Inspection · 2024-07-18
Date
2024-07-18
Complaint Related
No
Licensing Inspector
Kimberly Weaver
(571) 596-3662
(571) 596-3662
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
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced, on-site renewal inspection occurred on 7/18/2024. The on-site inspection began at 8:59am and ended at 11:16am. The inspector reviewed compliance in the areas listed above. There were 22 children present and 4 staff. The inspector reviewed 5 children?s records, 3 staff records, and 1 agent record on-site. This inspection included document review (i.e. Injury logs, policies and procedures, emergency drill logs, medication administration logs, authorization forms), 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.
If you have any questions, please contact me at Kimberly.Weaver@doe.virginia.gov or 571-596-3662.
Violations
14Standard 22.1-289.036-A
Based on record review, an agent of an applicant for licensure as a child day center failed to submit a background check in accordance with subsection B every five years after initial.
Evidence:
As of 7/18/2024, Agent #1's most recent sworn disclosure statement was dated 5/30/2018.
Evidence:
As of 7/18/2024, Agent #1's most recent sworn disclosure statement was dated 5/30/2018.
Plan of Correction: Director will have agent complete and sign document.
Standard 8VAC20-780-130-E
Based on record review, center staff did not obtain documentation of viewing proof of the child's identity and age.
Evidence:
Child # 5 (dob 7/9/2022) most recent immunization was dated 1/2/2024.
Evidence:
Child # 5 (dob 7/9/2022) most recent immunization was dated 1/2/2024.
Plan of Correction: Director will request updated immunizations.
Standard 8VAC20-780-140-A
Based on record review, each child did not have a physical examination by or under the direction of a physician within 30 days after first day of attendance.
Evidence:
1) Child # 3 (first day 8/24/2021) date of physical 1/24/2022
2) Child # 4 (first day 10/11/2022) date of physical 12/23/2022
Evidence:
1) Child # 3 (first day 8/24/2021) date of physical 1/24/2022
2) Child # 4 (first day 10/11/2022) date of physical 12/23/2022
Plan of Correction: Director will ensure a physical is received within 30 days of first day of attendance.
Standard 8VAC20-780-245-A
Based on record review and interview, staff did not complete a minimum of 16 hours of training appropriate to the age of children in care annually.
Evidence:
The training record for staff #2 had 5 hours of training documented.
Evidence:
The training record for staff #2 had 5 hours of training documented.
Plan of Correction: Director will schedule trainings for staff.
Standard 8VAC20-780-270-A
Based on observation, areas and equipment of the center, outside, were not maintained in a clean, safe and operable condition.
Evidence:
1) storage shed containing yard equipment (ex. lawnmower, hose) was not locked.
2) two benches beside the shed were rusted and had sharp edges.
3) the chain link fence was damaged and bent to expose sharp points which could entangle clothing or snag skin.
Evidence:
1) storage shed containing yard equipment (ex. lawnmower, hose) was not locked.
2) two benches beside the shed were rusted and had sharp edges.
3) the chain link fence was damaged and bent to expose sharp points which could entangle clothing or snag skin.
Plan of Correction: Director will lock the shed. Director will have a plan to repair or block damaged section of the fence. Director will coordinate the removal the rusted benches.
Standard 8VAC20-780-280-B
Based on observation, hazardous substances such as cleaning materials, insecticides, and pesticides were not kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1) paint cans containing toxic materials were found on the ground next to the shed, not kept in a locked place and were accessible to children.
2) household cleaning materials were not kept in a locked place in the classrooms and were accessible to children.
Evidence:
1) paint cans containing toxic materials were found on the ground next to the shed, not kept in a locked place and were accessible to children.
2) household cleaning materials were not kept in a locked place in the classrooms and were accessible to children.
Plan of Correction: Director will coordinate removal of items and/or will store in a locked location.
Standard 8VAC20-780-40-M
Based on record review and interview, the center did not maintain in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8.
Evidence:
Child # 5 has a diagnosed food allergy that was not listed on the allergy chart posted in the classrooms.
Evidence:
Child # 5 has a diagnosed food allergy that was not listed on the allergy chart posted in the classrooms.
Plan of Correction: Director updated the classroom allergy lists during inspection.
Standard 8VAC20-780-420-E-3
Based on record review and interview, staff did not request at least annually parent confirmation that the required information in the child's record is up to date.
Evidence:
As of 7/18/2024, child # 3 (date of child record 8/24/2021) and child # 4 (date of child record 10/11/2022), no annual review was documented.
Evidence:
As of 7/18/2024, child # 3 (date of child record 8/24/2021) and child # 4 (date of child record 10/11/2022), no annual review was documented.
Plan of Correction: Director updated the enrollment form to include annual review dates. Director will review child information sheets with parents annually.
Standard 8VAC20-780-510-L
Based on observation and interview, prescription medication was not kept in a locked place using a safe locking method that prevents access by children.
Evidence:
An EpiPen was found stored in an unlocked filing cabinet, accessible to children.
Evidence:
An EpiPen was found stored in an unlocked filing cabinet, accessible to children.
Plan of Correction: Director locked medication in a metal box during inspection.
Standard 8VAC20-780-540-A
Based on observation and interview, the facility did not have a first aid kit on each floor of the building used by children.
Evidence:
There was no first aid kit on the lower level where the children are present.
Evidence:
There was no first aid kit on the lower level where the children are present.
Plan of Correction: Director will purchase a first aid kit for the lower level.
Standard 8VAC20-780-560-G
Based on observation, food brought from did not have all of the required information.
Evidence:
1) 6:6 infant bottles were not dated.
2) In rooms 3 and 4, lunch bags were not clearly dated and labeled in a way that identifies the owner.
Evidence:
1) 6:6 infant bottles were not dated.
2) In rooms 3 and 4, lunch bags were not clearly dated and labeled in a way that identifies the owner.
Plan of Correction: Director will develop a plan regarding dating food brought from home at drop off.
Standard 8VAC20-780-60-C
Based on record review, the center did not have documentation of viewing proof of the child's identity and age.
Evidence:
The center had a copy of the birth certificate but did not have documentation of viewing the original for children 1, 3, and 4.
Evidence:
The center had a copy of the birth certificate but did not have documentation of viewing the original for children 1, 3, and 4.
Plan of Correction: Director updated the enrollment agreement to add a section for the person viewing proof of identity to sign and date.
Standard 8VAC20-780-70
Based on record review, documentation that two or more references as to character and reputation as well as competency did not contain all required information.
Evidence:
Staff #'s 1, 2, and 3 had references that did not document the date of contact.
Evidence:
Staff #'s 1, 2, and 3 had references that did not document the date of contact.
Plan of Correction: Director will update the form to record date of references obtained by phone.
Standard 8VAC20-780-90-A
Based on record review and interview, a written agreement between the parent and the center stating that the parent will arrange to have the child picked up as soon as possible if so requested by the center was not signed by parents.
Evidence:
There was no signed acknowledgement by parents that they will arrange to have their child picked up as soon as possible if so requested by the center for children 1 - 5.
Evidence:
There was no signed acknowledgement by parents that they will arrange to have their child picked up as soon as possible if so requested by the center for children 1 - 5.
Plan of Correction: Director updated the enrollment agreement to include a section for ill child pick-up.