger van, with some children sitting two to a seat belt.
3.There was no list of names of the children being transported to the center on the afternoon of the inspection.
4.Staff #2 confirmed that there was not a list of names to show what children were being transported on the van that afternoon.
Evidence:
1.19 school age children were observed arriving for after school services at the center.
a. 16 of the 19 arriving school age children were transported on a 13-seat passenger van, according to Staff #2.
2. Staff #2 (bus driver) confirmed that they transported all 16 school age children on the 13 passenger van, with some children sitting two to a seat belt.
3.There was no list of names of the children being transported to the center on the afternoon of the inspection.
4.Staff #2 confirmed that there was not a list of names to show what children were being transported on the van that afternoon.
Plan of Correction: On most days, 8-10 children ride the bus. Now, on days when the family of five comes, we will make two trips. She [bus driver] has been instructed to list morning and afternoon for each passenger on the bus.
Standard 8VAC20-780-580-L
Based on record review and interview the center did not ensure that parental permission for transportation is secured before the scheduled activity.
Evidence:
1.Child #4 did not have documentation of parental permission to transport the child to and from the center and public school.
a. Child #4 was transported to the center and arrived during the inspection.
2.The program director confirmed that there is no form to show that parental permission is secured to transport children to and from public school.
Evidence:
1.Child #4 did not have documentation of parental permission to transport the child to and from the center and public school.
a. Child #4 was transported to the center and arrived during the inspection.
2.The program director confirmed that there is no form to show that parental permission is secured to transport children to and from public school.
Plan of Correction: A specific sentence asking for permission to transport children to and from school has been added to application.
Standard 8VAC20-780-60-A
Based on record review the center did not ensure that children?s records contain all the required information.
Evidence:
1.The record for Child #1 did not contain a work phone number for one parent.
2.The record for Child #2 was missing the name and phone number of one parent?s place of employment.
3.The record for Child #3 was missing the name, address, and phone number for one parent, the name of one parent?s place of employment, and the work phone numbers for both parents.
4.The record for Child #4 did not contain the name and address for one parent, the name and phone number for one parent?s place of employment, or an emergency contact?s home address.
Evidence:
1.The record for Child #1 did not contain a work phone number for one parent.
2.The record for Child #2 was missing the name and phone number of one parent?s place of employment.
3.The record for Child #3 was missing the name, address, and phone number for one parent, the name of one parent?s place of employment, and the work phone numbers for both parents.
4.The record for Child #4 did not contain the name and address for one parent, the name and phone number for one parent?s place of employment, or an emergency contact?s home address.
Plan of Correction: Not available online. Contact Inspector for more information.