Inspection · 2024-06-24
Date
2024-06-24
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
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was conducted on 6/24/24 from 10:20am to 1:40pm. At the time of the inspection there were 118 children in care and nine staff members. Children were observed participating in various activities including transitions, puzzles, guided games, lunch, gross motor activities, and technology (computers). Records were reviewed for 10 children and six staff members. Medication, evacuation drills, emergency supplies and other required records and postings were also reviewed. Transportation was not 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
9Standard 8VAC20-770-60-B
Based on record review and interview the center did not ensure to obtain a sworn statement prior to the first day of employment for all staff.
Evidence:
1.The sworn statement for Staff #1 (hire date 6/20/24) was completed on 6/24/24, which is after the staff member?s hire date.
2.Administrative staff confirmed that Staff #1?s sworn statement was completed after their first day of employment.
Evidence:
1.The sworn statement for Staff #1 (hire date 6/20/24) was completed on 6/24/24, which is after the staff member?s hire date.
2.Administrative staff confirmed that Staff #1?s sworn statement was completed after their first day of employment.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-C-2
Based on record review and interview the center did not ensure that all staff have a central registry finding within 30 days of employment.
Evidence:
1.The central registry results for Staff #3 (hire date 3/12/24) is dated 4/14/24, which is past 30 days of employment.
2.Administrative staff confirmed that the central registry results for Staff #3 were received past 30 days of employment.
Evidence:
1.The central registry results for Staff #3 (hire date 3/12/24) is dated 4/14/24, which is past 30 days of employment.
2.Administrative staff confirmed that the central registry results for Staff #3 were received past 30 days of employment.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Repeat Violation
Based on record review and interview the center did not ensure that each staff submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.
Evidence:
1. The records for Staff #1 and Staff #2 did not contain proof that documentation of a negative TB screening was submitted at the time of employment and prior to coming into contact with children.
a. Staff #1 and Staff #2 were observed working with children during the time of the inspection.
2.Administrative staff confirmed that they are still waiting for TB screenings for the two staff members to be submitted.
Based on record review and interview the center did not ensure that each staff submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.
Evidence:
1. The records for Staff #1 and Staff #2 did not contain proof that documentation of a negative TB screening was submitted at the time of employment and prior to coming into contact with children.
a. Staff #1 and Staff #2 were observed working with children during the time of the inspection.
2.Administrative staff confirmed that they are still waiting for TB screenings for the two staff members to be submitted.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-190-A
Repeat Violation
Based on record review and interview the center did not ensure that the program director meets requirements for the role.
Evidence:
1.The record for Staff #4 did not contain documentation to show that they meet the qualifications of program director.
2.Administrative staff confirmed that the center?s program director is still working on meeting one of the required criteria for program director.
Based on record review and interview the center did not ensure that the program director meets requirements for the role.
Evidence:
1.The record for Staff #4 did not contain documentation to show that they meet the qualifications of program director.
2.Administrative staff confirmed that the center?s program director is still working on meeting one of the required criteria for program director.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-280-B
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 substance with ?Keep Out of Reach of Children? on the
manufacturer's label. These substances were unlocked and accessible to children.
a. In the education classroom, there was a container of disinfectant wipes left unlocked.
b. In the art classroom, there was fabric refreshener, disinfectant sprays, and paint primer left unlocked.
c. In the cafeteria, there were 17 containers of sanitizing wipes stored in an unlocked drawer.
2. Classroom staff and the program director confirmed that these substances were unlocked at the time of the inspection.
Evidence:
1. There were hazardous substance with ?Keep Out of Reach of Children? on the
manufacturer's label. These substances were unlocked and accessible to children.
a. In the education classroom, there was a container of disinfectant wipes left unlocked.
b. In the art classroom, there was fabric refreshener, disinfectant sprays, and paint primer left unlocked.
c. In the cafeteria, there were 17 containers of sanitizing wipes stored in an unlocked drawer.
2. Classroom staff and the program director confirmed that these substances were unlocked at the time of the inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-560-G
Based on observation and interview the center did not ensure that when food is brought from home, the food container is clearly dated and labeled in a way that identifies the owner.
1.Five out of 15 water bottles inspected were not labeled to show who each water bottle belonged to.
2. The program director confirmed that the water bottles were not labeled with the children?s names.
1.Five out of 15 water bottles inspected were not labeled to show who each water bottle belonged to.
2. The program director confirmed that the water bottles were not labeled with the children?s names.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Repeat Violation
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 or home addresses for both required emergency contacts.
2.The record for Child #2 did not contain a work phone number for one parent or a written care plan for the child?s diagnosed food allergy.
3.The record for Child #3 did not contain a written care plan for the child?s diagnosed food allergy.
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 or home addresses for both required emergency contacts.
2.The record for Child #2 did not contain a work phone number for one parent or a written care plan for the child?s diagnosed food allergy.
3.The record for Child #3 did not contain a written care plan for the child?s diagnosed food allergy.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Based on record review the center did not ensure that all staff records have all the required information.
Evidence:
1.References for Staff #3 (hire date 3/12/24) were not checked before employment.
a. The two required reference checks for Staff #3 were checked on 3/19/24, which is after Staff #3 started working at the center.
Evidence:
1.References for Staff #3 (hire date 3/12/24) were not checked before employment.
a. The two required reference checks for Staff #3 were checked on 3/19/24, which is after Staff #3 started working at the center.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-80-A
Based on observation and interview the center did not ensure to have a written record of daily attendance for each group of children that documents the arrival and departure of each child in care as it occurs.
Evidence:
1.Documentation was missing for the time of arrival for 31 out of 32 children in the six- to seven-year-old group.
2.Classroom staff confirmed that the children?s arrival times were not documented at the time of their arrival.
Evidence:
1.Documentation was missing for the time of arrival for 31 out of 32 children in the six- to seven-year-old group.
2.Classroom staff confirmed that the children?s arrival times were not documented at the time of their arrival.
Plan of Correction: Not available online. Contact Inspector for more information.