Inspection · 2024-04-04
Date
2024-04-04
Complaint Related
No
Licensing Inspector
Cassie Anderson-Leichty
(757) 409-4668
(757) 409-4668
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.
Yes
Areas Reviewed
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 Staff Qualifications & Training
8VAC20-790 Physical Plant
8VAC20-790 Staffing & Supervision
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services
Inspector Notes
A annual subsidy inspection was initiated on 04/04/2024 from 12:30pm -3:10pm . Inspection concluded on April 4, 2024. A RECDC inspection was conducted on the same date as the SHSI initial inspection.Children were observaed during nap time and infant room chidlren were partipating in tummy time . Five children records and five staff records were reviewed. Playground area was inspected the playground composite are not being used insufficent resilent surfacing.
Information gathered during the inspection determined non-compliance(s) with applicable requirements and violations were documented on the violation notice issued to the program.
Violations
11Standard 8VAC20-790-520-F
Based on observation, staff interview and document review, the vendor did not ensure the allergy list is dated and kept confidential in each room or area where children are present.
Evidence:
The allergy list in all classroom were posted visible to the public on the wall and not dated.
Evidence:
The allergy list in all classroom were posted visible to the public on the wall and not dated.
Plan of Correction: Place allergy list inside cabinet in the classroom.( FIrst aid and health Supply cabinet)
Standard 8VAC20-790-540-B-8
Based on reocrd review, the vendor did not ensure all children records had written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection for the provision of medical treatment on religious or other grounds.
Evidence:
Child #1, Child #2 and Child #3 record did not have documentation of written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection.
Evidence:
Child #1, Child #2 and Child #3 record did not have documentation of written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection.
Plan of Correction: Documentation was on file on different from will make sure documentation for said children on correct form. Submit documentation of child #3. April 5, 2024
Obtain documentation for child #1 and child #2. April 8, 2024
Obtain documentation for child #1 and child #2. April 8, 2024
Standard 8VAC20-790-550-5
Based on record review, the vendor did not ensure there was documentation of orientaiton being completed with the inforamtion including the date completed, the total hours of the session, and the names of the trainer and of any sponsoring organization.
Evidence:
Staff #1 ( hire date 10/23/23) did not have documentaiton of completing all required information for orientation training. The training log should include the date completed, total hours, the name of the traininer and of any sponsoring organization.
Evidence:
Staff #1 ( hire date 10/23/23) did not have documentaiton of completing all required information for orientation training. The training log should include the date completed, total hours, the name of the traininer and of any sponsoring organization.
Plan of Correction: New form created to indicate total hours of orientation training for all new employed. April 9, 2024
Staff #1 training form to be completed. April 15, 2024
Staff #1 training form to be completed. April 15, 2024
Standard 8VAC20-790-560-B
REPEAT
Based on record review, the vendor did not ensure tuberculosis screening is completed every 2 years.
Evidence:
Staff #5 most recent TB test in the record was 09/24/2018. The vendor was unable to provide a update TB test during the inspection.
Based on record review, the vendor did not ensure tuberculosis screening is completed every 2 years.
Evidence:
Staff #5 most recent TB test in the record was 09/24/2018. The vendor was unable to provide a update TB test during the inspection.
Plan of Correction: Provide documentation of staff #5 TB test.
Standard 8VAC20-790-600-D-1
Based on record review , the vendor did not ensure staff had current CPR that include an in- person competency demonstration with in 90 days of employment.
Evidence:
Staff #1 (hired 10/23/23) record did not have documentaiton of completing CPR with in 90 days of hire.
Evidence:
Staff #1 (hired 10/23/23) record did not have documentaiton of completing CPR with in 90 days of hire.
Plan of Correction: Staff#1 will complete CPR training.
Standard 8VAC20-790-600-D-2
Based on record review, the vendor did not ensure staff have current certification in first aid within 90 days of hire. .
Evidence :
Staff #1 ( hired 10/23/23) record did not have documentaiton of completion of First Aid.
Evidence :
Staff #1 ( hired 10/23/23) record did not have documentaiton of completion of First Aid.
Plan of Correction: Staff #1 will complete certification in first aid .
Standard 8VAC20-790-640-A
REPEAT
Based on observation, the vendor did not ensure hazordous substances are kept in a locked place using a safe locking method.
Evidence:
-In the four year old classroom, there was two bottles of handsanitizer and soap that was labeled keep out of reach of children and warning.
-In the three year old classroom , there were 2 bottles of soap that was labeled keep out of reach of children and warning.
Based on observation, the vendor did not ensure hazordous substances are kept in a locked place using a safe locking method.
Evidence:
-In the four year old classroom, there was two bottles of handsanitizer and soap that was labeled keep out of reach of children and warning.
-In the three year old classroom , there were 2 bottles of soap that was labeled keep out of reach of children and warning.
Plan of Correction: Purchases bottles and label correctly .
Standard 8VAC20-790-720-C
Based on record review and staff interview, the vendor did not ensure all rewuired information was included on the injury report.
Evidence:
The injury reports reviewed were missing date and time when parents were notified.
Evidence:
The injury reports reviewed were missing date and time when parents were notified.
Plan of Correction: Review with staff on proper information needed on all injury reports.
Standard 8VAC20-790-760-B-3
Based on observation, the vendor did not ensure diapering area was nonabsorbent surface for diapering.
Evidence: In the infant room, there were multiple tears/cracking that were 1 to 2 inches long on the diapering suface caused the surface to be absorbant.
Evidence: In the infant room, there were multiple tears/cracking that were 1 to 2 inches long on the diapering suface caused the surface to be absorbant.
Plan of Correction: Purchase new diapering pad.
Standard 8VAC20-790-780-C-2
Based on staff interview and observation, the vendor did not ensure to have one working battery -operated radio.
Evidence:
The vendor did not have batteries for the radio.
Evidence:
The vendor did not have batteries for the radio.
Plan of Correction: Purchases batteries for flashlight.
Standard 8VAC20-790-800-B
Based on record review and staff interview, the vendor did not ensure to maintain a record of dates of practice drills.
Evidence:
-The center did not have documentation of completing evacuation drills for October 2023 -March 2024.
-The center did not have documentation of completing a Shelter in place twice a year for 2023.
-The center did not have documentation of completeing a Lockdown once a year in 2023.
Evidence:
-The center did not have documentation of completing evacuation drills for October 2023 -March 2024.
-The center did not have documentation of completing a Shelter in place twice a year for 2023.
-The center did not have documentation of completeing a Lockdown once a year in 2023.
Plan of Correction: Submit docuemntation of drills conducted in 2023 and 2024.