Inspection · 2024-09-24
Licensing Inspector
Kara Vaughan
(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.
8VAC20-770 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, on-site monitoring inspection was initiated on 9/24/2024 and completed on 9/25/24. The on-site inspection began at 10:50am and ended at 12:20pm. The inspector reviewed compliance in the areas listed above. There were 59 children present and 16 staff. The inspector reviewed 8 children?s records and 5 staff records on-site and electronically on 9/25/2024. This inspection included: document review, tour of the facility, interviews, and observations.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 10/2/24. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-A
The center must obtain the results of a central registry background check for all staff every five years. A repeat background check for Staff 4 should have been obtained on 5/1/2023 to remain complaint. Staff 4 has been permitted to work for 16 months without the results of a new central registry check.
Plan of Correction: Staff 4 will obtain an updated fingerprint within 30 days
Standard 22.1-289.035-B-1
All staff shall provide a sworn statement or affirmation disclosing whether they has ever been convicted of or is the subject of pending charges for any offense within or outside the Commonwealth and whether they has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth prior to hire. Staff 2 submitted the sworn statement 11 days after hire.
Plan of Correction: Already corrected
Standard 22.1-289.035-B-2
The center must obtain the results of a national criminal background check for staff prior to hire. The center did not obtain, for Staff 2, the results of a criminal record check or show documentation of a scheduled appointment for the staff to submit to fingerprinting. Staff 2 has been employed for 10 days.
Plan of Correction: Staff 2 will obtain a national criminal background check
Standard 22.1-289.035-B-4
The center is required to obtain the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. On the date of inspection there was no documentation of the results or the request for the required checks for Staff 2's previous state of residence.
Plan of Correction: Registry check form has already been submitted
Standard 8VAC20-780-140-A
REPEAT VIOLATION
Each child shall have a physical examination by or under the direction of a physician within 30 days of enrollment. Child 4's record did not contain documentation of a physical. The child has been enrolled for 78 days.
Plan of Correction: Parent has already been notified multiple times. N/A - Child is disenrolling.
Standard 8VAC20-780-160-A
Each staff member shall submit documentation of a negative tuberculosis screening at the time of hire. Staff 2 has been working for 10 days and does not have documentation of a negative Tuberculosis screening. Staff 1 was permitted to work for 7 days before a tuberculosis screening was obtained.
Plan of Correction: Appointment for TB test has already been scheduled
Standard 8VAC20-780-240-B
REPEAT VIOLATION
Staff shall have an orientation on specific topics prior to working alone with children and no later than seven days of the date of assuming job responsibilities. Staff 2 has worked for 11 days before they signed off that they had completed the required orientation.
Plan of Correction: Already corrected. Rehired staff received orientation.
Standard 8VAC20-780-40-G
REPEAT VIOLATION
The center shall verify proof of a child's age and identity within 7 days of enrollment or notify local law-enforcement of the failure of a family to provide the requested information. Child 4 has been enrolled for 78 days and does not have either documentation that the child's age and identity was verified or documentation that local law-enforcement was notified.
Plan of Correction: Parent has already been notified multiple times. N/A - Child is disenrolling.
Standard 8VAC20-780-500-B
The diapering surface shall be used exclusively for changing children. The diapering surface in the infant room was observed with papers and a personal bag on it.
Plan of Correction: Discussed with teachers.
Standard 8VAC20-780-510-P
REPEAT VIOLATION
When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days shall be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Two medications for Child 6 had authorizations that expired the previous month. The medications were still present at the center.
Plan of Correction: Already corrected. Medications have been sent home.