Inspection · 2023-12-14
Date
2023-12-14
Complaint Related
No
Licensing Inspector
Emily Walsh
(757) 404-2575
(757) 404-2575
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.
8VAC20-820 HEARINGS PROCEDURES.
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
A renewal inspection was conducted on 12/14/2023. The inspector arrived at 7:30 AM and departed at 8:25 PM. There were 33 children present, ranging in ages from 4 years to school age, with four staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 5 staff records were reviewed.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program and discussed with the program director during the exit interview.
Violations
9Standard 22.1-289.011-F
Based upon observation, the facility has not ensured that the results of the most recent inspection by the Dept. of Education Office of Child Care Health and Safety (OCCHS) is not posted.
Evidence:
Results of the most recent OCCHS inspection were not posted.
Evidence:
Results of the most recent OCCHS inspection were not posted.
Plan of Correction: The facility responded with the following:
Area Manger has contacted OCCHS to complete inspection
Area Manger has contacted OCCHS to complete inspection
Standard 8VAC20-780-130-A
Repeat violation
Based upon review of children's records and staff interview, the facility has not ensured that there is documentation that each child has received the immunizations required by the State Board of Health before attending the facility.
Evidence:
1. The record provided for child 3 who attended from 8/29/23 until 10/2/23 and returning next week did not include documentation of the required immunizations.
2. Staff 1 acknowledged that the record for child 3 did not include documentation of immunizations.
Based upon review of children's records and staff interview, the facility has not ensured that there is documentation that each child has received the immunizations required by the State Board of Health before attending the facility.
Evidence:
1. The record provided for child 3 who attended from 8/29/23 until 10/2/23 and returning next week did not include documentation of the required immunizations.
2. Staff 1 acknowledged that the record for child 3 did not include documentation of immunizations.
Plan of Correction: The facility responded with the following:
All children records will be corrected and to date
immunizations will be in file
All children records will be corrected and to date
immunizations will be in file
Standard 8VAC20-780-140-A
Repeat violation
Based upon review of children's records and staff interview, the facility has not ensured that there is documentation that each child has obtained a physical examination within 30 days of attending the facility.
Evidence:
1. The record provided for child 1 who has attended since 8/29/23 does not include documentation of a physical examination.
2. Staff 1 acknowledged that the record for child 1 does not include documentation of a physical examination.
Based upon review of children's records and staff interview, the facility has not ensured that there is documentation that each child has obtained a physical examination within 30 days of attending the facility.
Evidence:
1. The record provided for child 1 who has attended since 8/29/23 does not include documentation of a physical examination.
2. Staff 1 acknowledged that the record for child 1 does not include documentation of a physical examination.
Plan of Correction: The facility responded with the following:
All children records will be corrected and to date
immunizations will be in file
All children records will be corrected and to date
immunizations will be in file
Standard 8VAC20-780-240-B
Based on review of staff records and staff interview, the facility has not ensured that staff complete orientation training no later than seven days of the date of assuming job responsibilities,
Evidence:
1. The records provided for staff 2, employed since 8/18/23, and staff 3, employed since 9/12/22 did not include documentation of the required orientation training.
2. Staff 1 acknowledged that the records for staff 2 and staff 3 did not include documentation of the required orientation training.
Evidence:
1. The records provided for staff 2, employed since 8/18/23, and staff 3, employed since 9/12/22 did not include documentation of the required orientation training.
2. Staff 1 acknowledged that the records for staff 2 and staff 3 did not include documentation of the required orientation training.
Plan of Correction: The facility responded with the following:
All staff records have been updated and included orientation documentation.
All staff records have been updated and included orientation documentation.
Standard 8VAC20-780-510-B
Based upon review of medication stored for potential administration to children and staff interview, the facility has not ensured that the policy requiring written parent authorization for medication is followed.
Evidence:
1. There is albuterol stored for emergency administration to child 1. There is no written parent authorization for this medication.
2. Staff 1 acknowledged that written parent authorization was not obtained for the albuterol for child 1.
Evidence:
1. There is albuterol stored for emergency administration to child 1. There is no written parent authorization for this medication.
2. Staff 1 acknowledged that written parent authorization was not obtained for the albuterol for child 1.
Plan of Correction: The facility responded with the following:
All written authorization will be updated for all children
All written authorization will be updated for all children
Standard 8VAC20-780-510-E
Repeat violation
Based upon review of medication stored for the children and staff interview, the facility has not ensured that medications are monitored for expiration as required by the center's procedures.
Evidence:
1. There is albuterol stored for administration to child 7 that expired in November 2023.
2. Staff 1 acknowledged that the medication for child 7 is expired.
Based upon review of medication stored for the children and staff interview, the facility has not ensured that medications are monitored for expiration as required by the center's procedures.
Evidence:
1. There is albuterol stored for administration to child 7 that expired in November 2023.
2. Staff 1 acknowledged that the medication for child 7 is expired.
Plan of Correction: The facility responded with the following:
All medication plans will be updated and medicine will be updated accordingly
All medication plans will be updated and medicine will be updated accordingly
Standard 8VAC20-780-510-P
Based upon review of medication stored for potential administration to children and staff interview, the facility has not ensured that when medication authorization expires, the medications are returned to parents within 14 days or are disposed of by the center.
Evidence:
1. There was an EpiPen stored for child 6 that expired in June 2023.
2. Staff 1 stated that child 6 has not attended since June 2023 and acknowledged that the medication was not returned to the parent or disposed.
Evidence:
1. There was an EpiPen stored for child 6 that expired in June 2023.
2. Staff 1 stated that child 6 has not attended since June 2023 and acknowledged that the medication was not returned to the parent or disposed.
Plan of Correction: The facility responded with the following:
All children records will be corrected and to date immunizations will be in file.
All children records will be corrected and to date immunizations will be in file.
Standard 8VAC20-780-550-D
Based upon review of records and staff interview, the facility has not ensured that practice evacuation drills are conducted monthly.
Evidence:
1. There was no evacuation drill documented for November 2023.
2. Staff 1 acknowledged that an evacuation drill in November 2023 is not documented.
Evidence:
1. There was no evacuation drill documented for November 2023.
2. Staff 1 acknowledged that an evacuation drill in November 2023 is not documented.
Plan of Correction: The facility responded with the following:
All drills be completed
All drills be completed
Standard 8VAC20-780-60-A
Repeat violation
Based upon review of records and staff interview, the facility has not ensured that each child's record includes the names, addresses and telephone numbers for two persons to be contacted in an emergency when a parent cannot be reached.
Evidence:
1. The record provided for child 3 does not include the street 4addresses for the emergency contact persons.
2. The record provided for child 4 does not include the street address for one of the two emergency contact persons.
3. Staff 1 acknowledged that the emergency contact persons in the records of child 3 and child 4 did not include street addresses.
Based upon review of records and staff interview, the facility has not ensured that each child's record includes the names, addresses and telephone numbers for two persons to be contacted in an emergency when a parent cannot be reached.
Evidence:
1. The record provided for child 3 does not include the street 4addresses for the emergency contact persons.
2. The record provided for child 4 does not include the street address for one of the two emergency contact persons.
3. Staff 1 acknowledged that the emergency contact persons in the records of child 3 and child 4 did not include street addresses.
Plan of Correction: The facility responded with the following:
All child records and files will be updated with appropriate addresses and information
All child records and files will be updated with appropriate addresses and information