Inspection · 2023-01-10
Date
2023-01-10
Complaint Related
No
Licensing Inspector
Kara Vaughan
(703) 537-6241
(703) 537-6241
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
An unannounced monitoring inspection was conducted today from 10:50am-12:30pm. There were 79 children directly supervised by 14 staff. The inspector met with the new director and reviewed the physical plant, 5 staff records, 6 children?s records, medications, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed participating in group play, teacher led story time, and table toys. There was an assortment of age appropriate materials for the children in care. The center was clean and organized. Areas of non-compliance are identified in the Violation Notice.
If you have any questions regarding this inspection, please contact the Licensing Inspector, Kara Wright at kara.vaughan@doe.virginia.gov or 703-537-6241.
Violations
13Standard 22.1-289.035-B-2
Based on record review, one staff member did not have the results of a national criminal background check by their first date of employment.
Evidence:
On the date of inspection there were no criminal background checks available for review for Staff 5.
Evidence:
On the date of inspection there were no criminal background checks available for review for Staff 5.
Plan of Correction: All outstanding background checks have been scheduled and/or completed for the staff who need them.
Standard 8VAC20-770-60-C-2
Based on record review, two staff did not not have a the results of a central registry background check within 30 days of employment or volunteer service.
Evidence:
Staff 3 and Staff 5's records did not contain the results of a Virginia central registry check. Both staff members have been employed for a period of more than 30 days.
Evidence:
Staff 3 and Staff 5's records did not contain the results of a Virginia central registry check. Both staff members have been employed for a period of more than 30 days.
Plan of Correction: All outstanding background checks have been scheduled and/or completed for the staff who need them.
Standard 8VAC20-780-130-E
Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years.
Evidence:
Child 5's record contains an immunization record that was last updated when the child was six months old. Child 5 was aged 21 months on the date of inspection.
Evidence:
Child 5's record contains an immunization record that was last updated when the child was six months old. Child 5 was aged 21 months on the date of inspection.
Plan of Correction: We will inform the parents that this has to be done every 6mos as opposed to once a year. We will begin to collect 6mos immunization records from all children under 2.
Standard 8VAC20-780-140-A
Based on record review, each child did not have documentation of a physical examination by or under the direction of a physician.
Evidence:
Child 2 and Child 3's record did not contain documentation of a physical examination by or under the direction of a physician.
Evidence:
Child 2 and Child 3's record did not contain documentation of a physical examination by or under the direction of a physician.
Plan of Correction: We informed these families about their outstanding documents/health forms and gave them a deadline to have the completed forms OR confirmation of doctor's appointment to us.
Standard 8VAC20-780-240-B
Based on record review, staff did not complete orientation training in subsection prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
Evidence:
There is no documentation that Staff 5 has received an orientation. Staff 5 was hired in 10/2022.
Evidence:
There is no documentation that Staff 5 has received an orientation. Staff 5 was hired in 10/2022.
Plan of Correction: Staff is now scheduled to complete orientation training.
Standard 8VAC20-780-270-A
Based on observation, areas of the center were not maintained in as clean and operable condition.
Evidence:
The backsplash behind the sink in the Red room was observed to have peeling paint and signs of water damage.
Evidence:
The backsplash behind the sink in the Red room was observed to have peeling paint and signs of water damage.
Plan of Correction: A maintenance request was put in for this to be fixed prior to the licensing inspection. A follow up request was sent after the visit.
Standard 8VAC20-780-280-B
Based on observation, hazardous substances such as cleaning materials, insecticides, and pesticides were not kept in a locked place using a safe locking method that prevents access by children.
Evidence:
In the Blue room the was air freshener stored above the toilet paper dispenser and on an open shelf.
Evidence:
In the Blue room the was air freshener stored above the toilet paper dispenser and on an open shelf.
Plan of Correction: We informed all teachers about locking hazardous substances away at all times. Teachers did a thorough check to ensure this was complete.
Standard 8VAC20-780-510-L
Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children.
Evidence:
A prescription ointment was observed in an open basket containing diaper ointment in the Blue room.
Evidence:
A prescription ointment was observed in an open basket containing diaper ointment in the Blue room.
Plan of Correction: This prescription was given back to the parents on the day of inspection.
Standard 8VAC20-780-510-N
Based on record review, a record of medication given to children was not kept.
Evidence:
Child 8 had a medication that was instructed to be administered one time per day between 10/6/2022 and 10/14/2022. There was no record that the child had received the medication on any of the dates authorized.
Evidence:
Child 8 had a medication that was instructed to be administered one time per day between 10/6/2022 and 10/14/2022. There was no record that the child had received the medication on any of the dates authorized.
Plan of Correction: We will ensure that medication is logged when it is administered moving forward.
Standard 8VAC20-780-510-P
Based on a review of medication and documentation, medication was not picked up within 14 days of the medication authorization's date of expiration. Medications that were not picked up were not disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.
Evidence:
1. Child 7's medications was present at the center on the date of inspection. The written authorizations for the medications expired on 8/30/2022.
2. Child 8's medication was present at the center on the date of inspection. The written authorization for the medication expired on 10/14/2022.
3. Child 9's medication was present at the center on the date of inspection. The written authorization for the medication expired on 8/30/2022.
Evidence:
1. Child 7's medications was present at the center on the date of inspection. The written authorizations for the medications expired on 8/30/2022.
2. Child 8's medication was present at the center on the date of inspection. The written authorization for the medication expired on 10/14/2022.
3. Child 9's medication was present at the center on the date of inspection. The written authorization for the medication expired on 8/30/2022.
Plan of Correction: All expired medications were sent home with parents. Moving forward, we will ensure that medications are picked up within 14 days of the medication authorization's date of expiration.
Standard 8VAC20-780-550-D
Based on record review, an evacuation drill was not practiced monthly.
Evidence:
There was no documentation of a monthly evacuation drill conducted from July through December of 2022.
Evidence:
There was no documentation of a monthly evacuation drill conducted from July through December of 2022.
Plan of Correction: Drills were planned and scheduled for completion.
Standard 8VAC20-780-550-E
Based on record review shelter-in-place procedures were not practiced a minimum of twice per year.
Evidence:
One shelter-in-place drill was documented in 2022.
Evidence:
One shelter-in-place drill was documented in 2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Based on record review, one staff record di not contain all required information.
Evidence:
Staff 5's record did not contain the name and contact information of a person to contact in the event of emergency.
Evidence:
Staff 5's record did not contain the name and contact information of a person to contact in the event of emergency.
Plan of Correction: We filled in the emergency contact for staff 5.