Inspection · 2022-02-23
Date
2022-02-23
Complaint Related
No
Licensing Inspector
Rene Old
(757) 404-1784
(757) 404-1784
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 (22VAC40-191)
Inspector Notes
An unannounced monitoring inspection was conducted on 02/23/2022 from 4:00 pm - 5:45 pm. At the time of entrance there were 63 school age children in care with 6 staff. Children were observed during outdoor play and engaged in table games, homework and large motor games in the cafeteria. Records were reviewed for 4 children in care. Records for 6 staff were reviewed from 12:00pm - 1:30 pm at the YMCA Greenbrier North School Based Child Care Office.
Based on the information gathered violations were found in the areas of staff background checks, children's records, medication and the terms of the current license.
These violations were reviewed with the program director at the conclusion of the inspection and are listed on the violation notice.
Violations
8Standard 8VAC20-770-60-C-2
Based on record review and interview, the center failed to ensure that staff have a central registry finding within 30 days of employment or volunteer service.
Evidence:
1. There is no central registry finding for staff 1 who has a hire date of 09/09/2019.
2. The program director confirmed that a central registry check is not on file for staff 1.
Evidence:
1. There is no central registry finding for staff 1 who has a hire date of 09/09/2019.
2. The program director confirmed that a central registry check is not on file for staff 1.
Plan of Correction: It was noted the a central registry check was not on file for this staff when the file was audited. A CPS check was submitted on 02/11/2022.
The results will be forwared to LI when received.
The results will be forwared to LI when received.
Standard 8VAC20-780-130-A
Based on record review and interview, 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:
1. Documentation of immunizations were not on file for child 1 who began care on 09/07/2021.
2. Administrative staff verified that immunization information had not been obtained.
Evidence:
1. Documentation of immunizations were not on file for child 1 who began care on 09/07/2021.
2. Administrative staff verified that immunization information had not been obtained.
Plan of Correction: The parent of child 1 will be asked to provided documentation of current immunizations.
Standard 8VAC20-780-140-A
Based on record review and interview, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before attendance or within one month after attendance.
Evidence:
1. Child 1, enrollment date 09/07/2021, lacks documentation of a physical exam.
2. Child 3, enrollment date 09/07/2021, lacks documentation of a physical exam.
2. Administrative staff confirmed that a physical exam had not been obtained for child 1 and child
Evidence:
1. Child 1, enrollment date 09/07/2021, lacks documentation of a physical exam.
2. Child 3, enrollment date 09/07/2021, lacks documentation of a physical exam.
2. Administrative staff confirmed that a physical exam had not been obtained for child 1 and child
Plan of Correction: The parent's of child 1 and child 3 will be asked to provide documentation of a current physical.
Standard 8VAC20-780-245-A
Based on record review and interview, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.
Evidence:
1. Staff 2, hire date 05/31/2018, obtained 11.25 of the 16 hours required for annual training in 2021.
a. The program director confirmed that staff 1 had not completed all 16 hours of training for 2021.
Evidence:
1. Staff 2, hire date 05/31/2018, obtained 11.25 of the 16 hours required for annual training in 2021.
a. The program director confirmed that staff 1 had not completed all 16 hours of training for 2021.
Plan of Correction: Staff 2 will complete 16 hours of annual training for 2022.
Standard 8VAC20-780-510-G
Based on medication review, the center failed to ensure that medication shall be labeled with the child's name.
Evidence:
1. One prescription, for child 4, lacked any name label.
Evidence:
1. One prescription, for child 4, lacked any name label.
Plan of Correction: This medication will be labeled with the name of child 4.
Standard 8VAC20-780-510-I
Based on medication review, the center failed to ensure that prescription medication was maintained in the original, labeled container with the prescription label attached with the prescriber's instructions pertaining to dosage, frequency, and manner of administration.
Evidence:
1. One prescription medication, for child 4, was not stored in the current container with the current prescription label attached.
2. The program director stated the medication had arrived outside of the original container without the prescription label.
Evidence:
1. One prescription medication, for child 4, was not stored in the current container with the current prescription label attached.
2. The program director stated the medication had arrived outside of the original container without the prescription label.
Plan of Correction: The parent of child 4 will be asked to provide the original container with the prescription label attached.
Standard 8VAC20-780-60-A
Based on record review and interview, the center failed to ensure that children's records contained all of the required elements.
Evidence:
1. There was no enrollment record on file for child 1 who was in care during the inspection.
a. Child 1 began care on 09/07/2021 and administrative staff confirmed that an enrollment record was not available.
2. The enrollment record for child 2 lacked the following required information:
a. Name, home address and home phone number of one parent;
b. Place of employment for one parent.
c. Work phone number for both parent's.
3. There was no enrollment record on file for child 3 who was in care during the inspection.
a. Child 3 began care on 09/07/2021 and administrative staff confirmed that an enrollment record was not available.
Evidence:
1. There was no enrollment record on file for child 1 who was in care during the inspection.
a. Child 1 began care on 09/07/2021 and administrative staff confirmed that an enrollment record was not available.
2. The enrollment record for child 2 lacked the following required information:
a. Name, home address and home phone number of one parent;
b. Place of employment for one parent.
c. Work phone number for both parent's.
3. There was no enrollment record on file for child 3 who was in care during the inspection.
a. Child 3 began care on 09/07/2021 and administrative staff confirmed that an enrollment record was not available.
Plan of Correction: The program director stated that each parent would be asked to provide all missing information to include complete enrollment forms.
Standard 8VAC20-820-120-E-2
Based on observation, the center failed to ensure that the findings of the most recent inspection of the facility were posted on the premises.
Evidence:
1. The findings from the most recent inspection, conducted on 01/26/2021, were not posted.
a. The findings from the 09/01/2020 were posted.
Evidence:
1. The findings from the most recent inspection, conducted on 01/26/2021, were not posted.
a. The findings from the 09/01/2020 were posted.
Plan of Correction: The current inspection reports will be posted.