Inspection · 2022-06-28
Date
2022-06-28
Complaint Related
No
Licensing Inspector
Shahana Green
(571) 423-6735
(571) 423-6735
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
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced Renewal Inspection took place on 6/28/2022 and a full staff file audit took place on 6/30/2022. On 6/28/2022 there were 9 staff with 54 children within the supervision guidelines. The children were observed playing with dolls, engaged in science activities, taking naps and other organized activities. A complete inspection of the physical plant, children and staff records, evacuation drill log, medication and emergency procedures were observed during this inspection. Violations were found during today?s inspection and can be viewed on the Violation Notice.
If you have any questions, please e-mail me at shahana.green@doe.virginia.gov. Thank you for your cooperation during the inspection.
Violations
13Standard 8VAC20-770-60-C-2
Based on a review of staff records, all staff did not have a central registry finding on file within 30 days of employment.
1. Staff #11did not have a central registry finding on file during the inspection.
2. Staff #12 did not have a central registry finding on file during the inspection.
3. Staff #13 did not have a central registry finding on file during the inspection.
1. Staff #11did not have a central registry finding on file during the inspection.
2. Staff #12 did not have a central registry finding on file during the inspection.
3. Staff #13 did not have a central registry finding on file during the inspection.
Plan of Correction: I mailed them out on 6/1/2022.
Standard 8VAC20-780-130-A
Based on a review of children's records, 1 out of 5 children's records did not contain documentation that the child has received the immunizations required by the State Board of Health before the child can attend the center.
Evidence:
1. Child #5 did not have documentation of immunizations on-site during the inspection.
Evidence:
1. Child #5 did not have documentation of immunizations on-site during the inspection.
Plan of Correction: I will ask the parents for this.
Standard 8VAC20-780-140-A
Based on a review of children's records, 1 out of 5 children did not have a physical examination within 30 days of enrollment.
Evidence:
1. Child #5 did not have a physical examination on file during the inspection.
Evidence:
1. Child #5 did not have a physical examination on file during the inspection.
Plan of Correction: I will ask the parents for the form.
Standard 8VAC20-780-240-A
Based on a review of staff records, all staff did not complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.
Evidence:
1. Staff #11, Staff #12, and Staff #13 did not have documentation of completing the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment on file during the inspection.
Evidence:
1. Staff #11, Staff #12, and Staff #13 did not have documentation of completing the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment on file during the inspection.
Plan of Correction: I will assign and have them take this training.
Standard 8VAC20-780-245-A
Based on a review of staff records and staff interview, 13 out of 13 staff did not complete 16 hours of training appropriate to the age of children in care annually.
Evidence:
1. There was no documentation for the completion of the required 16 staff training hours for the 13 staff records reviewed.
2. The Director stated that there were no certificates available for trainings that the staff had taken this past year.
Evidence:
1. There was no documentation for the completion of the required 16 staff training hours for the 13 staff records reviewed.
2. The Director stated that there were no certificates available for trainings that the staff had taken this past year.
Plan of Correction: I will create a tracking system and have the staff certificates for training moving forward.
Standard 8VAC20-780-245-L
Based on a review of staff records and staff interview, there was not at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.
Evidence:
1. There was no documentation of a current daily health observation certification for 14 out of 14 staff records reviewed during the inspection.
2. The Director stated that there was no one on-site that had a current daily health observation certification.
Evidence:
1. There was no documentation of a current daily health observation certification for 14 out of 14 staff records reviewed during the inspection.
2. The Director stated that there was no one on-site that had a current daily health observation certification.
Plan of Correction: We will have our staff get DHO training.
Standard 8VAC20-780-260-A
Based on a review of records, the center did not have an annual fire inspection report from the appropriate fire official.
Evidence:
1. The most recent fire inspection on file during the inspection was dated 2/2/2021.
Evidence:
1. The most recent fire inspection on file during the inspection was dated 2/2/2021.
Plan of Correction: I will call the fire marshall today.
Standard 8VAC20-780-270-A
Based on observation, areas of the center were not maintained in a clean, safe, and operable condition.
Evidence:
1. There were multiple areas of peeling paint on the wall by the bookshelf in the Discovery Preschool room.
2. There was peeling paint in the door entering from the playground in the School-age room.
Evidence:
1. There were multiple areas of peeling paint on the wall by the bookshelf in the Discovery Preschool room.
2. There was peeling paint in the door entering from the playground in the School-age room.
Plan of Correction: There is a work order in already for this.
Standard 8VAC20-780-40-H
Based on a review of records, the sponsor did not maintain public liability insurance.
Evidence:
1. There was no documentation of current liability insurance on file during the inspection.
Evidence:
1. There was no documentation of current liability insurance on file during the inspection.
Plan of Correction: I contacted corporate for the current liability insurance.
Standard 8VAC20-780-510-F
Based on a review of records, the medication authorization for emergency medication was not available to staff during the time it was effective.
Evidence:
1. There was an Epi-pen for Child #3 on-site during the inspection and there was no authorization form on file for the administration of the Epi-pen.
2. There was Benadryl on-site for Child #3 during the inspection and there was no authorization form on file for the administration of the Benadryl.
Evidence:
1. There was an Epi-pen for Child #3 on-site during the inspection and there was no authorization form on file for the administration of the Epi-pen.
2. There was Benadryl on-site for Child #3 during the inspection and there was no authorization form on file for the administration of the Benadryl.
Plan of Correction: I will ask the parent to have the forms filled out.
Standard 8VAC20-780-540-E
Based on observation and staff interview, all required nonmedical emergency supplies were not available.
Evidence:
1. There was no battery operated radio on site during the inspection.
2. The Director confirmed that there was not a battery operated radio at the facility.
Evidence:
1. There was no battery operated radio on site during the inspection.
2. The Director confirmed that there was not a battery operated radio at the facility.
Plan of Correction: I will order one today.
Standard 8VAC20-780-60-A
Based on a review of children's records, 3 out of 5 children's records did not contain the required information.
Evidence:
1. Child #2, Child #3, and Child #5 were missing documentation of proof of identity from their child record during the inspection.
2. Child #5 did not have a child record on-site during the inspection and was missing all required documentation for the child record.
Evidence:
1. Child #2, Child #3, and Child #5 were missing documentation of proof of identity from their child record during the inspection.
2. Child #5 did not have a child record on-site during the inspection and was missing all required documentation for the child record.
Plan of Correction: I will get all the paperwork that is missing.
Standard 8VAC20-780-70
Based on a review of staff records, all staff records were not complete.
Evidence:
1. There was no documentation of current CPR certification on file for Staff #2, Staff #3, Staff #4, Staff #7, Staff #8, Staff #9, Staff #10, Staff #11, and Staff #12 on file during the inspection.
2. There was no documentation of current First Aid certification on file for Staff #2, Staff #3, Staff #4, Staff #7, Staff #8, Staff #9, Staff #10, Staff #11, and Staff #12 on file during the inspection.
Evidence:
1. There was no documentation of current CPR certification on file for Staff #2, Staff #3, Staff #4, Staff #7, Staff #8, Staff #9, Staff #10, Staff #11, and Staff #12 on file during the inspection.
2. There was no documentation of current First Aid certification on file for Staff #2, Staff #3, Staff #4, Staff #7, Staff #8, Staff #9, Staff #10, Staff #11, and Staff #12 on file during the inspection.
Plan of Correction: We will get the cards for their CPR/FA from the contact we have.