Inspection · 2024-08-14
Date
2024-08-14
Complaint Related
No
Licensing Inspector
Nicole Scott
(804) 588-2372
(804) 588-2372
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 LICENSE PROCESS
8VAC20-820 HEARING PROCEDURES
8VAC20-770 BACKGROUND CHECKS
20 ACCESS TO MINOR?S RECORDS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
63.2 CHILD ABUSE AND NEGLECT
Inspector Notes
An unannounced, on-site monitoring inspection was initiated and completed on 8/14/2024, as part of the licensure period. The on-site inspection began at 9:50am and ended at 1:10pm. The inspector reviewed compliance in the areas listed above. There were 80 children present and 11 staff. The inspector reviewed 5 children?s records, 3 medical records, and 5 staff records on-site. This inspection included document review, tour of the facility, and interviews.
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.
If you have any questions about this inspection, please contact
Nicole Scott, Licensing Inspector
Phone-804.588.2372
Email- nicole.scott@doe.virginia.gov.
Violations
11Standard 8VAC20-780-130-A
Systemic deficiency
Based on record review, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
Evidence:
Child 5, with a documented enrollment date of 4/29/2024 had immunizations on file dated for 5/1/2024.
Based on record review, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
Evidence:
Child 5, with a documented enrollment date of 4/29/2024 had immunizations on file dated for 5/1/2024.
Plan of Correction: The Director will ensure that all children have immunizations on file before starting
Standard 8VAC20-780-140-A
Systemic deficiency
Based on record review, the center failed to obtain a copy of the child physical examination before child?s first day or within 30 days after first day of attendance.
Evidence:
Child 4, with a documented enrollment date of 7/3/2023 had no documentation of a physical on file during the inspection on 8/14/2024.
Based on record review, the center failed to obtain a copy of the child physical examination before child?s first day or within 30 days after first day of attendance.
Evidence:
Child 4, with a documented enrollment date of 7/3/2023 had no documentation of a physical on file during the inspection on 8/14/2024.
Plan of Correction: Child #4 aged out
Standard 8VAC20-780-150-B
Systemic deficiency
Based on record review, the center failed to ensure each report shall include the immunizations received shall be signed by a physician, his designee or an official of a local health department.
Evidence:
Child 4 with a documented enrollment date of 7/3/2023, had immunizations on record. The immunizations had no signature. The child was present during the inspection on 8/14/2024.
Based on record review, the center failed to ensure each report shall include the immunizations received shall be signed by a physician, his designee or an official of a local health department.
Evidence:
Child 4 with a documented enrollment date of 7/3/2023, had immunizations on record. The immunizations had no signature. The child was present during the inspection on 8/14/2024.
Plan of Correction: Child #4 aged out
Standard 8VAC20-780-270-A
Repeat Violation
Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition
Evidence:
1.On the playground 1, the resilient surfacing is separating causing gaps in the surfacing with cause a tripping hazard. Where the sandpit used to be, there was an inch and an half drop around the pole that were used to hold the shade covering in place. Children were observed in this area.
2.On playground 3, there was a large umbrella used for shade. The umbrella was broken and had pieces of the metal rod sticking out on it. This is an impalement hazard for children.
Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition
Evidence:
1.On the playground 1, the resilient surfacing is separating causing gaps in the surfacing with cause a tripping hazard. Where the sandpit used to be, there was an inch and an half drop around the pole that were used to hold the shade covering in place. Children were observed in this area.
2.On playground 3, there was a large umbrella used for shade. The umbrella was broken and had pieces of the metal rod sticking out on it. This is an impalement hazard for children.
Plan of Correction: The playground is having work completed on all of the items. The umbrella has been removed.
Standard 8VAC20-780-280-B
Based on observation, the center failed to ensure hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence:
In the two?s classroom bathroom, there was a bottle of laundry detergent on the top shelf.
Evidence:
In the two?s classroom bathroom, there was a bottle of laundry detergent on the top shelf.
Plan of Correction: Laundry Detergent has been removed 8/14
Standard 8VAC20-780-280-D
Based on observation, the center failed to ensure that cleaning and sanitizing materials shall not be located above food and shall be stored in areas physically separate from food.
Evidence:
In the preschool room, there was a bag of candy on the same shelf as a sanitizing spray. The bag of candy was open. Staff confirmed these candies were used for the children.
Evidence:
In the preschool room, there was a bag of candy on the same shelf as a sanitizing spray. The bag of candy was open. Staff confirmed these candies were used for the children.
Plan of Correction: The sanitizing spray has been removed 8/14
Standard 8VAC20-780-510-G
Based on medication review, the center failed to ensure medication shall be labeled with the child?s name, the name of the medication, the dosage amount, and the time or times to be given.
Evidence:
In the medication box, there was an Auvi-Q that was labeled with the child?s name on a piece of tape.
Evidence:
In the medication box, there was an Auvi-Q that was labeled with the child?s name on a piece of tape.
Plan of Correction: The Director will have parent to bring in the box with the label on it 9/5.
Standard 8VAC20-780-510-L
Based on observation, the center failed to ensure that medication shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence:
The medication box was on a top shelf, in the infant classroom, there was no lock on the medication box.
Evidence:
The medication box was on a top shelf, in the infant classroom, there was no lock on the medication box.
Plan of Correction: A lock has been replaced 8/14.
Standard 8VAC20-780-510-P
Based on medication review, the center failed to ensure when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization.
Evidence:
1.Child 6 had medication on site during the inspection on 8/14/2024. The authorization for the medication expired on 8/2/2024.
2.Child 8 had medication on site during the inspection on 8/14/2024. The authorization for the medication expired on 6/14/2024.
Evidence:
1.Child 6 had medication on site during the inspection on 8/14/2024. The authorization for the medication expired on 8/2/2024.
2.Child 8 had medication on site during the inspection on 8/14/2024. The authorization for the medication expired on 6/14/2024.
Plan of Correction: Parent has picked up the medicine 8/14
Standard 8VAC20-780-60-A
Systemic deficiency
Based on record review, the center failed to ensure that each enrolled child?s record shall contain doctor?s name and phone number and written agreements between the parent and the center.
Evidence:
Child 4, with a documented date of enrollment of 7/3/2023, had no doctors name and phone number, and no written agreements on file during the inspection on 8/14/2024.
Based on record review, the center failed to ensure that each enrolled child?s record shall contain doctor?s name and phone number and written agreements between the parent and the center.
Evidence:
Child 4, with a documented date of enrollment of 7/3/2023, had no doctors name and phone number, and no written agreements on file during the inspection on 8/14/2024.
Plan of Correction: Child #4 aged out
Standard 8VAC20-780-70
Systemic Deficiency
Based on staff record review, the center failed to ensure that each staff member had two or more references checked before employment or volunteering.
Evidence: Staff #4, who was hired on 9/9/2019 had reference checks dated for 9/12/19 and 9/30/2019.
Based on staff record review, the center failed to ensure that each staff member had two or more references checked before employment or volunteering.
Evidence: Staff #4, who was hired on 9/9/2019 had reference checks dated for 9/12/19 and 9/30/2019.
Plan of Correction: HR will ensure that all references are in before the start date.